Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Safe Environments
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1. Head Start classes must be staffed by two paid staff persons, a teacher and an aide or two teachers and, whenever possible, a third person in the classroom such as a volunteer. A maximum staff-to-child ratio of 1:10 with class sizes of fewer than 20 children. <br>[1306.20(c), Safe Environments 2
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2. For classes serving predominantly four or five year old children, the average class size of that group of classes must be between 17 and 20 children, with no more than 20 children enrolled in any one class. <br><br>For classes serving predominantly three-year old children, the average class size of that group of classes must be between 15 and 17 children, with no more than 17 children in any one class. <br>[1306.32(a)(5)], [1306.32(a)(3)] <br>
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3. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: stored in a “safe and orderly fashion” when not in use. (e.g., in their assigned places, not out where people can trip over them). <br>[1304.53(b)(1)(vii)], Education 14
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4. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: sufficient, safe, durable, age and developmentally appropriate, and kept in good condition (e,g,materials free of sharp edges and loose pieces, balloons and/or plastic bags not used, no choking hazards). <br>[1304.53(b)(1)(iii)(vi) and Education 14
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5. Adequate provisions are made for children with disabilities to ensure their safety, comfort, and participation during outdoor and indoor activites. <br>[1304.53(a)(10)(xvii)]
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6. Staff must promote effective dental hygiene among children in conjunction with at least one meal. <br>Toothbrushes should be labeled with the child’s name, and stored in an air-dried position with no part of one toothbrush touching another toothbrush. <br>Children should spit out excuses toothpaste after tooth brushing. At least one staff member should supervised proper tooth brushing techniques.<br>Toothbrush may be discarded and replaced when requested by parent due to child illness. It is recommended for toothbrush to be replaced every 3 to 4 months or sooner if the bristles become splayed or worn. <br>[1304.23(b)(3)], Health 12
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7. Staff, volunteers, and children must wash their hands with soap and running water after diapering or toilet use, before food-related activities, whenever hands are contaminated with blood or other bodily fluids, and after handling pets or other animals. Staff and volunteers must also wash their hands with soap and running water before and after giving medications and before and after treating or bandaging a wound (nonporous gloves should be worn if there is contact with blood or blood-containing body fluids) <br>The City of San Antonio, Bexar County Head Start program does not allow hand sanitizers in the classroom to replace hand washing as describe in the regulations. [1304.22(e)(1)(i)(ii)(iii)(iv), 1304.22(e)(2)(i)(ii)], Health 1
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8. Nonporous (e.g., latex) gloves must be worn by staff when they are in contact with spills of blood or other visibly bloody bodily fluids. <br>[1304.22(e)(3)], Health 1
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9. Toilets and hand washing facilities are adequate, clean, in good repair, and easily reached by children.<br>[1304.53(a)(10)(xiv)]
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10. Toileting and diapering areas must be separated from areas used for food preparation and children's activities. <br>[1304.53(a)(10)(xiv)]
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11. Potties that are utilized in a center-based program must be emptied into the toilet and cleaned and disinfected after each use in a utility sink used for this purpose only, if applicable. <br>[1304.22(e)(6)]
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12. Indoor premises are cleaned daily and kept free of undesirable and hazardous materials and conditions. <br>[1304.53(a)(10)(viii)], Education 4
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13. Garbage and trash are stored in a safe and sanitary manner. [1304.53(a)(10)(xvi)]
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14. Approved, working fire extinguishers are readily available. Are the fire extinguisher inspections current? <br>[1304.53(a)(10)(v)(vi)]
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15. Functioning and appropriate number of smoke detectors installed and there is documentation showing that the smoke detectors are tested regularly. [1304.53(a)(10)(v)(vi)]
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16. Posted emergency evacuation routes and other safety procedures for emergencies (e.g., fire or weather-related) are practiced regularly. [1304.22(a)(3)]
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17. Exits are clearly visible and emergency evacuation routes are clearly marked and posted so that the path to safety outside is unmistakable.<br>[1304.53(a)(10)(vii)], Health 3
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18. Electrical outlets accessible to children prevent shock through the use of child-resistant covers, the installation of child-protection outlets, or the use of safety plugs. <br>[1304.53(a)(10)(xi)]
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19. Grantee and delegate agencies must provide for the maintenance, repair, safety, and security of all Head Start facilities, materials and equipment. <br>Note: If at the time of the monitoring, a maintenance or repair issue is observed, request documentation from the provider to show what steps are being taken to ensure resolution of the issue.<br>[1304.57(a)(7)]
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20. Windows and glass doors doors are constructed, adapted, or adjusted to prevent injury to children. <br>[1304.53(a)(10)(xii)]
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21. No highly flammable furnishings, decorations, or materials that emit highly toxic fumes when burned are used. <br>[1304.53(a)(10)(ii)]
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22. Flammable and other dangerous materials and potential poisons are stored in locked cabinets or storage facilities separate from stored medications and food and are accessible only to authorized persons. <br>[1304.53(a)(10)(iii)]
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23. Service Providers must provide a center-based environment free of toxins such as cigarette smoke, lead, pesticides, herbicides and other pollutants as well as soil and water contaminants. Agencies must ensure that no child is present during the spraying of pesticides or herbicides. Children must not return to the affected area until it is safe. <br>[1304.53 (a)(8)]
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24. Only sources of water approved by the local or State health authority are used. Only (if Well-Water used)<br>[1304.53(10)(xiii)]
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25. In climates where such systems are necessary, there is a safe and effective heating and cooling system that is insulated to protect children and staff from potential burns. (Note: Look at pipes and/or radiators). [1304.53(a)(10)(i)]
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26. Rooms are well lit and adequate for all classroom activities and provide emergency lighting in the case of power failure. (i.e. working flashlight) <br>[1304.53(a)(10)(iv)]
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27. Locations and telephone numbers of emergency response systems (e.g. EMS, Fire, Police and Poison Control) are clearly posted. Up-to-date family contact information and authorization for emergency care for each child must be readily available. Staff carrys list on field trips and during evacuations.<br>[1304.22(a)(2)], Health 3
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28. Policies and plans of action for emergencies that require rapid response on the part of the staff (e.g. a child choking) or immediate medical or dental attention are clearly posted. <br>[1304.22(a)(1)], Health 3
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29. Readily available, well-supplied first aid kits appropriate for the ages served and the program size must be maintained at each facility and available on outings away from the site. Each kit must be accessible to staff members at all times, but must be kept out of the reach of children. First aid kits must be restocked after use, and an inventory must be conducted at regular intervals. <br>[1304.22(f)(1) & 1304.22(f)(2)]
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30. Each site must have at least one first-aid kit containing the<br>following supplies:<br>(1) A guide to first aid and <br>emergency care;<br>(2) Adhesive tape;<br>(3) Antiseptic solution or wipes;<br>(4) Cotton balls;<br>(5) Multi-size adhesive bandages;<br>(6) Scissors;<br>(7) Sterile gauze pads;<br>(8) Thermometer, preferably non-<br>glass;<br>(9) Tweezers; and<br>(10) Waterproof, disposable <br>gloves.<br>The first aid supplies must not have expired <br>PIG 5
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31. All medications, including those required for staff and volunteers, are labeled, stored under lock and key, refrigerated if necessary, and kept out of the reach of children. Rescue medications (e.g. Epi-Pens) do not need to be locked up; however, they must be kept out of children’s reach and be immediately accessible to staff at all times. <br>1304.53(a)(10)(iii), 1304.22(c)(1), Health 6
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32. A trained staff member(s) or school nurse to administer, handle and store child medications must be designated. <br>[1304.22(c)(2)], Health 6
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33. Physician’s instructions and written parent or guardian authorizations for all medications administered by staff are obtained. <br>[1304.22 (c)(3)], Health 6
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34. Individual record of all medications dispensed is maintained and reviewed regularly with child’s parent. <br>[1304.22 (c)(4)], Health 6
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35. Outdoor premises are cleaned daily and kept free of undesirable and hazardous materials and conditions to protect children from any hazardous pose. <br>[1304.53(a)(10)(viii)], Education 4
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36. The selection, layout, and maintenance of playground equipment and surfaces minimize the possibility of injury to children. (e.g., adequately secured to the ground, free of sharp edges and/or splinters, soft falling surfaces). <br>[1304.53(a)(10)(x)]
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37. Adequate provisions are made for children with disabilities to ensure their safety, comfort, and participation. <br>[1304.53(a)(10)(xvii)]
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38. Outdoor play areas at center-based programs must be arranged so as to prevent any child from leaving the premises and getting into unsafe and unsupervised areas. The program ensures that children enroute to play areas are not exposed to vehicular traffic without supervision. <br>[1304.53(a)(9)]
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39. During playground use, is the number of children using the playground less than or equal to the maximum number of children allowed? [1304.53(a)(5)]
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Grantee Signature
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Partner Signature
