Pre-License Compliance Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Parent Board Information

• Daycare License

  Yes

  No

  N/A

• Sanitation Inspection Certificate

  Yes

  No

  N/A

• Evacuation Plan

  Yes

  No

  N/A

• Daily Schedules -Per group

  Yes

  No

  N/A

• Rainy Day Schedule- per group

  Yes

  No

  N/A

• Long Day Schedule- per group

  Yes

  No

  N/A

• Discipline and Behavior Policy

  Yes

  No

  N/A

• Emergency Medical Care Plan

  Yes

  No

  N/A

• First Aid Chart

  Yes

  No

  N/A

• Copies of CPR & First Aid cards of certified staff

  Yes

  No

  N/A

• Shaken Baby Syndrome Policy- applicable only for Pre-K and School-age combination programs<br>

  Yes

  No

  N/A

• Location of nearest hospital

  Yes

  No

  N/A

• Crisis Plan

  Yes

  No

  N/A

• Procedures for sick children

  Yes

  No

  N/A

• Summary of Laws

  Yes

  No

  N/A

• Field Trip Procedures

  Yes

  No

  N/A

• Site Coordinator Office Hours/ Conference Hours

  Yes

  No

  N/A

• Tax ID Number

  Yes

  No

  N/A

• Safe Pick Up & Delivery Porcedures

  Yes

  No

  N/A

• Parent Participation Policy & Field Trip Information

  Yes

  No

  N/A

• Parent Information (formerly Parent Newsletter)

  Yes

  No

  N/A

• Fire Drill Log

  Yes

  No

  N/A

• Location of Nearest Phone

  Yes

  No

  N/A

• Weather Watch<br>

  Yes

  No

  N/A

• Child Staff Ratio Forms- per group

  Yes

  No

  N/A

• Snack Menu

  Yes

  No

  N/A

Center Records

• DCD Off Site Compliance Notebook- student, staff, criminal records check verification, transportation verification, legal designee, staff and training worksheet, Annual review of Crisis Plan, Emergency Medical Plan, etc.

  Yes

  No

  N/A

• End of Year Checkout- previous years files were packed and labeled per end of year checkout procedures. Box labeled and stored properly.

  Yes

  No

  N/A

• Incident Log

  Yes

  No

  N/A

• Incident Report Copies

  Yes

  No

  N/A

• Special Needs Accommodation Log

  Yes

  No

  N/A

• Positive Student Profile

  Yes

  No

  N/A

• Shaken Baby Syndrome Policy ( Applicable for Pre-K & School-age combination programs only)- staff and parent signed copies of policy

  Yes

  No

  N/A

• Crisis Box up to date- current student registrations, staff emergency information, travel games, etc.

  Yes

  No

  N/A

• Allergy List / Medical Action Plans

  Yes

  No

  N/A

• Medication Log

  Yes

  No

  N/A

• Fire Inspection Reports

  Yes

  No

  N/A

• Sanitation Inspection Report

  Yes

  No

  N/A

• MSDS Sheets

  Yes

  No

  N/A

• Carpet Cleaning Log

  Yes

  No

  N/A

• List of Approved Spaces

  Yes

  No

  N/A

Staff File

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnare

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan- print from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter- print from WORKS and place in file

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Behavior Management & Discipline Policy- orientation to policy

  Yes

  No

  N/A

• Evaluation - Annual Appraisal - orientation to the instrument for position

  Yes

  No

  N/A

• BSAC (Basic School Age Care) Training

  Yes

  No

  N/A

• New Staff Orientation <br><br>On-site with Site Coordinator:<br><br>Off-site @ Smith:

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines (ASEP Dress Code, No Fault Absenteeism Control Program)

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log (KRONOS)

  Yes

  No

  N/A

• Break Rotation-signed and dated

  Yes

  No

  N/A

• Current In-Service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name & Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnaire

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan- print a copy from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter- Print from WORKS

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Discipline and Behavior Management Policy- orientation to the policy

  Yes

  No

  N/A

• Evaluation-Annual Appraisal- orientation to the instrument for position

  Yes

  No

  N/A

• New Staff Training:<br> On-site with Site Coordinator<br><br> Off-site at PDC

  Yes

  No

  N/A

• Basic School Age (BSAC) Training

  Yes

  No

  N/A

• New Staff Orientation<br>On-site with Site Coordinator:<br><br>Off-Site @ Smith Family Center

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen certification

  Yes

  No

  N/A

• ASEP Staff Guidelines

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log (KRONOS)

  Yes

  No

  N/A

• Break Rotation

  Yes

  No

  N/A

• Current In-Service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name & Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnaire

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan - print from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter- print from WORKS

  Yes

  No

  N/A

• Job Description signed and dated

  Yes

  No

  N/A

• Behavior Management & Discipline policy- orientation to policy

  Yes

  No

  N/A

• Evaluation- Annual Appraisal- orientation to the instrument for position

  Yes

  No

  N/A

• Basic School Age Care (BSAC) Training

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator:<br><br>Off-site @ Smith Family Center

  Yes

  No

  N/A

• Playground Safety. Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen certification

  Yes

  No

  N/A

• ASEP Staff Guidelines- ASEP Dress Code, No Fault Absenteeism Control Program

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log (KRONOS)

  Yes

  No

  N/A

• Break Rotation

  Yes

  No

  N/A

• Current In-Service Training- Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name and Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnare

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan-print from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter-print from WORKS

  Yes

  No

  N/A

• Job Description signed and dated

  Yes

  No

  N/A

• Behavior Management & Discipline Policy- orientation to the policy

  Yes

  No

  N/A

• Evaluation-Annual Appraisal- orientation to the instrument for position

  Yes

  No

  N/A

• Basic School Age Care (BSAC) Training

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator<br><br>Off-site @ Smith Family Center

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines- ASEP Dress Code, No Fault Absenteeism Control Program

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log (KRONOS)

  Yes

  No

  N/A

• Break Rotation

  Yes

  No

  N/A

• Current in-Service Training- Safe Schools, Health & Safety and ASEP

  Yes

  No

  N/A

Staff File

• Employee Name and Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnaire

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan-print a copy from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter-print from WORKS

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Behavior Management and Discipline Policy- orientation to the policy

  Yes

  No

  N/A

• Evaluation /Annual Appraisal -orientation to the instrument for position

  Yes

  No

  N/A

• Basic School Age Training (BSAC)

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator<br><br>Off-site @ Smith Family Center

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines- ASEP Dress Code, No Fault Absenteeism Control Program

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log- KRONOS

  Yes

  No

  N/A

• Break Rotation Schedule signed and dated

  Yes

  No

  N/A

• Current In-Service Training- Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name and Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnaire

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan-print from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter-print from WORKS and place in file

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Behavior Management & Discipline Policy-orientation to policy

  Yes

  No

  N/A

• Evaluation-Annual Appraisal-orientation to the instrument for position

  Yes

  No

  N/A

• BSAC (Basic School Age Care) Training

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator:<br><br>Off-site @ Smith:

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines (ASEP Dress Code, No Fault Absenteeism Control Program)

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log-KRONOS

  Yes

  No

  N/A

• Break Rotation -signed and dated

  Yes

  No

  N/A

• Current In-Service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name and Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnaire

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan-print from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter-print from WORKS

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Behavior Management & Discipline Policy-orientation to policy

  Yes

  No

  N/A

• Evaluation-Annual Appraisal-orientation to the instrument for position

  Yes

  No

  N/A

• BSAC (Basic School Age Care) Training

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator<br><br>Off-site @ SMith

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid & Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines (ASEP Dress Code, No Fault Absenteeism Control Program)

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log-KRONOS

  Yes

  No

  N/A

• Break Rotation -signed & dated

  Yes

  No

  N/A

• Current In-service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Staff File

• Employee Name & Position

  Yes

  No

  N/A

• Employment Application

  Yes

  No

  N/A

• Health Exam

  Yes

  No

  N/A

• Negative TB Test

  Yes

  No

  N/A

• Health Questionnarie

  Yes

  No

  N/A

• Emergency Information

  Yes

  No

  N/A

• Professional Development Plan-print a copy from My Talent

  Yes

  No

  N/A

• Workforce Qualifying Letter-print from WORKS

  Yes

  No

  N/A

• Job Description

  Yes

  No

  N/A

• Behavior Management & Discipline Policy-orientation to policy

  Yes

  No

  N/A

• Evaluation-Annual Appraisal orientation to the instrument for position

  Yes

  No

  N/A

• BSAC (Basic School Age Care) Training

  Yes

  No

  N/A

• New Staff Orientation<br><br>On-site with Site Coordinator<br><br>Off-site @ Smith

  Yes

  No

  N/A

• Playground Safety Training

  Yes

  No

  N/A

• CPR, First Aid and Epi-pen Certification

  Yes

  No

  N/A

• ASEP Staff Guidelines (ASEP Dress Code, No Fault Absenteeism Control Program)

  Yes

  No

  N/A

• In-Service Training Guidelines

  Yes

  No

  N/A

• Information for Job Applicant

  Yes

  No

  N/A

• Staff Calendar

  Yes

  No

  N/A

• Attendance Points Log-KRONOS

  Yes

  No

  N/A

• Break Rotation-signed & dated

  Yes

  No

  N/A

• Current In-Service Training: Safe Schools, Health & Safety, ASEP

  Yes

  No

  N/A

Student Files- names listed indicate incomplete information on their registration form.

• Yes

  No

  N/A