Winter & Spring Break Checklist; Program Readiness

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

License Compliance for Break

• Staff Files for all staff working break; Emergency Contact, Job Description, Break Guidelines, BSAC Certificate

  Yes

  No

  N/A

• DCD Verification Forms; Student, Staff, Legal Designee, completed

  Yes

  No

  N/A

• Emergency Medical Care Plan for each site

  Yes

  No

  N/A

• CPR and First Aid Cards posted for Cluster Staff working break

  Yes

  No

  N/A

• Allergy / Medical Needs List for registered students

  Yes

  No

  N/A

• Registration Notebook; ABC order by students last name

  Yes

  No

  N/A

• Medication Log and Authorizations

  Yes

  No

  N/A

• Parent Sign In / Out Notebook

  Yes

  No

  N/A

Administrative Items

• Communication Notebook-updated for break

  Yes

  No

  N/A

• Snack / Lunch- final head count given to Cafeteria Manager

  Yes

  No

  N/A

• Curriculum and Materials sorted by day/shift and group

  Yes

  No

  N/A

• Student Rosters by Group- typed and ready to post for each day of break

  Yes

  No

  N/A

• Students Rosters for each day of break (typed)

  Yes

  No

  N/A

• Student Name Tags prepared for each day

  Yes

  No

  N/A

• Staff Name Tags prepared for each day

  Yes

  No

  N/A

• Daily Schedules for each group prepared/posted

  Yes

  No

  N/A

• Gym /Playground Schedules prepared for each group/posted

  Yes

  No

  N/A

• Signage Posted - Entrance, We ID, Location Chart, Lunch Reminder, etc.

  Yes

  No

  N/A

• School Administrators/Custodians reminded of hosting break/hours of operation

  Yes

  No

  N/A