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FOSTER HOME SAFETY CHECKLIST

Home: _____ Date: _____. Address: _____. _____. Social Worker: _____. Check One: F Semi-Annual F Initial F Preliminary FOSTER HOME SAFETY CHECKLIST . GENERAL. _____ Telephone service connected, phones working properly, easily & accessible. Emergency numbers are posted within view of phone. _____ Well water clearance must be obtained if water is from a private source. _____ House appears reasonably neat and clutter free. _____ Windows have screens in good repair. _____ Windows have curtains or shades to provide privacy. _____ Windows are intact and open windows can be closed without difficulty. _____ Carpets are clean and in good repair. _____ Floors are clean and in good repair. _____ Ceilings, corners, closets, and window frames are free of dirt and cobwebs. _____ Electrical switches and receptacles are in good working order. _____ Type of heating, _____, is in good working order, well vented, and able to be turned off.

_____ Furniture is free of sharp edges and broken pieces. _____ All doors, doorways and screen doors, especially outside are in good repair, and can ... One fire extinguisher per floor is required. The minimum required capacity must be 2A10BC in size. ... _____ Power tools and equipment are stored safely and are inaccessible to children ...

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