| 1 |
The yard is free of broken glass, trash, debris, and animal feces |
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| 2 |
Walkways are free of debris and in good repair |
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| 3 |
Entrance is free of clutter and debris |
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| 4 |
Trash is kept in covered containers and/or bagged |
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| 5 |
Screen doors have guards and/or locks |
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| 6 |
Doors have locks (out of reach of children, age dependent) |
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| 7 |
There are 2 easily accessible exits (at least 1 door and 1 window) free of debris in separate parts of the home |
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| 8 |
Safety gates at top/bottom of stairs |
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| 9 |
Basement doors are locked (or have safety gate) |
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| 10 |
Space heaters are out of reach of children, and are not near furniture, curtains, or trash cans |
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| 11 |
The fireplace has a cover |
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| 12 |
The second floor has a window ladder for escape and/or plan of escape from 2nd story |
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| 13 |
Family has emergency plans for fires that includes a meeting spot |
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| 14 |
Family has an emergency plan for tornados |
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| 15 |
Home has operational smoke/CO detectors on every level |
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| 16 |
Emergency phone numbers are posted in/near the phone; children know 911 |
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| 17 |
Lighters/matches/ashtrays are kept out of reach of children |
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| 18 |
Has a fire extinguisher and is out of reach of children |
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| 19 |
Windows are not broken or boarded |
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| 20 |
Opening windows have screens |
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| 21 |
Blind and drapery cords are secured and out of reach |
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| 22 |
Windows are not opened more than 4 inches or have guards |
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| 23 |
Hallways and stairways are well lit |
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| 24 |
Unused outlets have outlet covers or are inaccessible to small children |
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| 25 |
Outlets and cords are not overloaded |
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| 26 |
Electrical cords are in good condition and are kept out of reach of children |
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| 27 |
Home has a heat source |
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| 28 |
Home has ventilation (air conditioning or windows that can open) |
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| 29 |
Fans have guards and are out of reach of children |
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| 30 |
All medications have child-proof lids and are out of reach of children |
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| 31 |
All purses are out of reach of children |
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| 32 |
Houseplants are kept out of reach of small children |
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| 33 |
Houses build before 1978 are tested for lead |
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| 34 |
Home has running water or access to water |
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| 35 |
Basement is free of debris or standing water |
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| 36 |
There is a working toilet (or outhouse as appropriate) |
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| 37 |
There is hot water (under 120° F) or a means to heat it |
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| 38 |
Infants and toddlers are not left in tubs/pools/bathrooms unsupervised |
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| 39 |
Heavy appliances are on a broad basis to avoid tipping |
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| 40 |
Scissors, knives and other sharp objects are kept out of reach of children |
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| 41 |
Hot pans are kept to the back of the stove and handles turn to the side |
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| 42 |
All cleaning products are stored in locked cabinets or out of children’s reach |
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| 43 |
Tools are stored in locked areas or kept out of children’s reach |
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| 44 |
Safe sleeping practices are used for infants/toddlers |
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| 45 |
All children have their own appropriate sleeping space |
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| 46 |
Sleepwear and bedding are seasonally and age appropriate |
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| 47 |
No bumper pads, pillows, soft bedding or stuffed animals in crib |
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| 48 |
Toys are age appropriate |
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| 49 |
Toys are checked for loose parts, sharp edges, or small parts – broke toys are thrown away |
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| 50 |
Car seats are age/weight appropriate and installed correctly |
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| 51 |
Infants/children are not left unattended in vehicles, especially in warmer weather |
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| 52 |
Litter boxes/ cages are out of reach of children |
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| 53 |
If animals are kept indoors, floors are free of feces |
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| 54 |
Home is free of pests (rodents/bugs) |
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| 55 |
There is a three-day food supply in the home |
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| 56 |
Home is free of structural concerns and other health hazards |
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| 57 |
Breakable items are kept out of reach of children. |
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| 58 |
Guns have locks or stored in locked cabinets. Ammunition is stored separately and out of the reach of children |
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| 59 |
Floors are free of small debris which can be placed in toddler’s mouth |
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| 60 |
Food given to children are cut into small non-choke able pieces |
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| 61 |
Infants are not left alone on changing tables, beds, sofas, or chairs |
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| 62 |
Parents keep hot liquids out of reach of children and do not hold children while carrying hot liquids |
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| 63 |
Check frequently for product recalls on toys, food, furniture, etc. |
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