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How do I fill this out?
To fill out this checklist, review the list of questions with your child care provider in the home. Mark 'Yes' or 'No' next to each item based on your observations. Ensure to seek clarifications and address any concerning areas with your provider.

How to fill out the California Health & Safety Facility Checklist?
1
Review the checklist thoroughly with your provider.
2
Observe the home environment and safety features.
3
Mark 'Yes' or 'No' for each item.
4
Address any concerns with the provider.
5
Keep this checklist for future reference.
Who needs the California Health & Safety Facility Checklist?
1
Parents seeking safe child care environments.
2
Child care providers looking to improve safety standards.
3
Social workers assessing child care conditions.
4
Regulatory agencies monitoring child care safety.
5
Child care resource agencies providing guidance.
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What are the instructions for submitting this form?
To submit this form, email it to your local child care agency or fax it to the appropriate department. Ensure to include any necessary documentation along with your checklist. Consult your worker for specific instructions related to your submission.
What are the important dates for this form in 2024 and 2025?
Currently, there are no specific important dates associated with this checklist. However, staying updated on local regulations concerning child care safety is advised.

What is the purpose of this form?
The purpose of this form is to provide a comprehensive guide for parents evaluating child care providers. It helps parents ask relevant questions to safeguard their children’s health and safety. By using this checklist, parents can ensure that their chosen care environment meets basic safety standards.

Tell me about this form and its components and fields line-by-line.

- 1. Home Safety: Assessing the general safety of the home environment.
- 2. Hallways & Stairs: Ensuring that hallways and stairs are free from hazards.
- 3. Kitchen Safety: Evaluating the safety of kitchen appliances and storage of dangerous items.
- 4. Bathroom Safety: Checking if medicines and hazardous items are stored securely.
- 5. Outdoors: Reviewing the security of outdoor play areas.
- 6. Emergency Preparedness: Confirming the provider's readiness for possible emergencies.
What happens if I fail to submit this form?
Failure to submit this form may lead to unmonitored safety issues in the child care environment. Without completion, parents may not be fully aware of potential risks, compromising their children's safety.
- Lack of Awareness: Parents may miss critical safety measures that need to be addressed.
- Provider Non-Compliance: Providers might not adhere to necessary health and safety guidelines.
- Increased Risks: The child care environment may remain hazardous without proper evaluation.
How do I know when to use this form?

- 1. Pre-Enrollment Assessment: Use this checklist to evaluate the safety before enrolling your child.
- 2. Ongoing Safety Reviews: Regularly review safety standards with your provider.
- 3. Compliance Checks: Help ensure that health regulations are being met.
Frequently Asked Questions
How do I use the checklist?
Use the checklist by reviewing each item with your provider and marking your observations.
Can I save my edits on the site?
Currently, you can edit and download PDFs but cannot save them directly on the site.
Is this checklist applicable to all child care settings?
Yes, this checklist can be adapted to evaluate various child care environments.
How do I download the edited checklist?
After making your edits, simply click the download button to save your document.
Can I print the checklist directly from the editor?
Yes, you can print the checklist directly after editing.
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You can add notes, highlight sections, and change text.
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