Monthly Home Visit Record 2

• Audit Title

• Educators Full Name:

• Conducted on

  Date
• Location
  Address

• C.D.O Name:

• Time In:

  Date

• Time Out:

  Date

• ATT: CDO Photo evidence is required. Attach an image and add comments and actions by clicking the 'paper clip' icon.
  
  C.D.O needs to wash hands or use hand Sanitizer before entering and leaving the educators home.

• What needs to be rectified from last Monthly visit?

Emergency / Fire safety Checklist

• Mobile phone or Home phone is available?

  Yes

  No

  N/A

• Fire extinguisher, fire blanket displayed and easy reach of the educator, but out of the reach of the children ?

  Yes

  No

  N/A

• Smoke alarm installed and tested regularly?

  Yes

  No

  N/A

• Fire evacuation procedure displayed and so everyone can see ?

  Yes

  No

  N/A

• Are Exit signs displayed ?

  Yes

  No

  N/A

• Fire drill practice is done every 3 months?

  Yes

  No

  N/A

• Enter date of last Fire Drill

  Date

• Whistle is available for Fire practice?

  Yes

  No

  N/A

• First aid kit contains everything required (Make sure Asthma puffer (Blue reliever?) Parent needs to provide epi pen if the child is prescribed with one)?

  Yes

  No

  N/A

• Emergency bag and Emergency contact details displayed or in emergency bag?

  Yes

  No

  N/A

• OH&S Checklist must be done everyday?

  Yes

  No

  N/A

• Curtains, tablecloths and bedding away from heaters?

  Yes

  No

  N/A

• Fans inaccessible to children?

  Yes

  No

  N/A

• Heating and cooling units inaccessible to children?

  Yes

  No

  N/A

Room Safety Checklist (Access Rooms, Kitchen and Bathroom)

• Walk ways and play area are clean and free of hazard?

  Yes

  No

  N/A

• Is there barrier or gates on the steps and stairs?

  Yes

  No

  N/A

• Do all unused PowerPoint’s that children can reach have safety plugs?

  Yes

  No

  N/A

• Are all electrical cords out of sight and reach of children?

  Yes

  No

  N/A

• Are all cabinets locked or is there gate provided?

  Yes

  No

  N/A

• Gloves Provided?

  Yes

  No

  N/A

• There are safety locks on the kitchen cupboards & safety plugs in PowerPoint’s?

  Yes

  No

  N/A

• Are cleaning agents and chemicals inaccessible to children? Higher cabinet and closed?

  Yes

  No

  N/A

• All medication needs to be inaccessible put in container and refrigerator if needed and lock fridge?

  Yes

  No

  N/A

• Is there oven lock to keep oven closed all the time?

  Yes

  No

  N/A

• Microware, Kettles and other electrical Items, Cords are out of reach?

  Yes

  No

  N/A

• Hot water cannot be used without Educator supervision?

  Yes

  No

  N/A

• Hand washing signs displayed in the bathroom?

  Yes

  No

  N/A

• Are all mats on slippery surfaces secure?

  Yes

  No

  N/A

• Paper towel provided and bin available for the children?

  Yes

  No

  N/A

• Is hand wash soap available?

  Yes

  No

  N/A

• Are medicines, poisons and toilet deodorising blocks stored in a locked cupboard out of reach of children?

  Yes

  No

  N/A

• Are razors, scissors and other sharp objects stored out of reach of children?

  Yes

  No

  N/A

• Nappy Change area safe and fully equipped (Australian or NZ standard)?

  Yes

  No

  N/A

• There is a mattress for children under 5-years old?

  Yes

  No

  N/A

• There is a baby cot for children under one year (Australian or NZ standard)?

  Yes

  No

  N/A

• Is the house clean and safe for children?

  Yes

  No

  N/A

• Age appropriate indoor toys and activities are provided and in working condition?

  Yes

  No

  N/A

• Activity Educator is going to provide today?

  Yes

  No

  N/A

• Does the Educator discuss safety issues with children?

  Yes

  No

  N/A

• Glass door and surface are glazed or shatter proof?

  Yes

  No

  N/A

• Hat and sun screen are available?

  Yes

  No

  N/A

• Adequate ventilation/heating (Window open)?

  Yes

  No

  N/A

Documentation

• All signs are displayed on the wall?

  Yes

  No

  N/A

• Children Portfolio and Daily Curriculum are up to date?

  Yes

  No

  N/A

• Daily Routine is Displayed?

  Yes

  No

  N/A

• CPR chart are displayed?

  Yes

  No

  N/A

• Service Philosophy and Code of Conduct are displayed?

  Yes

  No

  N/A

• First aid are displayed and current?

  Yes

  No

  N/A

• Date of Update:

  Date

• Registration Certificate is displayed and current?

  Yes

  No

  N/A

• Date of Registration:

  Date

• Insurance needs is displayed and current?

  Yes

  No

  N/A

• Date of Insurance:

  Date

• Policy and procedure displayed?

  Yes

  No

  N/A

• Regulation and act displayed?

  Yes

  No

  N/A

• Children enrolment is available?

  Yes

  No

  N/A

• Children’s non-routine and risk assessments/ Permission slip are available?

  Yes

  No

  N/A

• Visitor Book is displayed?

  Yes

  No

  N/A

• Menu is available in program and safety book ?

  Yes

  No

  N/A

• Timesheet is displayed and up to date for that day?

  Yes

  No

  N/A

• Online timesheet is accurate ?

  Yes

  No

  N/A

Outdoor Area

• Is the side of the house clear and safe for an emergency evacuation?

  Yes

  No

  N/A

• Is the play area separated from the drive way by a gate or other form of barriers?

  Yes

  No

  N/A

• There are no rubbish placed on the floor/grass area?

  Yes

  No

  N/A

• Is there a lot of resources provided for the children?

  Yes

  No

  N/A

• Is the swing set or other equipment secure and in good condition?<br>

  Yes

  No

  N/A

• Are the garden shed and garage unable to be entered by children?

  Yes

  No

  N/A

• Animals is not required, if so all pet are immunised and put in cage where children won’t have access?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Is there a clearly visible, laminated Cardio-pulmonary Resuscitation (CPR) poster near pool or spa?

  Yes

  No

  N/A

• Five star FDC is allowing swimming pool if it is fenced off and in working condition?

  Yes

  No

  N/A

• All Containers are removed or covered?

  Yes

  No

  N/A

• All fences are in working condition and gate or fences are provided?

  Yes

  No

  N/A

• Plants that are hazardous to children should be removed immediately ?

  Yes

  No

  N/A

• Is there at least 50% of the outdoor area covered with shade?

  Yes

  No

  N/A

Car Safety

• First aid kit available in the car at all times?

  Yes

  No

  N/A

• How often do you service your car?

• Car are clean and safe?

  Yes

  No

  N/A

• Car seat, boosters and restraints are fitted safe and appropriate to children’s age?

  Yes

  No

  N/A

• Is the motor vehicle registered?

  Yes

  No

  N/A

• Children Present/Activities provided:

• C.D.O Follow up

• Evaluate Overall Rating:<br><br>Excellent 9 - 10 <br>Very Good 8 <br>Good 6 - 7<br>Satisfactory 5<br>Unsatisfactory 0 - 4

  Excellent

  Very Good

  Good

  Satisfactory

  Unsatisfactory

• List Additional Observation and evaluate if minor, major critical.

Observation

• Provide details:

• Evaluate Observation:

  Minor

  Major

  Critical

Signature

• CDO Signature:

  Sign

• Educator Signature:

  Sign