Foster Care Home Safety Checklist

Home Address:
Caregiver Name(s):
General Safety
Item Yes No N/A Comments
Working smoke detectors on each floor
Working carbon monoxide detectors
Fire extinguisher accessible
Exits clear and easily accessible
Bedrooms
Item Yes No N/A Comments
Separate bed for each child
Beds are clean and in good condition
Bedrooms have window for emergency exit
Bathroom & Kitchen Safety
Item Yes No N/A Comments
Cleaning supplies inaccessible to children
Medications are stored securely
Water heater set to safe temperature
Outdoor Safety
Item Yes No N/A Comments
Outdoor play areas free from hazards
Pools are fenced and secured
Garage/shed locked if containing tools or chemicals
Other Considerations
Inspected By:
Date:
Caregiver Signature:
Date: