TE_CYS-36_MDTI_Fire_CY15_Checklist_v1_20140224.xls
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TE_CYS-36_MDTI Fire CY15 Checklist v1 20140224.xls
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Instructions
| CY15 CHILD, YOUTH & SCHOOL (CYS) SERVICES GARRISON MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CHECKLIST INSTRUCTIONS |
| 1. The instructions below are intended to briefly explain the checklists found on the Excel spreadsheets for this MDTI Checklist on Fire. These checklists should be used by the inspector to ensure all criteria are inspected as Met or Not Met. Use of N/A or Not Observed should only be used in extenuating circumstances for that facility or program. |
| 2. The following is an explanation of the structure of the CY15 inspection criteria |
A. Section level – The highest level of the criteria are the “Sections”. Child Development Centers (CDC), Family Child Care (FCC), School Age Centers (SAC) and Youth Program (YP) criteria are divided into three sections, 1) General Management (Section A), 2) Facilities, Health, Safety and Risk Management (Section B) and 3) Programming (Section C).
B. Subsection level – The sections are further categorized into “Subsections.” Example: A.1 Resource Management and Administration is a Subsection under General Management Section A.
C. Criteria level – Each subsection has multiple “Criteria.” The number varies from one subsection to the next. The criteria represent the overall program standards which have been determined by Office of the Secretary of Defense (OSD) to demonstrate “quality” across programs.
Example A.1.a. The program has implemented the fee policy in accordance with current DoD guidance.
There is at least one criteria under each sub-section and as many as 8. Each criteria is followed by the intent statement.
D. Component level – The “Component” level is new for CY15 and is the new term for the compliance item being inspected. The component level compliance items show how the program meets the criteria. The following is an example of one component under Criteria A.1.a. shown above:
Example A.1.a.1 Fees are determined by total family income (TFI).
There is at least one component under each criteria and up to twenty-six, depending on the number of components needed to demonstrate compliance with the criteria. Each component is followed by Guidance, which explains what is observed, reviewed or done by the inspector in order to determine if the program is in compliance with that component. There will also be some Components which have a Notes section that explain the percentage of files, or additional information needed to be consistent in determining compliance with the Component.
| 3. The MDTI Checklist for the inspector is divided into four checklists -- Family Child Care (FCC), Child Development Center (CDC), School Age Center (SAC) and Youth Program (YP). Each component should be evaluated as to whether it is met or not met. If not met, it will go on the Corrective Action Report (CAR) as a finding. The Guidance section will assist the inspector to know what to look for in determining compliance. The Notes section will also assist if there are records to review. |
| 4. Until an electronic version of the CAR is developed based on the new criteria, a CAR form is found on AKO at https://www.us.army.mil/suite/files/44298680 and can be filled in by the inspector until one is developed which will be more automatic. |
| 5. Items identified with a red background in the number cell are the immediate fix deficiencies that must be corrected as soon as identified. The remaining items are a 45 day fix time. Items which are repeats from previous inspections should be designated as repeats. |
| 6. The other inspector checklists are uploaded onto the AKO site under 01 Inspections folder/MDTI folder: https://www.us.army.mil/suite/files/44298680 |
| NOTE: The term "personnel" refers to staff, FCC providers, contractors, volunteers and others identified in the Secretary of the Army Directive. |
FCC Fire
| CY15 FIRE FAMILY CHILD CARE (FCC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA | ||||||||
| CRITERIA NUMBER | FCC CRITERIA HOME INSPECTED_______________________ DATE INSPECTED_________ INSPECTOR________________ | MET | NOT MET | N/A | NOT OBS. | |||
| B | FACILITY, HEALTH, SAFETY AND RISK MANAGEMENT | |||||||
| B.4 | PUBLIC LAW 104–106—FEB. 10, 1996, | |||||||
| § 1794. Child abuse prevention and safety at facilities | (d) SAFETY REGULATIONS.—The Secretary of Defense shall prescribe regulations on safety and operating procedures at military child development centers. Those regulations shall apply uniformly among the military departments. | FIRE AND SAFETY | ||||||
| B.4.a | DoDI 6060.02 (DRAFT), |
ENCLOSURE 2
RESPONSIBILITIES 3. HEADS OF THE DoD COMPONENTS. The Heads of the DoD Components shall:
Sections "a. - s.'"not listed here
| t. Establish standard risk management procedures for responding to emergency or contingency situations. This includes, but is not limited to, natural disasters, pandemic disease outbreaks, allegations of child abuse or neglect, active shooter, or an installation or facility lockdown. | Established policies and procedures are in place to ensure children's safety. | DoDI 6060.2 E8 III & E4.6.1 | |||||
| Intent: To ensure that safety and emergency procedures are in place | |||||||
| B.4.a.1 | 9.C.10 | Fire evacuation drills are conducted monthly by a fire protection professional in facilities and by FCC Provider in home. | |||||
| Guidance: Check for documentation. Conducted at various times of day. Different routes used. Children/youth in facility at time of the drill or when children/youth are in care. | AR 608-10, 6-16 | ||||||
| B.4.a.2 | 2.K.04 | Personnel quickly and safely evacuate children during emergencies. | |||||
| MDTI/HQ/Fire | Sample form to collect data which includes time of day and what route used (primary or secondary) | Guidance: In coordination with the fire department, conduct a fire drill at the facility to ensure staff safely evacuate and account for children in their care. Evacuation from building have target time of two minutes. |
The following are indicators not successfully evacuate to meet standard:
a) Not all children/parents evacuated the home during the drill
b) Children/provider/parents/visitors re-entered the home during the drill
c) Means of evacuation posed risk to children (children carried inappropriately, children ran across street /inappropriate means of egress, unable to leave home,etc.)
d) Accountability of children was not maintained during/after the drill
ACTION TO TAKE:
| a) - d): Conduct another drill | AR 608-10, 6-49 | ||||
| B.4.a.4 | 6.A.02 | Primary and secondary evacuation routes (diagrams and written procedures) are posted and egress is clear in all activity areas, which include procedures for responding to emergency or contingency situations. | |||
| Guidance: Posted and clearly visible at each exit; classroom and facility. Review written procedures to ensure information includes, at a minimum, procedures for the following situations: natural disasters, pandemic disease outbreaks, installation facility lockdowns, and lost child. | AR 608-10 6-49e. |
&LCY14 Fire FCC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
CDC Fire
| CY15 FIRE CHILD DEVELOPMENT CENTER (CDC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA | ||||||||
| CRITERIA NUMBER | CDC CRITERIA CDC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________ | MET | NOT MET | N/A | NOT OBS. | |||
| B | FACILITY, HEALTH, SAFETY AND RISK MANAGEMENT | |||||||
| B.4 | PUBLIC LAW 104–106—FEB. 10, 1996, | |||||||
| § 1794. Child abuse prevention and safety at facilities | (d) SAFETY REGULATIONS.—The Secretary of Defense shall prescribe regulations on safety and operating procedures at military child development centers. Those regulations shall apply uniformly among the military departments. | FIRE AND SAFETY | ||||||
| B.4.a | DoDI 6060.02 (DRAFT), |
ENCLOSURE 2
RESPONSIBILITIES 3. HEADS OF THE DoD COMPONENTS. The Heads of the DoD Components shall:
Sections "a. - s.'"not listed here
| t. Establish standard risk management procedures for responding to emergency or contingency situations. This includes, but is not limited to, natural disasters, pandemic disease outbreaks, allegations of child abuse or neglect, active shooter, or an installation or facility lockdown. | Established policies and procedures are in place to ensure children's safety. | DoDI 6060.2 4.14 | |||||
| Intent: To ensure that safety and emergency procedures are in place | |||||||
| B.4.a.1 | 9.C.10 | Fire evacuation drills are conducted monthly by a fire protection professional in facilities and by FCC Provider in home. | |||||
| Guidance: Check for documentation. Conducted at various times of day. Different routes used. Children/youth in facility at time of the drill or when children/youth are in care. | AR 608-10 5-47 | ||||||
| B.4.a.2 | 2.K.04 | Personnel quickly and safely evacuate children during emergencies. | |||||
| MDTI/HQ/Fire | Sample form to collect data which includes time of day and what route used (primary or secondary) | Guidance: In coordination with the fire department, conduct a fire drill at the facility to ensure staff safely evacuate and account for children in their care. Evacuation from building have target time of two minutes. |
The following are indicators not successfully evacuate to meet standard:
a) Not all children/staff/visitors evacuated the building during the drill
b) Children/staff/visitors re-entered the facility during the drill
c) Means of evacuation posed risk to children (not using evac crib/staff carrying too many children, egress path blocked, uneven terrain, gates locked and no key, so unable to exit to safe area)
d) Accountability of children/youth was not maintained during/after the drill
ACTION TO TAKE:
| a) - d): Conduct another drill to ensure in compliance. | AR 608-10 5-47 | ||||
| B,4.a.3 | All FADS are operable on date of inspection IAW UFC 3-600-01. | ||||
| Guidance: The FADS system automatically transmits a signal to the Fire Alarm Control Center or a 24-hour operated dispatch center. If it does not transmit, facility must immediately institute a fire watch to mitigate risk and institute required actions to make FADS operational to standard. | AR 608-10 C-70, C-71 | ||||
| B.4.a.4 | 6.A.02 | Primary and secondary evacuation routes (diagrams and written procedures) are posted and egress is clear in all activity areas, which include procedures for responding to emergency or contingency situations. | |||
| Guidance: Posted and clearly visible at each exit; classroom and facility. Review written procedures to ensure information includes, at a minimum, procedures for the following situations: natural disasters, pandemic disease outbreaks, installation facility lockdowns, and lost child. | AR 608-10 C-80 | ||||
| B.4.a.5 | 9.C.09 | Documentation is available that fire inspections are conducted monthly in CDC and quarterly in SAC/YP and corrections made. | |||
| Guidance: Checks included; fire extinguishers, smoke detectors, and carbon monoxide detectors, storage near sprinklers, kitchen hoods maintained, etc. Quarters when fire inspector does MDTI or Comprehensive inspection can count as the quarterly inspection requirement. | AR 608-10 5-47 |
&LCY15 Fire CDC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
SAC Fire
| CY15 FIRE SCHOOL AGE CENTER (SAC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA | ||||||||
| CRITERIA NUMBER | SAC CRITERIA SAC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________ | MET | NOT MET | N/A | NOT OBS. | |||
| B | FACILITY, HEALTH, SAFETY AND RISK MANAGEMENT | |||||||
| B.4 | PUBLIC LAW 104–106—FEB. 10, 1996, | |||||||
| § 1794. Child abuse prevention and safety at facilities | (d) SAFETY REGULATIONS.—The Secretary of Defense shall prescribe regulations on safety and operating procedures at military child development centers. Those regulations shall apply uniformly among the military departments. | FIRE AND SAFETY | ||||||
| B.4.a | DoDI 6060.02 (DRAFT), |
ENCLOSURE 2
RESPONSIBILITIES 3. HEADS OF THE DoD COMPONENTS. The Heads of the DoD Components shall:
Sections "a. - s.'"not listed here
| t. Establish standard risk management procedures for responding to emergency or contingency situations. This includes, but is not limited to, natural disasters, pandemic disease outbreaks, allegations of child abuse or neglect, active shooter, or an installation or facility lockdown. | Established policies and procedures are in place to ensure children's safety. | DoDI 6060.3 E2.1.17 | |||||
| Intent: To ensure that safety and emergency procedures are in place | |||||||
| B.4.a.1 | 9.C.10 | Fire evacuation drills are conducted monthly by a fire protection professional in facilities and by FCC Provider in home. | |||||
| Guidance: Check for documentation. Conducted at various times of day. Different routes used. Children/youth in facility at time of the drill or when children/youth are in care. | AR 608-10, C-81 | ||||||
| B.4.a.2 | 2.K.04 | Personnel quickly and safely evacuate children during emergencies. | |||||
| MDTI/HQ/Fire | Sample form to collect data which includes time of day and what route used (primary or secondary) | Guidance: In coordination with the fire department, conduct a fire drill at the facility to ensure staff safely evacuate and account for children in their care. Evacuation from building have target time of two minutes - when children/youth clear the building. If SAC program in a school during the school year, do not do a drill during SAC program. If during times school not in session (i.e. summer vacation), drills should be done those months as part of SAC program. |
The following are indicators not successfully evacuate to meet standard:
a) Not all children/staff/visitors evacuated the building during the drill
b) Children/staff/visitors re-entered the facility during the drill
c) Means of evacuation posed risk to children (egress path blocked, uneven terrain, gates locked and no key, so unable to exit to safe area)
d) Accountability of children was not maintained during/after the drill
ACTION TO TAKE:
| a) - d): Conduct another drill | AR 608-10, 5-47 | ||||
| B,4.a.3 | All FADS are operable on date of inspection IAW UFC 3-600-01. | ||||
| Guidance: The FADS system automatically transmits a signal to the Fire Alarm Control Center or a 24-hour operated dispatch center. If it does not transmit, facility must immediately institute a fire watch to mitigate risk and institute required actions to make FADS operational to standard. | AR 608-10, C-80 | ||||
| B.4.a.4 | 6.A.02 | Primary and secondary evacuation routes (diagrams and written procedures) are posted and egress is clear in all activity areas, which include procedures for responding to emergency or contingency situations. | |||
| Guidance: Posted and clearly visible at each exit; classroom and facility. Review written procedures to ensure information includes, at a minimum, procedures for the following situations: natural disasters, pandemic disease outbreaks, installation facility lockdowns, and lost child. | AR 608-10, C-80 | ||||
| B.4.a.5 | 9.C.09 | Documentation is available that fire inspections are conducted monthly in CDC and quarterly in SAC/YP and corrections made. | |||
| Guidance: Checks included; fire extinguishers, smoke detectors, and carbon monoxide detectors, storage near sprinklers, kitchen hoods maintained, etc. Quarters when fire inspector does MDTI or Comprehensive inspection can count as the quarterly inspection requirement. | AR 608-10, 5-47 |
&LCY15 Fire SAC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
YP Fire
| CY15 FIRE YOUTH PROGRAM (YP) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA | ||||||||
| CRITERIA NUMBER | YP CRITERIA YP NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________ | MET | NOT MET | N/A | NOT OBS. | |||
| B | FACILITY, HEALTH, SAFETY AND RISK MANAGEMENT | |||||||
| B.4 | PUBLIC LAW 104–106—FEB. 10, 1996, | |||||||
| § 1794. Child abuse prevention and safety at facilities | (d) SAFETY REGULATIONS.—The Secretary of Defense shall prescribe regulations on safety and operating procedures at military child development centers. Those regulations shall apply uniformly among the military departments. | FIRE AND SAFETY | ||||||
| B.4.a | DoDI 6060.02 (DRAFT), |
ENCLOSURE 2
RESPONSIBILITIES 3. HEADS OF THE DoD COMPONENTS. The Heads of the DoD Components shall:
Sections "a. - s.'"not listed here
| t. Establish standard risk management procedures for responding to emergency or contingency situations. This includes, but is not limited to, natural disasters, pandemic disease outbreaks, allegations of child abuse or neglect, active shooter, or an installation or facility lockdown. | Established policies and procedures are in place to ensure children's safety. | DoDI 6060.4 E3.1.2.13 | |||||
| Intent: To ensure that safety and emergency procedures are in place | |||||||
| B.4.a.1 | 9.C.10 | Fire evacuation drills are conducted monthly by a fire protection professional in facilities and by FCC Provider in home. | |||||
| Guidance: Check for documentation. Conducted at various times of day. Different routes used. Children/youth in facility at time of the drill or when children/youth are in care. | Army Youth Director's Handbook, Chapter 7, pg. 74 & Memo: ACSIM, SUBJ: CYS Before and After School (B&AS) Fire Safety Standards Checklist, 29 May 03 | ||||||
| B.4.a.2 | 2.K.04 | Personnel quickly and safely evacuate children during emergencies. | |||||
| MDTI/HQ/Fire | Sample form to collect data which includes time of day and what route used (primary or secondary) | Guidance: In coordination with the fire department, conduct a fire drill at the facility to ensure staff safely evacuate and account for children in their care. Evacuation from building have target time of two minutes. |
The following are indicators not successfully evacuate to meet standard:
a) Not all youth/staff/visitors evacuated the building during the drill
b) Youth/staff/visitors re-entered the facility during the drill
c) Means of evacuation posed risk to youth (egress path blocked, uneven terrain, gates locked and no key, so unable to exit to safe area)
d) Accountability of youth was not maintained during/after the drill
ACTION TO TAKE:
a) - d): Conduct another drill Army Youth Director's Handbook, Chapter 7, p. 74 Memo: ACSIM, SUBJ: CYS Before and After School (B&AS) Fire Safety Standards Checklist, 29 May 03
| B,4.a.3 | All FADS are operable on date of inspection IAW UFC 3-600-01. | |
| Guidance: The FADS system automatically transmits a signal to the Fire Alarm Control Center or a 24-hour operated dispatch center. If it does not transmit, facility must immediately institute a fire watch to mitigate risk and institute required actions to make FADS operational to standard. | UFC 3-600-1 |
Memo: ACSIM, SUBJ: CYS Before and After School (B&AS) Fire Safety Standards Checklist, 29 May 03
| B.4.a.4 | 6.A.02 | Primary and secondary evacuation routes (diagrams and written procedures) are posted and egress is clear in all activity areas, which include procedures for responding to emergency or contingency situations. | |
| Guidance: Posted and clearly visible at each exit; classroom and facility. Review written procedures to ensure information includes, at a minimum, procedures for the following situations: natural disasters, pandemic disease outbreaks, installation facility lockdowns, and lost child. | Army Youth Director's Handbook, Chapter 7, pg. 59 |
Memo: ACSIM, SUBJ: CYS Before and After School (B&AS) Fire Safety Standards Checklist, 29 May 03
| B.4.a.5 | 9.C.09 | Documentation is available that fire inspections are conducted monthly in CDC and quarterly in SAC/YP and corrections made. | |
| Guidance: Checks included; fire extinguishers, smoke detectors, and carbon monoxide detectors, storage near sprinklers, kitchen hoods maintained, etc. Quarters when fire inspector does MDTI or Comprehensive inspection can count as the quarterly inspection requirement. | Army Youth Director's Handbook, Chapter 7, pg. 77 |
Memo: ACSIM, SUBJ: CYS Before and After School (B&AS) Fire Safety Standards Checklist, 29 May 03
&LCY15 Fire YP MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
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