Template

Monthly Home Visit Record Template

by FIVE STAR FDC, from the Community

Use this monthly home visit record template to standardize family day care and early childhood educator checks. Document emergency and fire safety, room and bathroom hazards, hygiene, medication storage, and supervision measures. Verify required documentation such as CPR charts, policies, registrations, insurance, and routines. Assess outdoor areas, shade, fencing, and car safety. Capture observations, ratings, photos, and signatures for clear follow-up actions.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
FDC HOME SAFETY
HOME SAFETY RISK MANAGEMENT for FAMILY DAY CARE EDUCATOR‚ÄôS
by Gerard Moon, from the Community
Downloads: 30+
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Template
Educator and CDO Home Visit Reflection
This reflective checklist supports educator and Child Development Officer home visits in family day care settings. It guides observation of children’s engagement, educator interactions, and environments; checks portfolios, QIP progress, and policy access; and verifies WHS, indoor/outdoor safety, supervision, and daily rest routines. Record CDO observations, learning experiences, paperwork provided/returned, and any incidents. Confirm ratios and service limits, note follow-ups, and capture educator and CDO signatures with dates.
by Gerard Moon, from the Community
Downloads: 10+
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Template
Home Monitoring Check
Use this checklist to monitor safety, compliance, and quality across a family day care home. Verify required posters and approvals, sign-in devices, current plans and routines, menus, evacuation and lockdown procedures, CPR and hygiene posters. Check nappy change setup and practices, handwashing, food storage, cleanliness, ventilation, shade, rest areas, water access, and equipment condition. Review emergency drills, child observations, visitor records, policies and regulations, documentation security, first aid and fire equipment, medicines storage, transport risk assessments, NQS areas, implementation of the Frameworks, child protection, and professional development.
by Joanne Georges, from the Community
Downloads: 0
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Template
Spot Check for Home Care Workers
Use this Spot Check checklist to evaluate home care workers during in-home visits. Verify arrival time, professional attire and ID, review of the care plan and visit notes, and consent. Assess safe working practices including hand hygiene, correct PPE use, hazard awareness, food handling, and clean work areas. Check medication practices such as accurate MAR documentation and the 6 rights of medication. Observe communication, respect for privacy, enabling care, and accurate record keeping, including electronic logins. Capture follow-up actions and signatures.
by Natalie Burton, from the Community
Downloads: 0
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FDC HOME SAFETY

HOME SAFETY RISK MANAGEMENT for FAMILY DAY CARE EDUCATOR‚ÄôS

by Gerard Moon, from the Community

30+

Get

Template

Educator and CDO Home Visit Reflection

This reflective checklist supports educator and Child Development Officer home visits in family day care settings. It guides observation of children’s engagement, educator interactions, and environments; checks portfolios, QIP progress, and policy access; and verifies WHS, indoor/outdoor safety, supervision, and daily rest routines. Record CDO observations, learning experiences, paperwork provided/returned, and any incidents. Confirm ratios and service limits, note follow-ups, and capture educator and CDO signatures with dates.

by Gerard Moon, from the Community

10+

Get

Template

Home Monitoring Check

Use this checklist to monitor safety, compliance, and quality across a family day care home. Verify required posters and approvals, sign-in devices, current plans and routines, menus, evacuation and lockdown procedures, CPR and hygiene posters. Check nappy change setup and practices, handwashing, food storage, cleanliness, ventilation, shade, rest areas, water access, and equipment condition. Review emergency drills, child observations, visitor records, policies and regulations, documentation security, first aid and fire equipment, medicines storage, transport risk assessments, NQS areas, implementation of the Frameworks, child protection, and professional development.

by Joanne Georges, from the Community

Get

Template

Spot Check for Home Care Workers

Use this Spot Check checklist to evaluate home care workers during in-home visits. Verify arrival time, professional attire and ID, review of the care plan and visit notes, and consent. Assess safe working practices including hand hygiene, correct PPE use, hazard awareness, food handling, and clean work areas. Check medication practices such as accurate MAR documentation and the 6 rights of medication. Observe communication, respect for privacy, enabling care, and accurate record keeping, including electronic logins. Capture follow-up actions and signatures.

by Natalie Burton, from the Community

Get

Monthly Home Visit Record Template

About author

You might also like

FDC HOME SAFETY

Educator and CDO Home Visit Reflection

Home Monitoring Check

Spot Check for Home Care Workers

You might also like

FDC HOME SAFETY

Educator and CDO Home Visit Reflection

Home Monitoring Check

Spot Check for Home Care Workers