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Facility Observation Checklist – Private, Public, Canadian

1.Client rights and responsibilities are posted in the reception area
2.Smoking is prohibited in service delivery and administrative environments

For public agencies, smoking is also prohibited within 20 feet of entrances, operable windows, and the ventilation systems of enclosed areas
3.The work environment is conducive to providing services in a private and confidential manner
4.Facilities are accessible
5.Facilities are convenient to public transportation
6.Facilities are conveniently located to relevant community resources
7.Facilities are free of architectural barriers
8.Current authorization/licensure for programs and facilities are posted
9.Fire extinguisher inspections are up to date
10.Facilities are free of hazardous conditions (e.g. uncovered electrical outlets, improper storage of cleaning supplies and other hazardous materials, unsecured floor coverings or equipment, stairs without handrails, harmful water temperatures, inadequate lighting, poor ventilation, uncomfortable temperature, unscreened areas or unmarked glass doors, broken or malfunctioning electrical appliances, and unsafe use of objects by those who may be vulnerable)
11.Observable steps have been taken to ensure safety (e.g. bars on windows and alarm systems)
12.Vehicles used to transport service recipients have current inspection/registration stickers
13.Vehicles used for transporting service recipients have appropriate passenger restraint systems
14.There is a readily available communication device for use in medical emergencies
15.Poison control information and other emergency numbers are readily available
16.First aid supplies and manuals are readily available
17.Isolation and seclusion rooms meet licensing and/or fire safety requirements
18.Medication is kept in locked, supervised storage
19.Medication is stored in original packaging
20.Access to medication is limited to authorized personnel
21.All stored medication is within its expiration date
22.All stored medication is prescribed to a current service recipient
23.Appropriate containers are available for disposal of medication, syringes, and medical waste
24.Medication labels include:
25.The name of the person served
26.Medication name
27.Dosage 
28.Prescribing physician name 
29.Number or code identifying the written order
30.Access to confidential and other sensitive information is limited to authorized personnel
31.Paper records are maintained in a secure location
32.Doors are present on sleeping areas and bathrooms unless contraindicated
33.One- and two-person rooms are available for residents who need them
34.Employees knock before entering a resident’s room
35.Surveillance cameras or listening devices are not used for routine observations, unless required by law, contract, or judicial order
36.Residential buildings include:
37.Separate cottages or resident units
38.A common room
39.Dining area
40.Space for indoor recreation
41.Private areas for residents to meet visitors
42.Bathing, toileting and personal hygiene facilities
43.Telephone for use by residents
44.Nondiscrimination policy and/or LGBTQ symbols are posted in the reception or common area
45.Rooms are adequately and attractively furnished
46.Rooms include a separate bed for each resident
47.Each bed includes clean, comfortable, covered mattress, sufficient linens and blankets
48.Residents are provided with a safe place to store personal belongings and valuables
49.A non-stacking crib that meets federal safety regulations is provided for each infant and toddler that is 24 months or younger, as appropriate
50.Bedroom space meets legal requirements and can accommodate required furnishings (See interpretation)
51.There are single rooms as needed
52.There are rooms for groups of 2 to 4 residents
53.There are accommodations for larger groups as appropriate
54.Sleeping area is personalized
55.Living areas are inviting, comfortable, and reflective of residents
56.Space is provided for quiet reading, study hours, and help with school assignments
57.Space is provided for long term hobbies and group projects
58.Space is provided for alternatives to watching TV
59.Sufficient supplies and equipment are provided to meet residents’ needs
60.Rooms for providing on-site services are available, as appropriate
61.Private accommodations are provided for personnel who sleep on-site
62.Access to a computer and the internet is provided
63.One suitably furnished room for on-duty personnel
64.There are accommodations for informal gatherings of residents
65.Accommodations for informal gatherings are usable in inclement weather
66.The organization has adequate facilities for:
67.Administrative support functions
68.Housekeeping
69.Laundry
70.Maintenance
71.Storage
72.The organization has adequate facilities for food preparation
73.The residential facility is clean and maintained in good condition
74.The outdoor space is clean and maintained in good condition
75.Vehicles used for transporting clients are equipped with standard safety equipment and passenger restraint mechanisms
76.Vehicles used for transporting clients have emergency roadside repair tools, spare tires and parts, and other equipment required by law
77.The shelter environment is safe
78.The shelter environment is minimally intrusive
79.The shelter provides Safety from the streets and the elements 
80.The shelter provides Sleeping accommodations
81.The shelter provides Nutritious food
82.The shelter provides Clothing
83.The shelter provides Personal hygiene supplies
84.The shelter provides Safe and private bathroom and shower facilities
85.The shelter provides Access to a computer and the internet
86.The shelter is childproofed
87.Indoor and outdoor play spaces are safe and age, developmentally, and culturally appropriate
88.Quiet, well-lit space is provided for reading, studying, and help with school assignments
89.Disinfectants are properly labeled
90.Disinfectants are securely stored away from children at all times
91.Diaper changing areas are separate from food preparation areas
92.Diaper changing procedures are posted in diaper changing areas
93.Changing tables are made of non-porous material
94.Every diaper changing area has a covered, plastic lined, hands-free can for disposal of used diapers
95.Hand-washing sinks are separate from food preparation sinks
96.Mirrors are shatter-proof
97.Hand washing sinks are easily accessible to all children
98.Liquid soap and sanitary methods for drying hands are available
99.There is a readily available communication device
100.emergency numbers are readily available
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