| Foster Parent(s) Name: | |
|---|---|
| Home Address: | |
| Inspection Date: | |
| Inspector Name: |
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Smoke detectors working on each floor | |||
| Fire extinguishers accessible | |||
| First aid kit available | |||
| Windows and doors can be opened for emergency exits | |||
| Hazardous materials out of children’s reach |
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Separate bed for each child | |||
| Clean and safe sleeping area | |||
| Personal storage for each child | |||
| Functional heating/cooling |
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Clean running water | |||
| Working toilet and shower/bathtub | |||
| Safe storage for cleaning products | |||
| Sanitary food preparation area |
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Adequate lighting throughout home | |||
| Safe and secure home environment | |||
| Home free of excessive clutter |