TE_CYS-45_MDTI_EH_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 for Environmental Health/Preventive Med. 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 EH
| CY15 ENVIRONMENTAL HEALTH (EH) 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 | PUBLIC LAW 104–106—FEB. 10, 1996, |
§ 1794. Child abuse prevention and safety at facilities
| B.5 | 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. | F. HEALTH AND SANITATION | |||||
| B.5.a | DoDI 6060.02 (DRAFT), | ||||||
| 10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERIS | D. Fire and Safety | ||||||
| The building, playground, and all equipment are maintained in safe, clean condition, are in good repair, and there are no observable safety hazards in the indoor and outdoor program space. | There is a comprehensive system in place that ensures a healthy and sanitary environment. | DoDI 6060.2 4.6.1 | |||||
| Intent: To ensure procedures and practices support the maintenance of a healthy environment. | |||||||
| B.5.a.2 | 5.C.01 | Food storage/preparation areas support sanitary food preparation and service. | |||||
| Guidance: Kitchen in home is clean and sanitary. Sanitary standards for safe food storage, preparation and serving in FCC homes are IAW Food Handler's Course. Look at food prep area to ensure no clothing on food prep tables and counter tops, and no cleaning supplies left out in food preparation and serving areas. | DoDI 6060.2 E3.3.2 | ||||||
| B.5.b | DoDI 6060.02 (DRAFT), ENCLOSURE 3, | ||||||
| Section 3. ADMINISTRATION, FUNDING, AND OVERSIGHT OF MILITARY-OPERATED CDPs | g. Immunizations. Children enrolling in or currently enrolled in DoD CDPs must provide written documentation of immunizations appropriate for the child’s age. Per AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F (Reference (u)), immunizations recommended by the ACIP are required. |
(1) All records shall be updated at least annually and kept on file. Any child not enrolled in a school system where proof of currency of vaccination is required must provide proof of currency.
(2) Children enrolled in a local public school system and volunteer sports coaches are excluded from this requirement.
(3) A waiver for an immunization exemption may be granted for medical or religious reasons. Philosophical exemptions are not permitted. The DoD Component must provide guidance on the waiver process.
(a) A statement from the child’s health care provider is required if an immunization may not be administered because of a medical condition. The statement must document the reason why the child is exempt.
(b) If an immunization is not administered because of a parent’s religious beliefs, the parent must provide a written statement stating that he or she objects to the vaccination based upon religious beliefs.
| (c) During a documented outbreak of a contagious disease that has a vaccine, the child who is attending the program under an immunization waiver for that vaccine, will be excluded from the program for his or her protection and the safety of the other children and staff until the contagious period is over. | CDCs maintain equipment to support a healthy environment | DoDI 6060.2 4.6.1 | ||||
| Intent: To ensure a sanitary classroom environment for staff and children. | ||||||
| B.5.b.1 | 10.D.01 | A hand-washing sink with running water is adjacent to bathrooms, diapering areas, and food prep areas. Distance between areas is large enough so that caregivers do not inadvertently use diapering areas in food preparation/storage. The sinks for food and hand-washing are not co-located, but for those older facilities where additional sinks not provided, sanitation procedures are in place if they have to be shared. | ||||
| Guidance: Water accessible to children/youth does not exceed 110 degrees. Ensure are operable and running. Food preparation area to include stove, refrigerator, counter space, and bottle warming mechanism. MDTI and Comprehensive will ensure correct distance. Diapering is not carried out in food preparation and storage areas of the FCC home. Separate areas and hand sinks are available and used. | AR 608-10 5-6; 6-28c; C-48; C-61a(1)(a) | |||||
| B.6 | NUTRITION AND FOOD SERVICE | |||||
| B.6.b | 5.A.14 | Meals and snacks promote interaction and minimize disease. | DoDI 6060.2 E3.3.2 | |||
| Intent: To ensure safe and caring feeding practices for children/youth. | ||||||
| B.6.b.6 | None | Food arrives in the classroom ready to be served. FCC providers ensure food is ready to eat. | ||||
| Guidance: Certain foods are not served (hotdogs, grapes, large chunks of hard foods - carrots) for children under three years. Prior to food leaving the kitchen, staff/providers prepare food not larger than 1/4" square for infants/pre-toddlers (less than 24 months) and 1/2" square for toddlers (24-36 months) to prevent choking hazards. Soft finger foods for children who can self-feed themselves are appropriate without cutting. | AR 608-10 5-6, 6-30 |
&LCY15 Environmental Health/Preventive Med FCC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
CDC EH
| CY15 ENVIRONMENTAL HEALTH (EH) 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 | PUBLIC LAW 104–106—FEB. 10, 1996, |
§ 1794. Child abuse prevention and safety at facilities
| B.5 | 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. | F. HEALTH AND SANITATION | ||||
| B.5.a | DoDI 6060.02 (DRAFT), | |||||
| 10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERIS | D. Fire and Safety | |||||
| The building, playground, and all equipment are maintained in safe, clean condition, are in good repair, and there are no observable safety hazards in the indoor and outdoor program space. | There is a comprehensive system in place that ensures a healthy and sanitary environment. | DoDI 6060.2 4.6.1 | ||||
| Intent: To ensure procedures and practices support the maintenance of a healthy environment. | ||||||
| B.5.a.2 | 5.C.01 | Food storage/preparation areas support sanitary food preparation and service. | ||||
| Guidance: Review Public Health inspections of food storage/preparation areas. Should be monthly inspections from Environmental Health/Preventive Med. Review any noted deficiencies to ensure they have been corrected. |
Food prep area in classroom and kitchens should not be unsanitary -- examples: counter tops, kitchen, hat on the counter, mop next to food prep area not stored there. Infant rooms where prepare baby food (other items in food prep area) should be sanitary.
| MDTI: CDC inspected against and meet standards of the Tri-Service Food Code. | DoDI 6060.2 E3.3.2 | ||
| B.5.b | DoDI 6060.02 (DRAFT), ENCLOSURE 3, | ||
| Section 3. ADMINISTRATION, FUNDING, AND OVERSIGHT OF MILITARY-OPERATED CDPs | g. Immunizations. Children enrolling in or currently enrolled in DoD CDPs must provide written documentation of immunizations appropriate for the child’s age. Per AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F (Reference (u)), immunizations recommended by the ACIP are required. |
(1) All records shall be updated at least annually and kept on file. Any child not enrolled in a school system where proof of currency of vaccination is required must provide proof of currency.
(2) Children enrolled in a local public school system and volunteer sports coaches are excluded from this requirement.
(3) A waiver for an immunization exemption may be granted for medical or religious reasons. Philosophical exemptions are not permitted. The DoD Component must provide guidance on the waiver process.
(a) A statement from the child’s health care provider is required if an immunization may not be administered because of a medical condition. The statement must document the reason why the child is exempt.
(b) If an immunization is not administered because of a parent’s religious beliefs, the parent must provide a written statement stating that he or she objects to the vaccination based upon religious beliefs.
| (c) During a documented outbreak of a contagious disease that has a vaccine, the child who is attending the program under an immunization waiver for that vaccine, will be excluded from the program for his or her protection and the safety of the other children and staff until the contagious period is over. | CDCs maintain equipment to support a healthy environment | DoDI 6060.2 4.6.1 | ||||
| Intent: To ensure a sanitary classroom environment for staff and children. | ||||||
| B.5.b.1 | 10.D.01 | A hand-washing sink with running water is adjacent to bathrooms, diapering areas, and food prep areas. Distance between areas is large enough so that caregivers do not inadvertently use diapering areas in food preparation/storage. The sinks for food and hand-washing are not co-located, but for those older facilities where additional sinks not provided, sanitation procedures are in place if they have to be shared. | ||||
| Guidance: Water accessible to children/youth does not exceed 110 degrees. Ensure are operable and running. Food preparation area to include stove, refrigerator, counter space, and bottle warming mechanism. MDTI and Comprehensive will ensure correct distance. Diapering is not carried out in food preparation and storage areas of the FCC home. Separate areas and hand sinks are available and used. | AR 608-10 5-6; 6-28c; C-48; C-61a(1)(a) | |||||
| B.6 | NUTRITION AND FOOD SERVICE | |||||
| B.6.b | 5.A.14 | Meals and snacks promote interaction and minimize disease. | DoDI 6060.2 E3.3.2 | |||
| Intent: To ensure safe and caring feeding practices for children/youth. | ||||||
| B.6.b.6 | None | Food arrives in the classroom ready to be served. FCC providers ensure food is ready to eat. | ||||
| Guidance: Certain foods are not served (hotdogs, grapes, large chunks of hard foods - carrots) for children under three years. Prior to food leaving the kitchen, staff/providers prepare food not larger than 1/4" square for infants/pre-toddlers (less than 24 months) and 1/2" square for toddlers (24-36 months) to prevent choking hazards. Soft finger foods for children who can self-feed themselves are appropriate without cutting. | AR 608-10 5-6 |
&LCY15 Environmental Health/Preventive Med CDC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
SAC EH
| CY15 ENVIRONMENTAL HEALTH (EH) 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 | PUBLIC LAW 104–106—FEB. 10, 1996, |
§ 1794. Child abuse prevention and safety at facilities
| B.5 | 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. | F. HEALTH AND SANITATION | ||||
| B.5.a | DoDI 6060.02 (DRAFT), | |||||
| 10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERIS | D. Fire and Safety | |||||
| The building, playground, and all equipment are maintained in safe, clean condition, are in good repair, and there are no observable safety hazards in the indoor and outdoor program space. | There is a comprehensive system in place that ensures a healthy and sanitary environment. | DoDI 6060.3, 4.2 | ||||
| Intent: To ensure procedures and practices support the maintenance of a healthy environment. | ||||||
| B.5.a.2 | 5.C.01 | Food storage/preparation areas support sanitary food preparation and service. | ||||
| Guidance: Review Public Health inspections of food storage/preparation areas. Expectations should be conducted at a minimum quarterly . Review any noted deficiencies to ensure they have been corrected. |
Food prep area in SAC and kitchens dirty -- examples counter tops, kitchen, hat on the counter, mop next to food prep area not stored there.
| MDTI: CDC inspected against and meet standards of the Tri-Service Food Code. | DoDI 6060.2 E3.3.2 | ||
| B.5.b | DoDI 6060.02 (DRAFT), ENCLOSURE 3, | ||
| Section 3. ADMINISTRATION, FUNDING, AND OVERSIGHT OF MILITARY-OPERATED CDPs | g. Immunizations. Children enrolling in or currently enrolled in DoD CDPs must provide written documentation of immunizations appropriate for the child’s age. Per AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F (Reference (u)), immunizations recommended by the ACIP are required. |
(1) All records shall be updated at least annually and kept on file. Any child not enrolled in a school system where proof of currency of vaccination is required must provide proof of currency.
(2) Children enrolled in a local public school system and volunteer sports coaches are excluded from this requirement.
(3) A waiver for an immunization exemption may be granted for medical or religious reasons. Philosophical exemptions are not permitted. The DoD Component must provide guidance on the waiver process.
(a) A statement from the child’s health care provider is required if an immunization may not be administered because of a medical condition. The statement must document the reason why the child is exempt.
(b) If an immunization is not administered because of a parent’s religious beliefs, the parent must provide a written statement stating that he or she objects to the vaccination based upon religious beliefs.
(c) During a documented outbreak of a contagious disease that has a vaccine, the child who is attending the program under an immunization waiver for that vaccine, will be excluded from the program for his or her protection and the safety of the other children and staff until the contagious period is over. CDCs maintain equipment to support a healthy environment DoDI 6060.2 4.6.1 DoDI 6060.3 4.2 &E2.1.7
| Intent: To ensure a sanitary classroom environment for staff and children. | |||
| B.5.b.1 | 10.D.01 | A hand-washing sink with running water is adjacent to bathrooms, diapering areas, and food prep areas. Distance between areas is large enough so that caregivers do not inadvertently use diapering areas in food preparation/storage. The sinks for food and hand-washing are not co-located, but for those older facilities where additional sinks not provided, sanitation procedures are in place if they have to be shared. | |
| Guidance: Water accessible to children/youth does not exceed 110 degrees. Ensure are operable and running. Food preparation area to include stove, refrigerator, counter space, and bottle warming mechanism. MDTI and Comprehensive will ensure correct distance. Diapering is not carried out in food preparation and storage areas of the FCC home. Separate areas and hand sinks are available and used. | AR 608-10 5-6; 6-28c; C-48; C-61a(1)(a) |
&LCY15 Environmental Health/Preventive Med SAC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
YP EH
| CY15 ENVIRONMENTAL HEALTH (EH) 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.5 | 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. | F. HEALTH AND SANITATION | ||||||||
| B.5.a | DoDI 6060.02 (DRAFT), | |||||||||
| 10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERIS | D. Fire and Safety | |||||||||
| The building, playground, and all equipment are maintained in safe, clean condition, are in good repair, and there are no observable safety hazards in the indoor and outdoor program space. | There is a comprehensive system in place that ensures a healthy and sanitary environment. | DoDI 6060.4 E4.7.1 | ||||||||
| Intent: To ensure procedures and practices support the maintenance of a healthy environment. | ||||||||||
| B.5.a.2 | 5.C.01 | Food storage/preparation areas support sanitary food preparation and service. | ||||||||
| Guidance: Review Public Health inspections of food storage/preparation areas. Expectations should be conducted at a minimum quarterly . Review any noted deficiencies to ensure they have been corrected. |
Food prep area in classroom and kitchens dirty -- examples counter tops, kitchen, hat on the counter, mop next to food prep area not stored there. Aala carte food along with other activities in MST where activities multi-function should be sanitary.
| MDTI: CDC inspected against and meet standards of the Tri-Service Food Code. | DoDI 6060.4 E4.13.2 | ||
| B.5.b | DoDI 6060.02 (DRAFT), ENCLOSURE 3, | ||
| Section 3. ADMINISTRATION, FUNDING, AND OVERSIGHT OF MILITARY-OPERATED CDPs | g. Immunizations. Children enrolling in or currently enrolled in DoD CDPs must provide written documentation of immunizations appropriate for the child’s age. Per AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F (Reference (u)), immunizations recommended by the ACIP are required. |
(1) All records shall be updated at least annually and kept on file. Any child not enrolled in a school system where proof of currency of vaccination is required must provide proof of currency.
(2) Children enrolled in a local public school system and volunteer sports coaches are excluded from this requirement.
(3) A waiver for an immunization exemption may be granted for medical or religious reasons. Philosophical exemptions are not permitted. The DoD Component must provide guidance on the waiver process.
(a) A statement from the child’s health care provider is required if an immunization may not be administered because of a medical condition. The statement must document the reason why the child is exempt.
(b) If an immunization is not administered because of a parent’s religious beliefs, the parent must provide a written statement stating that he or she objects to the vaccination based upon religious beliefs.
| (c) During a documented outbreak of a contagious disease that has a vaccine, the child who is attending the program under an immunization waiver for that vaccine, will be excluded from the program for his or her protection and the safety of the other children and staff until the contagious period is over. | CDCs maintain equipment to support a healthy environment | DoDI 6060.4 E4.7.1 | ||||
| Intent: To ensure a sanitary classroom environment for staff and children. | ||||||
| B.5.b.1 | 10.D.01 | A hand-washing sink with running water is adjacent to bathrooms, diapering areas, and food prep areas. Distance between areas is large enough so that caregivers do not inadvertently use diapering areas in food preparation/storage. The sinks for food and hand-washing are not co-located, but for those older facilities where additional sinks not provided, sanitation procedures are in place if they have to be shared. | ||||
| Guidance: Water accessible to children/youth does not exceed 110 degrees. Ensure are operable and running. Food preparation area to include stove, refrigerator, counter space, and bottle warming mechanism. MDTI and Comprehensive will ensure correct distance. Diapering is not carried out in food preparation and storage areas of the FCC home. Separate areas and hand sinks are available and used. | DoDI 6060.4 E4.7.1 |
Youth Program Handbook, Ch 6
&LCY15 Environmental Health/Preventive Med YP MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14
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