SECTION L: FACILITIES. Facility Safety L-1. Facility Cleaning L-8. Cleaning Supplies L-11. Facility Maintenance and Repairs L-13

Transcription

1 SECTION L: FACILITIES Page Facility Safety L-1 Facility Cleaning L-8 Cleaning Supplies L-11 Facility Maintenance and Repairs L-13 Playground Safety L-15 ANNEX A (Forms) PDM Form 1100 (Facility Janitorial Supplies Order Form) PDM Form 1101(Fire Safety Tests) PDM Form 1102 (Daily Playground Safety Checks) PDM Form 1105 (The Air Filter Was Last Changed/Cleaned) PDM Form 1110 (Monthly Maintenance Inspection for Playground Area and Equipment) PDM Form 1111 (Work Order Repair Request) L-a1 L-a2 L-a3 L-a6 L-a11 L-a12 Revised

2 CSI HEAD START PROGRAM Subject: Facility Safety Program: Head Start Approved: Executive Director, Policy Council, Section: Executive Board Date: January 1999 REGULATION REFERENCE: (1996) 45 CFR (a)(7), (8), (10), (10)(i) (10)(vii), (10)(ix), (10)(xi) (10)(xvi) (1991) NAEYC Accreditation Criteria H-20a (1991) DHR Licensing Chapter National Fire Protection Agency (NFPA) Manual POLICY: All and areas to which children and staff have access will be maintained in a safe and orderly manner, free of potential hazards. Staff will demonstrate safety practices and discuss safety issues with the children. PROCEDURES: Toxic Materials: Toxic materials include, but are not limited to, cigarette smoke, lead, pesticides, herbicides, cleaning supplies, and other pollutants as well as soil and water contaminants. 1. Classrooms should not contain toxic substances except as absolutely necessary. Toxic substances that may be necessary include cleaning materials, medications, and first aid supplies. 2. All potentially toxic substances must be stored out of the children s reach and must be in a locked cabinet or other room. 3. For Head Start centers, the center supervisor will designate a specific area for storage of toxic substances. This area must be securely locked. 4. For Head Start classrooms in public schools, the teacher will designate a securely locked area outside the classroom, if possible, such as a hallway locker with a padlock. 5. Storage on a high shelf in the teacher s supply cabinet or in a refrigerator (medications) that is accessible by children is not sufficient! If the teacher s supply cabinet must be used for storage of toxic substances, the cabinet must be securely locked. 6. Center supervisors will ensure that children are not present when any pesticides or herbicides are being sprayed. Children will not return to that area until it is safe. Revised L-1

3 Facility Safety Page 2 7. All Head Start facilities are tobacco free facilities. There will be no use of tobacco of any form used on any of Head Start campuses or vehicles. 8. No alcohol and illegal drugs will be allowed on Head Start campuses or vehicles. Flammable and Dangerous Materials: 1. No highly flammable furnishings, decorations, or materials that emit highly toxic fumes when ignited are to be used. 2. There will be no more than 20 percent of the walls covered with flammable materials. 3. Store cleaning materials, detergents, aerosol cans, pesticides, medications. poisons, chemicals used in lawn care treatments, and other toxic materials in their original labeled containers, entirely separated from food, out of children s reach and must be in a locked cabinet or other room. If any of these are not stored in the original container, the storage container will be labeled with the name and manufacturer of the product. 4. All these materials will be used according to the manufacturer s instructions and only for their intended purpose. The will be used in a manner that will not contaminate the play surfaces, toys, food or food preparation areas. Heating and Cooling Systems: 1. All heating and cooling systems will be insulated so as to protect children and staff from being burned. 2. All heating and cooling systems will have the air filters changed or cleaned at least monthly (for systems that have filters). There will be a PDM Form 1105 (This Air Filter Was Last Changed/Cleaned) posted on or next to each air filter vent and the date the air filter was changed or cleaned will be posted on this form. Medications: 1. All medications will be administered and stored as described in the Health section of this Policies and Procedures Manual. Lighting and Emergency Lighting: 1. All classrooms, hallways, and stairways will be well lighted. Revised L-2

4 Facility Safety Page 3 2. Each classroom will be supplied with an emergency lighting source. All emergency lighting will be checked monthly by the center staff and the date checked will be recorded on PDM Form During the monthly test, the emergency light will be turned on for 30 seconds to ensure that the batteries maintain the illumination of the lights. 3. Emergency lighting will be tested once a year by the facility maintenance staff. The date of this test will be recorded on PDM Form During this annual test, the emergency light will be turned on for 1 ½ hours to ensure that the batteries maintain the illumination of the lights. 4. All lit exit signs will be checked monthly by the center staff and the date checked will be recorded on PDM Form During the monthly test, the emergency light will be turned on for 30 seconds to ensure that the batteries maintain the illumination of the lights. 5. All lit exit signs will be tested once a year by the facility maintenance staff. The date of this test will be recorded on PDM Form During this annual test, the emergency light will be turned on for 1 ½ hours to ensure that the batteries maintain the illumination of the lights. Fire Extinguishers: 1. The Specialist will coordinate with the local fire marshal to determine the proper fire extinguisher size, type, placement and number for each facility. 2. All staff will be properly trained in the use of and location of the fire extinguisher(s). 3. Fire extinguishers will be serviced annually by a certified technician and tagged as required by the local fire marshal. 4. All fire extinguishers will be inspected monthly to ensure that the pressure gauge is still indicating that extinguisher is good; that the seal has not be broken and/or removed; and that the safety pin has not been removed. The person performing this inspection will put the date and their initials on the tag attached to the extinguisher. The center supervisor is responsible for ensuring this is completed. 5. Education will be provided to the children and families on fire safety and prevention. Smoke Detectors and Fire Extinguishers: (See Fire and Tornado Drills in Education section for more information) 1. Smoke detectors will be placed throughout the facility in accordance with the manufacturer s instructions. Revised L-3

5 Facility Safety Page 4 2. Smoke detectors that are not hard-wired into a smoke/fire detection system will be tested monthly and the test will be recorded on the PDM form Evacuation procedures will be tested monthly. 3. Replace batteries of smoke detectors at the same time as we start or stop daylight savings times per manufacturer s instructions. 4. Fire/smoke detection and alarm systems will be installed as per State or local requirements. 5. Fire/smoke detection and alarm systems will have at least an annual inspection performed by a certified technician. The original copy of this inspection will be kept on file by the facilities specialist. A copy of this inspection will also be kept at the center. Pathways: 1. All centers will follow recommendations of the National Fire Protection Agency (NFPA), including the suggestion that exits have a minimum width of 36 inches. 2. All exits are to be unobstructed and are not padlocked or chained shut during operating hours. All exit doors shall operate easily and open as required by the local fire marshal. 3. All entrance and exit routes shall be clearly marked and approved by the local fire authorities. 4. All centers will conduct monthly fire and evacuation drills. See Fire and Tornado Drills in the Education section of this manual for more information. 5. Centers will ensure that they have evacuation cribs and strollers available to evacuate infants, toddlers, and children with disabilities who cannot walk on their own, and smooth ramps on which evacuation cribs and strollers can be wheeled. 6. Each floor of a building will have at least two exits which lead to an open space at ground level. Paint: 1. No paint will be used at any Head Start facility that contains a hazardous amount of lead. Revised L-4

6 Facility Safety Page 5 Outlets and Electrical Cords: 1. All outlets will be securely covered with protective caps when not in use. Where possible, outlets will be fitted with hinged caps to allow covering of the plug and outlet when in use. 2. Electrical cords will be securely plugged into the outlet when in use. Cords will be positioned in such a way as to prevent unnecessary access by children. For example, cords should not dangle to allow a child to pull equipment over. 3. Extension cords will be used only when absolutely necessary and only on a temporary basis! If used, staff will thoroughly inspect the cord for signs of damage or wear before use. Extension cords must not be used to overload electrical outlets. 4. Extension and other electrical cords must not be placed under rugs, pillows, or other flammable materials. 5. All surge protectors will be mounted to the wall, desk, etc. Surge protectors must not be left loose. Windows and Glass Doors: 1. Windows that are opened must have screens. 2. All windows and glass doors are to be constructed, adapted, or adjusted to prevent injury to children. 3. All glass doors will be marked with opaque tape or other material to help prevent accidents. 4. Drapery or window covering cords are to be securely tied or fastened out of children s reach to prevent strangulation. Water: 1. All facilities will be supplied with running water that is approved by the local or state health authority. 2. If water is provided by a well or other private sources, it must meet all applicable Federal, State and local health standards and is approved by the local health department. Revised L-5

7 Facility Safety Page 6 Toilets and hand washing facilities: 1. This Head Start program shall maintain adequate toilet and hand washing facilities that are clean and in good repair. We will use the following as guidelines: Where and when possible, provide accessible toilets and sinks at a ration of roughly 1 to 10 for toddlers and preschool children. Maximum toilet height of 11 inches and a maximum hand sink height of 22 inches. Use step stools or low platforms where toilets and sinks are too high. Children must be supervised during toileting and hand washing. They must be supervised by using direct sight. A hand washing sink will be accessible to each classroom. A utility sink will be used for rinsing soiled clothing or for cleaning toilet training equipment. A separate sink will be used to wash and sanitize mops and other cleaning equipment. 2. Where diapering areas are used, the following guidelines will be followed: They will not be located in dental hygiene or food preparation areas. Never use for the temporary placement or serving of food. They will not be located in adult bathrooms. Changing tables must have impervious, nonabsorbent, clean surfaces; and are sturdy, at an appropriate height for adults to work at when standing, and equipped with railings. Storage area must be close to or within the diapering area for clean diapers, wipes, gloves, and other supplies. When cloth diapers are used, dispose of the solid waste contents in toilets before placing the diapers in a proper soiled diaper receptacle Hand washing sinks shall be adjacent to the diaper changing tables. 3. Toilet training equipment will be provided for children that are being toilet trained. Sewage and Liquid Waste: 1. All trash containers will have plastic liners and tightly covered lids and will be inaccessible to children. 2. Trash containers in rooms used by children, staff, families and/or volunteers will be emptied on a daily basis. Trash will be removed from the premises at least two times per week or as required by local health authority. 3. All waste materials will be kept away from children s indoor and outdoor activity areas and from areas used to store and prepare food. 4. No raw or treated waste materials will be discharged on ground surfaces. Revised L-6

8 Facility Safety Page 7 5. Soiled diapers will be disposed of in containers separate from any other waste. 6. Where needed, separately labeled containers will be used for disposable diapers, cloth diapers, and soiled clothes and linens. Storage of Equipment, Toys, Materials and Furniture 1. Each activity area should have its own storage area. 2. All bookcases and other shelves should not be able to be pulled over by children. 3. Storage space should be provided for adaptive equipment for children with disabilities. 4. All adult materials and equipment, such as scissors, staplers, electrical appliances, and knives, are inaccessible to children. Facility Inspections: 1. All Head Start facilities will be inspected, in cooperation with the Concerted Services, Inc. Safety Committee, at least annually. This annual inspection will be documented and copies of the inspection will be maintained at each site and by the Specialist. 2. Throughout the year, as the Specialist or his designee visits the centers, they will walk through the facilities and make note of any possible problems they may observe. 3. All staff is responsible for checking there work areas daily for any possible hazards or deficiencies. If any are noted, they are to immediately report them. Revised L-7

9 CSI HEAD START PROGRAM Subject: Facility Cleaning Program: Head Start Approved: Executive Director, Policy Council, Section: Executive Board Date: January 1999 REGULATION REFERENCE: (1996) 45 CFR (a)(10)(viii) (1991) DHR Licensing Chapter POLICY: All facilities are to be kept clean and free of undesirable and hazardous materials and conditions. PROCEDURES: Center Coordinators/Lead Teachers will ensure the facility cleaning schedule is adhered to as directed in the Cleaning and Sanitation Frequency Table shown on the next page. This schedule tells, at a minimum, how often areas will be cleaned. This schedule is to be used as a minimum standard. For example, this does not mean you will only clean cribs weekly. If something happens and the crib needs to be cleaned sooner, then go ahead and clean them. This schedule is to be used as a minimum standard. When cleaning your facility, follow these guidelines: Sweep and mop uncarpeted floors daily and when soiled. Sanitize mops thoroughly before and after a day of use. Vacuum carpeted areas and rugs daily, and clean them regularly or when soiled or contaminated with body fluids. Be sure to use only hypoallergenic products for cleaning. Clean and sanitize all kitchen equipment and maintain equipment in good condition. Clean and sanitize toilet rooms, toilet training equipment, and fixtures when soiled, or at least daily. Dirty toys will be put into a dirty toy box/bag until they can be properly cleaned. When using any cleaning solutions, be sure to follow the manufacturer s directions on how to properly use that product. Revised L-8

10 Facility Cleaning Page 2 When using bleach as a disinfectant be sure to follow the directions listed below: Mixture rate for using bleach to sanitize is ¼ cup of household bleach to 1 gallon of water or one tablespoon to one quart of water. Due to rapid deterioration of the bleach solution, the solution should be made in small quantities and prepared daily. Any unused portions should be safely discarded at the end of each day. Bleach solution containers should be labeled, sealed and stored out of reach of children and away from food and drink items. Clean any visible soil from the area to be disinfected. Spray the surface with the bleach-water solution and wait more than 10 seconds before wiping with a disposable towel or allow to air dry. The recommended practice is to wait for 2 minutes to allow the solution to kill germs. However, if there is a delay of more than 10 seconds before the solution is wiped from the surface, this is considered adequate. The surface cannot be sprayed and immediately wiped. Diapering areas must be sanitized after each diaper change with a bleach-water or other approved sanitizing solution. Revised L-9

11 Facility Cleaning Page 3 Cleaning & Sanitation Frequency Table Area Clean Sanitize Frequency Any surface contaminated with body fluids: saliva, mucus, vomit, urine, stool, or blood X X IMMEDIATELY Tables & chairs X X Daily & when soiled Hand washing sinks, faucets and surrounding counters X X Daily & when soiled Soap Dispensers X X Daily & when soiled Toilet seats, toilet handles, cubicle handles and other touchable surfaces, floors X X Daily & when soiled Toilet Bowls X X Daily & when soiled Floors (Sweep & Mop) X X Daily & when soiled Wax Floors X Monthly (apply 1-2 coats) Carpets & large area rugs X X Vacuum Daily (perform this task when children are not present) Clean carpets only when children will not be present until the carpet is dry. Clean carpets at least monthly in infant areas and at least every three months in other areas and when soiled. Small rugs X Shake outdoors or vacuum daily. Door & cabinet handles X X Daily & when soiled Changing Tables X X After each child's use Potty chairs X X After each child's use Trashcans X X Utensils, surfaces, & toys that go into the mouth or have been in contact with saliva or other body fluids X X Toys X X Weekly & when soiled Dress-up clothes not worn on the head X Weekly & when soiled Sheets and pillowcases, individual cloth towels (if used), combs & hairbrushes, washcloths, & machine-washable cloth toys X Cubbies X Monthly & when soiled Shelves X Monthly (clean & dust) Clean Daily or when full. Sanitize weekly or as needed. After each child's use; or disposable, one-time use utensils or toys. Weekly & when visibly soiled (used only by one child) Air conditioner filters X Clean or change at least monthly Hats Cribs, mattresses & cots X X X Walking ropes X X Weekly & when soiled Mops and cleaning rags X X After each child's use (or use disposable hats that only one child wears) Weekly or before use by a different child or soiled/wet Before & after a day of use; wash, rinse, & sanitize mops and cleaning rags Wash windows X April, August,& December Move furniture from walls to clean behind X February, May & October Revised L-10

12 CSI HEAD START PROGRAM Subject: Cleaning Supplies Program: Head Start Approved: Executive Director, Policy Council, Section: Executive Board Date: January 1999 REGULATION REFERENCE: (1996) 45 CFR (a)(10)(viii) POLICY: All cleaning supplies, paper goods, etc. will be ordered by using the proper procedures and each center will keep an inventory of what is on hand. PROCEDURE: Ordering Supplies: The Center Coordinator/Lead Teacher will ensure that each center keeps in stock at least four weeks supply of all cleaning supplies and materials. When ordering cleaning supplies, the Center Coordinator/Lead Teacher will complete the heading of the Janitorial Supplies Order Form (PDM form 1100). In the qty requested column of this form, put the amount you are requesting. The Center Coordinator/Lead Teacher will then forward this form to the Specialist no later than the 15 th of the month. The Specialist will then make the order with the proper suppliers. The Specialist will put the amount that was actually ordered in the qty ordered column and return the form to the center originally requesting the order. Inventory of Supplies: Each center will maintain an inventory of supplies. Each center will ensure that at any given time they have on hand at least one month s stock of all supplies. Use of Cleaning Supplies: All cleaning supplies will be used as directed per the instructions. Revised L-11

13 Cleaning Supplies Page 2 All cleaning supplies will be stored so that they are not accessible to children. Any cleaning supplies that are not stored in the original container will write on the container the name and/or description of what is in the container. For example, the bleach/water solution used for sanitizing will be marked as Bleach Solution. Revised L-12

14 CSI HEAD START PROGRAM Subject: Facility Maintenance and Repairs Program: Head Start Approved: Executive Director, Policy Council, Section: Executive Board Date: January 1999 REGULATION REFERENCE: (1996) 45 CFR (a)(7) (1991) NAEYC Accreditation Criteria H-20a (1991) DHR Licensing, Chapter POLICY: All Head Start facilities, grounds, and equipment will be kept in good condition. Whenever a deficiency is found, it will be immediately repaired or reported to the Specialist so that he/she can expedite any repairs necessary. PROCEDURES: 1. When a deficiency is discovered, the person discovering the deficiency will notify the supervisor of that center. 2. The supervisor will determine if staff at the center can repair it. If it can be repaired by staff at the center, the supervisor will have it repaired immediately. Any materials needed for repairs that cost over $25 must have approval from the Specialist before they are purchased. 3. If it is determined that it cannot be repaired by staff at the center, the center supervisor will initiate a work order/repair request using the computerized work order program. If it is for routine repairs, the form will be sent to the Specialist. If it is an emergency or safety concern, the supervisor will contact the Specialist to inform him/her of the situation and receive further instructions. After notifying the Specialist, he/she will initiate a work order using the computerized work order program. 4. A work order may be initiated manually by someone that does not have access to the computerized work order program. A work order can be initiated manually by completing a PDM Form 1111 (Work Order/Request Form). This form should be given to the center supervisor for processing. If this work order is initiated when school is not in session, it should be sent to the Specialist as soon as possible. If there is an emergency repair/request, the person initiating this form when school is not in session should call the Specialist and give him the details. 5. For repairs of a routine nature, do not put over two different repairs on each work order form. For emergency repairs, put only the emergency repair needed on the form. Revised L-13

15 Facility Maintenance and Repairs Page 2 6. Once the Specialist receives the work order/repair request, he/she will take appropriate action. For routine requests, within fifteen working days after receiving the request, the Specialist will respond to the center initiating the request. This response will inform the center of the work order status and the expected date the repairs will be completed. He/she may also inform the center of any assistance they may have to give in completing the repairs such as having a local contractor come in and complete the repairs. 7. The center supervisor must get permission from the Education Specialist or Specialist before discarding damaged any items. 8. Center supervisors are responsible for reviewing the computerized work order program for their center at least once per month. 9. For emergency requests, after the Facility Specialist has been notified, he will instruct the center supervisor on what to do to correct the immediate problem. 10. After a work order/repair request has been completed, the Specialist will close out the computerized work order with the information on what was done to correct the deficiency. He will also notify the center supervisor of the completion of the work request. Revised L-14

16 CSI HEAD START PROGRAM Subject: Playground Safety Program: Head Start Approved: Executive Director, Policy Council, Section: Executive Board Date: January 1999 REGULATION REFERENCE: (1996) 45 CFR (a)(6-9), (a)(10)(viii), (10)(x), (b)(1)(vii) (1991) DHR Licensing Chapter Handbook for Public Playground Safety (US CSPC, Publication # 325) ASTM F , Standard Consumer Safety Performance Specification for Playground Equipment for Public Use POLICY: All outdoor play areas (playgrounds) will be free of broken glass, stones, sharp objects, standing water, poisonous plants, brush or high grass, trash, foreign objects, ice and snow accumulations. Playgrounds will be designed to minimize the possibility of injury to the children. PROCEDURES: Selection, Layout and Maintenance The Specialist will coordinate with the Education Specialist to ensure that playgrounds and playground equipment are designed, installed, inspected and maintained with the children s safety in mind. All playground equipment will be installed in strict accordance with the manufacturer s instructions and securely anchored to the ground. When required, shock-absorbing material will be placed within the fall zone as recommended by the current ASTM F1487 and CPSC Publication 325 (Public Playground Safety Handbook). The facilities specialist will regularly check with the US Consumer Product Safety Commission regarding proper surfaces surrounding playground equipment and any recalls of equipment. When using an area owned by others, staff will advocate for appropriate equipment and surfaces to protect all users. Outdoor equipment such as tricycles, balls, and sand tools should be stored in a shed or other enclosed storage space when not in use. This will protect the equipment as well as keep the outdoor play area free of clutter. Daily Checks The Center supervisor will ensure that all outdoor play areas (playgrounds) are checked daily before children are allowed to enter the playground. The individual that is appointed the Revised L-15

17 Playground Safety Page 2 responsibility of checking the playground will insure, at a minimum, that the following items are covered. All trash is removed from playground. Playground is free of broken glass, stones, sharp objects, standing water, poisonous plants, brush or high grass, ice and snow accumulations. No other type foreign objects on playground. Inspect all equipment and immediately report any deficiencies. Ensure impact-absorbing materials are at the proper depth and distributed properly. Check for any tripping hazards. Dry off any wet surfaces on play equipment. Ensure S hooks on swings are properly closed to within 0.04 inches (thickness of a dime). Any other items noticed that might present a possible safety concern. If any deficiencies noted can be immediately corrected, such as trash in the area, wasp nests, or raking fall zone surfacing materials back into high traffic areas, the checker/inspector will correct it before any children are allowed to play in that area. Any deficiencies found that can not be corrected immediately will be reported using the work order system that is in place. The center supervisor will ensure that no children are allowed in any areas of play or on any equipment found to have deficiencies until said deficiencies are corrected. The individual performing the daily check of the playground will put the date, time and their signature on PDM Form 1102 (Daily Playground Safety Check). Their signature verifies that they did perform the outdoor play area checks and it is safe for the children to be on the playground. PDM Form 1102 (Daily Playground Safety Check) will be placed in a location that is visible and easily accessible to staff. When this form is completely filled, the center supervisor will retain it on file until the end of the following year. (Example; the last date on a completed form is April 12, The completed form will be retained on file by the center supervisor until December 31, 2002.) Monthly Inspections Each month, the center supervisor will ensure that the playground will have an in-depth inspection that will include all items listed on PDM Form 1110 (Monthly Maintenance Inspection for Playground Area and Equipment). Any deficiencies that are found and can be immediately corrected will be noted on the inspection form and the corrective action taken. Revised L-16

18 Playground Safety Page 3 Any deficiencies that are found and can not be immediately corrected will be noted on the inspection form as required and reported using the work order system in place. Staff will ensure that no children are allowed in areas or on equipment that is unsafe. The completed PDM Form 1110 will be submitted to the Specialist no later than the 10 th day of the following month of the inspection. The Specialist will review the inspection report and take corrective action as necessary. These records will be maintained on file by the Specialist until the end of the following year. The person checking/inspecting the playground should take disposable gloves and a trash bag when checking/inspecting the playground. As a learning opportunity, a child may be designated as the Playground Safety Helper and go with the inspector to check the playground. Children should not be allowed to touch any trash or debris. Instead, the child should point to the trash and the inspector should pick it up. Pesticides and Herbicides Staff must ensure that children are not exposed to toxic agents such as herbicides or pesticides. If pesticides or herbicides are necessary, staff will ensure that only approved products are used and that children and staff are not allowed on the playground until safe. If you are unsure about the safety, you may contact the Specialist or the area Poison Control Center for information. Outside Safety Barriers All playgrounds will have a safety barrier such as a chain-linked fence around the playground areas to separate the play areas from vehicular traffic and other dangers. Fences will be a minimum of four feet high. If children must travel through traffic between the facility and the outdoor play areas, the staff will have all children hold hands. One staff member will lead the children while holding hands and another will follow the children holding their hands. At no time will children be allowed to travel through a traffic area without direct, hand-to-hand supervision for the Head Start staff. Revised L-17

19 SECTION L: FACILITIES ANNEX A FORMS

20 CSI HEAD START SUPPLIES ORDER FORM CENTER: DATE: ORDERED BY: Item Count UI Item # JANITORIAL SUPPLIES Absorber, Liquid & Vomit 12/11 OZ BX PA Bleach 6/1GL CS 4CBLEA Bowl Brush EA 4S1006 Broom, Straw EA 4BR409 Can Liner, 20x CS Can Liner, 24x CS 2P2406 Can Liner, 24x CS 2R2433 Can, Liner 30x CS Can, Liner 33x CS 2PPL40 Can liner 33x CS 2R3340 Can Liner 38x CS 2PP60B Can Liner 40x CS 24048N Can Liner 43x CS 2P4348 Carpet Cleaning Solution (ANSWER) GL 4ANSWER Carpet Deodorizer (State Chem.) EA Dolly, Trashcan 44/55gl EA 43244P Dust Mop Head 3"x24" EA 4LBI1024 Dust Mop Head 3"x36" EA 4LBI1036 Dust Mop Frame 3"x24" EA 4LBI1224 Dust Mop Frame 3"x36" EA 4LBI1236 Dust Mop Snap On Handle EA 4LBI1490 Dust Pan, Plastic EA 4W67 Facial Tissue CS Floor Brush, 24" EA 4S2224 Floor Bursh, 36" EA Floor Pad, 17" White BX Floor Pad, 17" Black 5 BX 4ET17B Floor Pad, 20" White 5 BX 4ET20S Floor Pad, 20" Black 5 BX 4ET20B Floor Pad, 20" Red 5 BX 4ET20R Floor Wax 5GL CN 4NOVAX Floor Stripper 5GL CN 4P2180 Frangrance Paks (State Chem.) 4 BX Furniture Polish 12/17oz CS 4P1015 Glass Cleaner 1 GL 4C1141 Gloves, Industrial DZ 5LATEX Gloves, vinyl small 100 BX 5VG30S Gloves, vinyl medium 100 BX 5VG30M gloves, vinyl large 100 BX 5VG30L gloves, vinyl x-large 100 BX 5VG30XL Latex Gloves, small (powdered) 100 BX 5A175S Latex Gloves, medium (powdered) 100 BX 5A175M Latex Gloves, Large (powdered) 100 BX 5A175L Laundry Detergent 50 LB EA 7SURGE Lid, Trash can, 44 gl EA Magic Eraser 4/4BX CS Qty Requested Qty Ordered COMMENTS PDM Form /19/2013 PG 1 L-a1a

21 Item Count UI Item # Mophead, 16 oz cotton EA 4ET16C Mophead, 24oz cotton EA 4ET24C Mophead, 36oz cotton EA 4ET36C Mophead, 16oz rayon EA 4ET16R Mophead, 24oz rayon EA 4ET24R Mop Handle, 60" EA Mop Bucket, 35 qt w/wheels & ringer EA Napkins, Dispenser type CS 5W820 Nilium Deoderizer 6/32 oz CS 432WSSL Powdered cleanser 24/21oz CS Pumice stick EA 4LPS Scrub pad, green 6/10 BX 4ETC96 Soap, Foam Dispenser (Lee hdwr) EA Soap, Hand Foam (Lee Hdwr) 8 CS Soap, Hand Liquid 1 GL Spray bottle, 32 oz w/o trigger EA UNS 32 Trigger for Spray bottle, 9 1/2" EA UNS T.E.T. Neutral Disinfectant Cleaner (NDC) 4/64oz CS 4P7628 Toilet bowl cleaner 12/1qt CS 4C3723 Toilet tissue, 12" Jumbo Roll 9 rolls CS Toilet tissue 96 rolls CS 4CONCO Towel, Food Wipe 150 CS Towel, roll Brown (self-cutting) 6 rolls cs 4BW313 Towel, Roll Brown 12 rolls CS Towel, MF Brown 4000 CS 4NR551 Towel, SF Brown 4000 CS 4NR550 Tradewinds air freshener (State Chem) EA Trashcan, Rubber 44 gl EA Wet floor sign (bi-lingual) EA 4C124 Vacuum Bags 9 PK DIAPERS AND OTHER BABY RELATED ITEMS Diapers sz CS SIZE 1 diapers sz CS SIZE 2 diapers sz CS SIZE 3 diapers sz CS SIZE 4 diapers sz CS SIZE 5 diapers sz 6 92 CS SIZE 6 Pull-ups girls 2T-3T 104 CS Pull-ups boys 2T-3T 116 CS Pull-ups girls 3T-4T 152 CS Pull-ups boys 3T-4T 92 CS Pull-ups girls 4T-5T 76 CS Pull-ups boys 4T-5T 76 CS CS RPP-RPBW- UR-30 Wipes Disposable bibs CS Shoe covers CS 2132D Qty Requested Qty Ordered COMMENTS COPY PAPER Copy Paper, 8 1/2" x 11" CS 9S811 Copy Paper, 8 1/2" x 14" CS 9S814 PDM Form /19/2013 PG 2 L-A1b

22 Fire Safety Tests EXIT SIGNS Monthly 30 Second Test Date Initials Date Initials Date Initials Date Initials Date Initials Date Initials ANNUAL 90 MINUTE TEST EMERGENCY LIGHTS Monthly 30 Second Test Date Initials Date Initials Date Initials Date Initials Date Initials Date Initials ANNUAL 90 MINUTE TEST SMOKE DETECTORS Monthly Test (If not using a Hard-wired system) Date Initials Date Initials Date Initials Date Initials Date Initials Date Initials ANNUAL TEST BY LICENSED INSPECTOR (HARD-WIRED SYSTEMS) PDM Form 1101 Revised L-a2 Put date of test in block along with the tester's initials

23 DAILY PLAYGROUND SAFETY CHECKS MONTH & YEAR: DAY TIME INSPECTED BY ITEMS TO BE CHECKED 1 *Visible cracks, bending or warping, rusting, or breakage of any equipment 2 *Deformation of open hooks, shackles, rings, and links 3 *Worn swing hangers and chains 4 *Missing, damaged, or loose swing seats 5 *Broken supports or anchors 6 *Cement support footings that are exposed, cracked, or loose in the ground 7 *Accessible sharp edges or points 8 *Exposed ends of tubing that rrequired covering with plugs or caps 9 *Protruding bolt ends that have lost caps or covers 10 *Loose bolts, nuts, and so forth that required tightening 11 *Nails that have worked loose 12 *Splintered, cracked, or otherwise deteriorating wood 13 *Lack of lubrication on moving parts 14 Worn bearings or other mechanical parts 15 *Broken or missing rails, steps, rungs, or seats 16 *Worn or scattered surfacing material 17 *Hard surfaces under swings and slides, checking places where resilient material has shifted 18 away from any surface underneath play equipment 19 *Chipped or peeling paint 20 *Pinch or crush points, exposed mechanisms, juncture, and moving components 21 *Glass, Nails Trash, Animal Feces, standing water 22 *Dry off any wet surfaces 23 *Check fence for any dangerous wires or holes 24 *Check for posionous plants, high brush or grass 25 *Remove grass and/or weeds growing in in fall zone 26 *Any other items that may present a possible hazzard PDM Form 1102 Revised L-a3

24 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6 This Air Filter Was Last Changed/Cleaned: Date Changed/Cleaned By PDM Form 1105 Revised 7/01/04 L-a6

25 Monthly Maintenance Inspection for Playground Area and Equipment The checks on this list should be performed by the center coordinator/lead teacher or designee by the first Monday of each month. 1. Check all outdoor play areas and complete this inspection report. Specifically state any repairs 2. Arrange for necessary repairs (see procedures manual) and record date of request. 3. Submit the original inspection report to the Specialist by the Friday following the inspection. Keep a copy for your files. 4. When repairs are completed, record date on your copy. 5. After all repairs are completed, file and maintain this form until the end of the following year for future reference. Site: Inspected by: Date: Item # Item to be Checked OK **********Equipment********** 1 Post & equipment footings are not exposed, cracked or loose 2 Clamps show no sign of slippage, cracking or failure 3 Clamp drive screws and/or pins are secure 4 Welds are intact and free of cracks 5 No rust or corrosion on slide or deck enclosures 6 No rust or corrosion on arch, curly and pipe climbers 7 No scratched, chipped or peeling paint 8 Metal parts show no cracks, bending, warping or breakage 9 No missing bolts, nuts, screws, etc. 10 All bolts, nuts, screws, etc. are tight All joints are secure (pay special attention to slides, pipe 11 climbers, and ladders) Entire structure is stable and secure (jump up and down and 12 check for shaking and wobbling) 13 No broken or missing parts No sharp edges or unsafe protrusions (Check metal corners, 14 bolts, etc.) 15 No possible pinch or crush points on moving parts 16 Equipment surface is not cut or cracked 17 All slide supports/anchors are intact and secure 18 Other: 19 Other: 20 Other: PDM Form 1110 REVISED Page 1 of 2 Repairs Required DATE WORK ORDER SUBMITTED L-10a

26 Item # Item to be Checked OK **********Surrounding Area********** Resilient surfacing material is not scattered or moved (pay 21 special attention to area at end of slide and under swings) Resilient surfacing material is at least 8" deep all over fall zone 22 area 23 Fall zone is free of grass and weeds 24 Liner under resilient surfacing material is not exposed Border around fall zone is in good condition and has not come 25 loose No roots, rocks or other objects are causing a tripping or other 26 injury hazard 27 Area is clean of litter (no broken glass, cans, etc.) 28 Area is mowed and free of debris 29 Area is free of fire ants, wasps and bees 30 Fence and gates are in good condition 31 Gate hinges are lubricated and move freely All wooden surfaces are smooth to touch (pay special to 32 handrails and climbers) 33 All wooden components are secure 34 All wooden uprights are stable at ground level during use 35 All corners and exposed edges are rounded 36 Other: 37 Other: 38 Other: Repairs Required Date Repairs Requested Item # Describe Specific Repairs Needed to Eliminate Hazard PDM Form 1110 Revised Page 2 of 2 L-10b

27 CONCERTED SERVICES, INC. Head Start P.O. Box Waycross, Georgia (912) WORK ORDER/REPAIR REQUEST Center: Date: Description of work/repair requested and date needed by (provide inventory number if available, location of equipment or repairs needed). Signature/Title Description of service provided: Signature Date Completed PDM 1111 Revised 10/20/08 L-a12