Day Care Inspection
ADULT DAY CARE & CHILD CARE FIRE INSPECTION REPORT
COUNTY DATE OF INSPECTION Facility ID #
Please complete all items below. If not applicable, check N/A in the box with a written explanation attached .
Name of Facility Adult Child
Address Phone
City Zip Responsible Party
GENERAL PRECAUTIONS: YES NO N/A
|
1. Attic/basement/closets/garage/furnace room & heaters clear of trash & combustible materials. |
|
|
|
|
2. Clearance from ignition sources & combustible materials maintained. |
|
|
|
EMERGENCY PLANNING: YES NO N/A
|
3. Approved evacuation plan posted. |
|
|
|
|
4. Evidence of monthly fire drills posted. |
|
|
|
|
5. Record of employee training in fire prevention/evacuation & annual fire safety training on site. |
|
|
|
FIRE SERVICE FEATURES: YES NO N/A
|
6. Street Number posted. (Contrasting color to building & height 4" or more.) |
|
|
|
|
7. Unobstructed fire apparatus road. (Width of 20’ & vertical clearance of not less than 13’6"). |
|
|
|
|
8. Hydrants/Fire Department connections/control valves clear of obstructions by 3’. |
|
|
|
BUILDING SERVICES AND SYSTEMS: YES NO N/A
|
9. Approved heating system, listed. (No fuel burning or portable electric space heaters.) |
|
|
|
|
10. Emergency lighting/exit lights in good operating order. |
|
|
|
|
11. Electrical panels clear of storage. (Minimum 30") |
|
|
|
|
12. Wiring/fixtures in good condition. (Extension cords not suitable for permanent wiring.) |
|
|
|
|
13. Type I hood system over all domestic cooking appliances that produce grease laden vapors. |
|
|
|
FIRE RESISTANCE RATED CONSTRUCTION: YES NO N/A
|
14. Required fire resistant rating maintained. (Walls, partitions, floors) |
|
|
|
|
15. Door-hold open devices/automatic door closures operating properly. |
|
|
|
INTERIOR DECORATIONS & FURNISHINGS: YES NO N/A
|
16. No storage of clothing/personal effects in corridors & lobbies. |
|
|
|
|
17. Maximum 10% of decorative materials covering walls. Does not apply to artwork &
teaching material in classroom. Nothing suspended from ceiling |
|
|
|
|
18. 20% maximum coverage for artwork & teaching material located on corridor walls. |
|
|
|
|
19. Exits free of obstructions. |
|
|
|
FIRE PROTECTION: YES NO N/A
|
20. Sprinkler system maintained with annual test reports provided. |
|
|
|
|
21. Smoke detector/fire alarm system maintained with annual test reports provided. |
|
|
|
|
22. Approved extinguishers mounted properly & in good working order. |
|
|
|
|
23. Cooking suppression systems & hood exhaust properly maintained. |
|
|
|
|
24. Protective guards(such as screens) on fuel burning furnaces or fireplaces provided. |
|
|
|
MEANS OF EGRESS: YES NO N/A
|
25. All exits & their access (i.e. Aisles & Corridors) free of obstructions. |
|
|
|
|
26. All locking devices on exit doors are of an approved type. |
|
|
|
|
27. Yards & fencing to allow unobstructed exit to exterior of site. |
|
|
|
Approved for daytime care only Approved for day time and night care
At the time of this inspection, the fire safety conditions in this facility were found to be:
Satisfactory Unsatisfactory
Inspector Phone | 
