This document is a weekly checklist for inspecting child and youth program facilities. It contains 16 items to check such as security systems, doors/windows, lighting, cleanliness, safety hazards, and playground equipment. Inspectors are to circle whether each item meets standards and note any needed corrective actions. The purpose is to help ensure the facilities are properly maintained and secure for children.

1. CHILD AND YOUTH PROGRAMS FACILITY DAILY CHECKLIST
Week of: Monday Tuesday Wednesday Thursday Friday
(Circle One) CDC SAC YP Initial(s) of Inspector(s):
** NA permitted Y N* Y N* Y N* Y N* Y N*
1. Security alarm and key code are functioning properly.**
2. Surveillance (CCTV) system is functioning properly (e.g., monitors are working, pictures are clear.)**
3. Windows are secured (no cracks, missing window panes, or broken locks ). Screens are in place and well
maintained for windows that open.
4. Interior doors are unlocked with the exception of those required to be locked (e.g., janitor's and
maintenance closets, laundry room, etc.).
5. Exterior doors (except for primary entrance) that exit to an unfenced area have panic hardware, a
functional alarm, and are locked from the outside.
6. The passageways which lead to the exits are illuminated and unobstructed.
7. All lights are working properly. Lights in closets and storage rooms are on during operating hours.
8. All chemicals are kept in locked storage. Personal items and items marked Keep out of Reach of Children
are stored out of children's reach.
9. Interior temperature is comfortable (65° to 75 °F during winter and 68° to 82 ° F during summer ).
10. Facility appearance, inside and out, is clean and well maintained (e.g., trash cans emptied, rugs
vacuumed, floors mopped, paper towels and soap dispensers filled, air vents free of dust, etc.)
11. Facility is free of safety concerns (e.g., electrical outlets are covered, fans are inaccessible, no dangling
inaccessible,
cords, no tripping hazards, staff belongings stored out of children's reach, etc.)
PLAYGROUND INSPECTION**
13. Toys and equipment are free of broken parts and usable (e.g., balls inflated). Storage buildings are well
organized and in good repair.
14. The play area is free of trip hazards, obstacles in a use zone, debris, overgrown grass and weeds, and
standing water. The sandbox has adequate sand.
15. Fences are in good repair. Gates are unlocked and have working panic hardware (NA if fences not
required).
16. Playground equipment is in good condition (e.g., no missing handrails, guardrails, steps, etc.), has no
standing water, and has no obvious signs of excessive wear.
Corrective Action/Commnets: (*All "No" responses must have a corrective action) Use back if needed. Items called in to maintenance must be noted in Maintenance Log.
Reviewed by: ____________________________________

2. Corrective Actions/Comments (continued):