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Date of Information: ___________________________________

If your child is near a time when they will change rooms it is recommend you complete this sheet for their initial room and the 'next' room.

Number of Full Time Children in Room: ___________  # of Part Time Children in Room:  ___________

Maximum Number of Children Room is Licensed For:  ___________
(Check this with your States Guidelines and review the room to see if it appears large enough to you)

Number of Children the facility plans on having in the room (if currently not at capacity):   ___________

Number of Children in your child's group  Full Time: ___________  Part Time: ___________

Are Staff specifically assigned children to monitor, during free play/large motor activities (circle one) : YES      NO   (note 1)

Is the noise level acceptable? (circle one) : YES      NO  (note 2)

Will the noise level be acceptable when the facility is "full"  (circle one) : YES      NO

Is there a TV in the Room (circle one) : YES      NO

If there is a TV in the Room, how often & for what purpose is it used:  ______________________________

Are there enough toys and books for the number of children (circle one) : YES      NO
(there should be enough for when the room is "full")

Are the toys, books and equipment in good condition and clean (circle one) : YES      NO

Are the toys age appropriate (circle one) : YES      NO

Are there age appropriate books (circle one) : YES      NO
(soft picture for infant, hard cardboard for toddlers, beginner's for preschoolers, etc)

Are there age appropriate blocks (circle one) : YES      NO
(large & easy to stack for toddlers, smaller with no supporting lips for pre-scholars)

Is the room 'divided' into activity areas? (circle one) : YES      NO

    A reading area, with comfortable child size seating / floor pillows (circle one) : YES      NO

    A pretend area, (kitchen, workbench, puppet stage or such)  (circle one) : YES      NO

    Are there low tables and chairs for painting, drawing, playdoo, etc.  (circle one) : YES      NO

Is there a non-breakable mirror at child level (great for infant/crawling toddlers)  (circle one) : YES      NO

Does the room have decorations on the wall, appropriate to child's age (circle one) : YES      NO

Does the ceiling have decorations (great in infant/young toddler rooms) (circle one) : YES      NO

Are the toys kept in locations which allows the children to get them (circle one) : YES      NO

Are toys kept so children can help clean up? (circle one) : YES      NO

Does there appear to be any unsafe areas of the room? (circle one) : YES      NO
(tall unsecured bookcases, stove within reach, glass tables, electrical outlets without covers, blind cords, etc.)

Does the room "feel" pleasant (circle one) : YES      NO

Is the lighting good (circle one) : YES      NO

Is there sunshine / natural light (circle one) : YES      NO

Is there at least one easily accessible fire extinguisher (circle one) : YES      NO (especially, if there is a Kitchen)

Is it current (fire extinguishers are labeled with a date) (circle one) : YES      NO

Are the fire extinguishers checked regularly (circle one) : YES      NO (ask what schedule to help you determine if you believe the answer)

Are there smoke detectors in each room?  (circle one) : YES      NO

Are the smoke detectors checked regularly (circle one) : YES      NO (ask what schedule to help you determine if you believe the answer)

Is there reasonable building exits (unblocked) (circle one) : YES      NO

Is there a current First Aide Kit (circle one) : YES      NO

How often is the Kit Checked to insure all materials available & Current (circle one) : YES      NO

Note 1: In a room or play ground with 15 or 20 children, it is not hard for one child to be gone for a period of time before being missed.  Children have exited room's behind an unsuspecting parent or when a door or gate was left unlatched.  When the group is "divided" it is much easier to monitor.  Each caregiver can more effectively monitor a small sub-group and no child is overlooked by an assumption they are being monitored by someone else.

In one center a young toddler (14 months old) exited a playground (a parent picking up a child had left the door open) wander through the main care facility building and was entering the main parking area, when found by an arriving parent. When the arriving parent returned the child to the rear play area both caregivers exclaimed they thought the other was watching the child! !

Note 2: If a room is too noisy, either due to the number of children in the room, or due to overflow noise from other rooms, staff and teachers are often stressed - noise can damage young ears and is extremely stressful, when continuous).

FOR KID'S SAKE - A SITE DEDICATED TO PARENTS, CHILDREN & CHILD CARE PROVIDERS EVERYWHERE - Thank you for visiting!

486 Keebler Road    King of Prussia, PA 19406    610-337-2423

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