Quality Assurance Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Health/ Safety

• Emergency Information Posted

  Yes

  No

  N/A

• Evacuation Plan Posted

  Yes

  No

  N/A

• Safety Drills Posted and Updated

  Yes

  No

  N/A

• Emergency Phone Numbers Accessible

  Yes

  No

  N/A

• Adequate Supervision/Ratio Maintained

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Cleaning Log Posted and Updated

  Yes

  No

  N/A

• Hazardous items are under lock and key

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Staff are wearing CMS ID badges

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• First Aid Kits/Walkie-Talkies are with staff at all times

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Attendance is taken immediately

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Absences are verified within the first 15 minutes

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Children's ages on listed on the roster

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Students are escorted at all times

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Emotional Support

• Emotional Connections Evident

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Aware and Responsive to children's emotional needs

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Emphasizes children's interests, motivations & points of view

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Encourages student responsibility & autonomy

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Classroom Organization

• Provides clear behavioral expectations

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Uses effective methods to prevent/redirect misbehavior

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Demonstrates effective management of instructional time and routines

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Provides opportunities for involvement in learning activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Utilizes a variety of interesting & stimulating materials

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Maximizes children's interests, engagement, & ability to learn from lessons and activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Center tubs are set up and accessible

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Academic Centers are available during homework time

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Additional centers are set up during Center/TDA

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Instructional Support

• Uses discussions & activities to promote higher order thinking skills, cognition and understanding

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Provides feedback that expands learning & understanding

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Encourages children's continued participation in classroom activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Staff are engaged in all activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Homework time is no longer than 45 minutes

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Mealtime Routines

• Breakfast

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Lunch

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Snack

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Proper handwashing procedures

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Tables are properly sanitized

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Appropriate sized tables and chairs

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Staff sit and interact with children

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Food served in reflective of planned menu

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Parent Participation

• Parent information posted

  Yes

  No

  N/A

• Parent conferences/home visits up to date

  Yes

  No

  N/A

Program Planning

• Linguistically appropriate

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Inclusive of children with special needs

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Multi-cultural awareness

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Family focused

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

TDA's

• Lesson plans are complete and posted

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Variety of developmentally appropriate activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Creative activities

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Social studies

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Math

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Literacy

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Science

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Health activities (including behavioral health)

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Organized game is posted and played

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

Schedule/Physical Environment

• Child & adult directed activities alternate

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Active & quiet activities alternate

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Soft, quiet areas are available

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

• Posted schedule consistent with routines

  Yes

  No

  N/A

• Groups that are compliant

  Select Group 1 Group 2 Group 3 Group 4 Group 5 Group 6

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Group 5
  • Group 6

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