TE_CYS-42_MDTI_Safety_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 Safety. 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 Safety

CY15 SAFETY FAMILY CHILD CARE (FCC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERFCC CRITERIA HOME INSPECTED_______________________ DATE INSPECTED_________ INSPECTOR________________METNOT METN/ANOT OBS.
BFACILITY, HEALTH, SAFETY AND RISK MANAGEMENT
B.4PUBLIC 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.aDoDI 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. PUBLIC LAW 104–106—FEB. 10, 1996, § 1794 DoDI 6060.2 E4.6.1 & E4.14

Intent: To ensure that safety and emergency procedures are in place
B.4.a.62.K.04Documentation is available that a daily safety check is conducted of the interior, exterior facility, and playgrounds using a checklist.
MDTI/HQ/FireCheck sample provided on AKO that it includes the needed items listed on formGuidance: Verify that deficiencies noted during walkthrough include evidence of follow up. Deficiencies noted are reported and there is follow up until correction completed. Common examples include mold on equipment, standing water, animal droppings, grass too high, broken furniture with splinters, Incl. stairwells and ramps have handrails. The exterior checklist includes facility, including play area equipment and grounds, is safe, age appropriate, and well maintained. All outdoor equipment is free from mold and mildew, standing water is removed immediately and more permanent remedy in progress.AR 608-10, C-186
B.4.a.79.C.07The written procedures are available and followed on reporting accidents and incidents.
Guidance: Process for reporting incidents and accidents written in FCC Provider information. Parents receive a copy of accident/incident reports. See if in Parent Handbook, parent bulletin board or website. May not observe in action during observation. Review paperwork available or in child files.AR 608–10, 5–49, C-86, C-97
B.4.b9.B.07Programs maintain equipment to support a safe environmentDoDI 6060.2 E3.4.7, E4.6.1, 2.1.8
Intent: Ensure all equipment is safe and meets standards
B.4.b.25.C.02The interior facility and outdoor areas are safe and well maintained.
Guidance: Include stairwells and ramps have handrails. Common problems are clutter in classroom/home/activity area, rust and mold around sinks, gouges in the walls, spider webs, toilet area storage area, furniture free from defects, rugs maintained. Related to safety and health issue. This includes the entire facility such as admin area, storage rooms, etc. Outdoors includes play area, fencing, etc.AR 608-10 C-190
B.4.b.310.D.09Chemicals and potentially dangerous products are in original containers, properly labeled and properly stored. All plants are labeled and non-toxic.
Guidance: Incl: medicine, cleaning supplies. Bleach solution must be in a labeled, dated spray bottle and inaccessible to children. Chemicals need to be in the original container. Custodial equipment, supplies, and materials are used and stored as approved by health consultant or safety officer. Hazardous items such as matches, power tools, detergents, and cleaning supplies kept in locked area other than child activity rooms or child toilets. For SAC and YP tomato plants can be in the garden.

ACTIONS TO TAKE:

1. Remove toxic materials/solutions found within reach of children to a location inaccessible to children

2. Remove any chemicals not in original container

3. Lock hazardous items in appropriate storage area

4. Label plants. Remove any toxic plants that are in the home/classroom/activity area. AR 608-10 C-194

&LCY15 Safety FCC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

CDC Safety

CY15 CHILD DEVELOPMENT CENTER (CDC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERCDC CRITERIA CDC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
BFACILITY, HEALTH, SAFETY AND RISK MANAGEMENT
B.4PUBLIC 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.aDoDI 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. PUBLIC LAW 104–106—FEB. 10, 1996, § 1794 DoDI 606.2 E4.6.1 & E4.14

Intent: To ensure that safety and emergency procedures are in place
B.4.a.62.K.04Documentation is available that a daily safety check is conducted of the interior, exterior facility, and playgrounds using a checklist.
MDTI/HQ/FireCheck sample provided on AKO that it includes the needed items listed on formGuidance: Verify that deficiencies noted during walkthrough include evidence of follow up. Deficiencies noted are reported and there is follow up until correction completed. Common examples include mold on equipment, standing water, animal droppings, grass too high, broken furniture with splinters, Incl. stairwells and ramps have handrails. The exterior checklist includes facility, including play area equipment and grounds, is safe, age appropriate, and well maintained. All outdoor equipment is free from mold and mildew, standing water is removed immediately and more permanent remedy in progress.AR 608-10 C-85

NAEYC 2.K.04

B.4.a.79.C.07The written procedures are available and followed on reporting accidents and incidents.
Guidance: Process for reporting incidents and accidents written in FCC Provider information. Parents receive a copy of accident/incident reports. See if in Parent Handbook, parent bulletin board or website. May not observe in action during observation. Review paperwork available or in child files.AR 608–10, 5–49, C-89
B.4.b9.B.07Programs maintain equipment to support a safe environmentDoDI 6060.2 E2.1.8
Intent: Ensure all equipment is safe and meets standards
B.4.b.25.C.02The interior facility and outdoor areas are safe and well maintained.
Guidance: Include stairwells and ramps have handrails. Common problems are clutter in classroom/home/activity area, rust and mold around sinks, gouges in the walls, , spider webs, toilet area storage area, furniture free from defects, rugs maintained. Related to safety and health issue. This includes the entire facility such as admin area, storage rooms, etc. Outdoors includes play area, fencing, etc.AR 608-10 C-195 (11)
B.4.b.310.D.09Chemicals and potentially dangerous products are in original containers, properly labeled and properly stored. All plants are labeled and non-toxic.
Guidance: Incl: medicine, cleaning supplies. Bleach solution must be in a labeled, dated spray bottle and inaccessible to children. Chemicals need to be in the original container. Custodial equipment, supplies, and materials are used and stored as approved by health consultant or safety officer. Hazardous items such as matches, power tools, detergents, and cleaning supplies kept in locked area other than child activity rooms or child toilets. For SAC and YP tomato plants can be in the garden.

ACTIONS TO TAKE:

1. Remove toxic materials/solutions found within reach of children to a location inaccessible to children

2. Remove any chemicals not in original container

3. Lock hazardous items in appropriate storage area

4. Label plants. Remove any toxic plants that are in the home/classroom/activity area. AR-608-10, C-93 (10)

&LCY15 Safety CDC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

SAC Safety

CY15 SAFETY SCHOOL AGE CENTER (SAC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERSAC CRITERIA SAC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
BFACILITY, HEALTH, SAFETY AND RISK MANAGEMENT
B.4PUBLIC 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.aDoDI 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.PUBLIC LAW 104–106—FEB. 10, 1996, § 1794
Intent: To ensure that safety and emergency procedures are in place
B.4.a.62.K.04Documentation is available that a daily safety check is conducted of the interior, exterior facility, and playgrounds using a checklist.
MDTI/HQ/FireCheck sample provided on AKO that it includes the needed items listed on formGuidance: Verify that deficiencies noted during walkthrough include evidence of follow up. Deficiencies noted are reported and there is follow up until correction completed. Common examples include mold on equipment, standing water, animal droppings, grass too high, broken furniture with splinters, Incl. stairwells and ramps have handrails. The exterior checklist includes facility, including play area equipment and grounds, is safe, age appropriate, and well maintained. All outdoor equipment is free from mold and mildew, standing water is removed immediately and more permanent remedy in progress.AR 608-10 C-85
B.4.a.79.C.07The written procedures are available and followed on reporting accidents and incidents.
Guidance: Process for reporting incidents and accidents written in FCC Provider information. Parents receive a copy of accident/incident reports. See if in Parent Handbook, parent bulletin board or website. May not observe in action during observation. Review paperwork available or in child files.AR 608–10, 5–49, C-86
B.4.b9.B.07Programs maintain equipment to support a safe environmentDoDI 6060.3 4.2.4, 5.2.5
Intent: Ensure all equipment is safe and meets standards
B.4.b.25.C.02The interior facility and outdoor areas are safe and well maintained.
Guidance: Include stairwells and ramps have handrails. Common problems are clutter in classroom/home/activity area, rust and mold around sinks, gouges in the walls, , spider webs, toilet area storage area, furniture free from defects, rugs maintained. Related to safety and health issue. This includes the entire facility such as admin area, storage rooms, etc. Outdoors includes play area, fencing, etc.AR 608-10 C-195 (11)
B.4.b.310.D.09Chemicals and potentially dangerous products are in original containers, properly labeled and properly stored. All plants are labeled and non-toxic.
Guidance: Incl: medicine, cleaning supplies. Bleach solution must be in a labeled, dated spray bottle and inaccessible to children. Chemicals need to be in the original container. Custodial equipment, supplies, and materials are used and stored as approved by health consultant or safety officer. Hazardous items such as matches, power tools, detergents, and cleaning supplies kept in locked area other than child activity rooms or child toilets. For SAC and YP tomato plants can be in the garden.

ACTIONS TO TAKE:

1. Remove toxic materials/solutions found within reach of children to a location inaccessible to children

2. Remove any chemicals not in original container

3. Lock hazardous items in appropriate storage area

4. Label plants. Remove any toxic plants that are in the home/classroom/activity area. AR-608-10, C-93 (10)

&LCY15 Safety SAC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

YP Safety

CY15 SAFETY YOUTH PROGRAM (YP) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERYP CRITERIA YP NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
BFACILITY, HEALTH, SAFETY AND RISK MANAGEMENT
B.4PUBLIC 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.aDoDI 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.PUBLIC LAW 104–106—FEB. 10, 1996, § 1794
Intent: To ensure that safety and emergency procedures are in place
B.4.a.62.K.04Documentation is available that a daily safety check is conducted of the interior, exterior facility, and playgrounds using a checklist.
MDTI/HQ/FireCheck sample provided on AKO that it includes the needed items listed on formGuidance: Verify that deficiencies noted during walkthrough include evidence of follow up. Deficiencies noted are reported and there is follow up until correction completed. Common examples include mold on equipment, standing water, animal droppings, grass too high, broken furniture with splinters, Incl. stairwells and ramps have handrails. The exterior checklist includes facility, including play area equipment and grounds, is safe, age appropriate, and well maintained. All outdoor equipment is free from mold and mildew, standing water is removed immediately and more permanent remedy in progress.DoDI 6060.4 E4.7.1
B.4.a.79.C.07The written procedures are available and followed on reporting accidents and incidents.
Guidance: Process for reporting incidents and accidents written in FCC Provider information. Parents receive a copy of accident/incident reports. See if in Parent Handbook, parent bulletin board or website. May not observe in action during observation. Review paperwork available or in child files.Army Youth Program Director's Handbook, Chapter 7

AR 215-1, 13-15

B.4.b9.B.07Programs maintain equipment to support a safe environmentDoDI 6060.4 E2.1.32
Intent: Ensure all equipment is safe and meets standards
B.4.b.25.C.02The interior facility and outdoor areas are safe and well maintained.
Guidance: Include stairwells and ramps have handrails. Common problems are clutter in classroom/home/activity area, rust and mold around sinks, gouges in the walls, , spider webs, toilet area storage area, furniture free from defects, rugs maintained. Related to safety and health issue. This includes the entire facility such as admin area, storage rooms, etc. Outdoors includes play area, fencing, etc.DoDI 6060.4 E3.1.2.12

AR 215-1; 7-41

B.4.b.310.D.09Chemicals and potentially dangerous products are in original containers, properly labeled and properly stored. All plants are labeled and non-toxic.
Guidance: Incl: medicine, cleaning supplies. Bleach solution must be in a labeled, dated spray bottle and inaccessible to children. Chemicals need to be in the original container. Custodial equipment, supplies, and materials are used and stored as approved by health consultant or safety officer. Hazardous items such as matches, power tools, detergents, and cleaning supplies kept in locked area other than child activity rooms or child toilets. For SAC and YP tomato plants can be in the garden.

ACTIONS TO TAKE:

1. Remove toxic materials/solutions found within reach of children to a location inaccessible to children

2. Remove any chemicals not in original container

3. Lock hazardous items in appropriate storage area

4. Label plants. Remove any toxic plants that are in the home/classroom/activity area. DoDI 6060.4 E3.1.2.12 Army Youth Program Director's Handbook, Chapter 7

&LCY15 MDTI SAFETY YP Checklist&Cpage 1&Rv1 2/24/2014

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