Physical

Previous Quality Review

Were the previous findings reviewed with the Designated Manager?

Are all maintenance items entered into Landport?

Site Inspection

Rating Scale:
4 - Exceptional
3 - Minor work needed
2 - Does not meet expectations
1 - Health and safety concern
0 - Health and safety hazard

Brook
Outside
General Cleanliness

Yard free of weeds/debris

Tree trimmed, free of overhangs

Driveway free of weeds/debris

Gutters clean and in place

Mailbox intact/clear of obstructions

Cigarette butt can is available and being emptied

Summer

The lawn is healthy and free of bald patches (Jim only, does not affect score)

The property is free of beehives/wasp nests

The property is free of burrows of rodents or small animals

Rock beds around the building cover the ground beneath (Jim only, does not affect score)

Plants around the property are trimmed and healthy

Winter

Salt on site

Shovel on site

Driveway plowed/shoveled and de-iced

Walkways shoveled and de-iced

Front Hallway
General Cleanliness

Railings are intact and secure

Flooring is in good condition

Working light bulbs

Closets organized

Back Hallway
General Cleanliness

Railings are intact and secure

Flooring is in good condition

Working light bulbs

Closets organized

Laundry Room
General Cleanliness

Clear of clothes on the floor

Lint trap clean

There is a lint catcher on the washing machine exhaust hose

Working light bulbs

Boiler inspection current

Date of most recent boiler inspection/repair

Fire extinguisher present (serviced within last 12 months)

New/Serviced/Recharged Date

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Brook #1

Smell is acceptable

Room 1
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Bathroom
General Cleanliness

Sink, shower and toilet are clean and operational

Floor clean, clear of mold and residue

Working/matching light bulbs

Hallway
General Cleanliness

Working light bulbs

Fuse box is operational, labeled

Thermostat is working, behind lockbox

Kitchen
General Cleanliness

Cabinets are clean and organized

Oven is clean

Microwave is clean

Sink is clean

Refrigerator/Freezer is clean

Food options/menus available

Working light bulbs

Dining Room
General Cleanliness

Table and chairs are intact and clean

Working light bulbs

Windows intact and operational

Living Room
General Cleanliness
Furniture Cleanliness

Pictures/Artwork on walls

Operable TV

Games

Working light bulbs

Closet is clean and organized

Windows intact and operational

A/C unit is operational, filter is clean

Brook #2

Smell is acceptable

Room 1
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Room 2
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Bathroom
General Cleanliness

Sink, shower and toilet are clean and operational

Floor clean, clear of mold and residue

Working/matching light bulbs

Hallway
General Cleanliness

Working light bulbs

Fuse box is operational, labeled

Thermostat is working, behind lockbox

Closet is clean and organized

Kitchen
General Cleanliness

Cabinets are clean and organized

Oven is clean

Microwave is clean

Sink is clean

Refrigerator/Freezer is clean

Food options/menus available

Working light bulbs

Dining Room
General Cleanliness

Table and chairs are intact and clean

Working light bulbs

Windows intact and operational

Living Room
General Cleanliness
Furniture Cleanliness

Pictures/Artwork on walls

Operable TV

Games

Working light bulbs

Closet is clean and organized

Windows intact and operational

A/C unit is operational, filter is clean

Brook #3

Smell is acceptable

Room 1
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Room 2
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Bathroom
General Cleanliness

Sink, shower and toilet are clean and operational

Floor clean, clear of mold and residue

Working/matching light bulbs

Hallway
General Cleanliness

Working light bulbs

Fuse box is operational, labeled

Thermostat is working, behind lockbox

Closet is clean and organized

Kitchen
General Cleanliness

Cabinets are clean and organized

Oven is clean

Microwave is clean

Sink is clean

Refrigerator/Freezer is clean

Food options/menus available

Working light bulbs

Dining Room
General Cleanliness

Table and chairs are intact and clean

Working light bulbs

Windows intact and operational

Living Room
General Cleanliness
Furniture Cleanliness

Pictures/Artwork on walls

Operable TV

Games

Working light bulbs

Closet is clean and organized

Windows intact and operational

A/C unit is operational, filter is clean

Brook #4

Smell is acceptable

Room 1
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Room 2
General Cleanliness

Is the bed being used?

Working light bulbs

Mirror

Escape Plan

Closet is clean and organized

Windows intact and operational

Smoke Alarm (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Bathroom
General Cleanliness

Sink, shower and toilet are clean and operational

Floor clean, clear of mold and residue

Working/matching light bulbs

Hallway
General Cleanliness

Working light bulbs

Fuse box is operational, labeled

Thermostat is working, behind lockbox

Closet is clean and organized

Kitchen
General Cleanliness

Cabinets are clean and organized

Oven is clean

Microwave is clean

Sink is clean

Refrigerator/Freezer is clean

Food options/menus available

Working light bulbs

Dining Room
General Cleanliness

Table and chairs are intact and clean

Working light bulbs

Windows intact and operational

Living Room
General Cleanliness
Furniture Cleanliness

Pictures/Artwork on walls

Operable TV

Games

Working light bulbs

Closet is clean and organized

Windows intact and operational

A/C unit is operational, filter is clean

Licensing

Brook #1

Fire extinguisher (serviced within the last 12 months)

New/Serviced/Recharged Date

Weather radio (stays on when unplugged, has working batteries, tuned in)

First Aid Kit

Operational Flashlight

All bulletin board items present

Missing items

CO alarm in hallway (under 5 years old, with date of manufacture written on outside - 10 ft from sleeping)

Date of manufacture

Smoke alarm in hallway (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Brook #2

Fire extinguisher (serviced within the last 12 months)

New/Serviced/Recharged Date

Weather radio (stays on when unplugged, has working batteries, tuned in)

First Aid Kit

Operational Flashlight

All bulletin board items present

Missing items

CO alarm in hallway (under 5 years old, with date of manufacture written on outside - 10 ft from sleeping)

Date of manufacture

Smoke alarm in hallway (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Brook #3

Fire extinguisher (serviced within the last 12 months)

New/Serviced/Recharged Date

Weather radio (stays on when unplugged, has working batteries, tuned in)

First Aid Kit

Operational Flashlight

All bulletin board items present

Missing items

CO alarm in hallway (under 5 years old, with date of manufacture written on outside - 10 ft from sleeping)

Date of manufacture

Smoke alarm in hallway (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Brook #4

Fire extinguisher (serviced within the last 12 months)

New/Serviced/Recharged Date

Weather radio (stays on when unplugged, has working batteries, tuned in)

First Aid Kit

Operational Flashlight

All bulletin board items present

Missing items

CO alarm in hallway (under 5 years old, with date of manufacture written on outside - 10 ft from sleeping)

Date of manufacture

Smoke alarm in hallway (under 10 years old, with date of manufacture written on outside)

Date of manufacture

Signature and Comments

Auditor Signature
Comments

NOTE: Medical and documentation scores, office assessment and some aspects of licensing score such as drills and server trackers are done for both Brook and Meadows sites simultaneously and given in the most recent Meadows audit.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.