Monthly Inspection Checklist

Residential Facility Inspection

Complete a monthly review of facility postings, accessibility, safety, living spaces, maintenance, and required documentation.

Section 1

Postings

Confirm required notices and licenses are visible in common areas.

Checklist Item
Yes
No
N/A
Program license is displayed in a common space.
No Smoking Signs are displayed.
Emergency Exit Route is displayed in common space.
Client Rights & Responsibilities poster is displayed in a common space.
Section 2

Accessibility

Confirm the office and parking areas are accessible, visible, and functioning safely.

Checklist Item
Yes
No
N/A
Office is clearly marked and easily accessible.
Parking Lot has sufficient parking and handicap parking is available.
Parking Lot lights are adequate and functioning properly.
Office is wheelchair accessible.
Section 3

Client Record Security

Review storage, visibility, and handling of confidential client records and sensitive information.

Checklist Item
Yes
No
N/A
Full client names are not posted in offices, common areas, bulletin boards, etc.
Client record documents are filed and not left on desks or workspaces.
Paper client records are stored in locked fireproof cabinets.
Paper client records are signed out and back in when in use.
Paper client records are returned to storage at the end of each day.
Computers are locked when workspaces are not in use.
Sensitive documents with confidential client information are not stored on hard drives or removable storage devices.
Private areas used to meet with clients are clean and tidy.
Section 4

Office Space

Review general office safety, cleanliness, equipment, storage, and environmental conditions.

Checklist Item
Yes
No
N/A
Hallways are clear from obstructions or debris.
Electrical cables / cords kept clear of walkways or secured.
Exit and egress points are clearly identified and accessible.
Materials and documents are stored appropriately, not on floor around work areas.
Staff use good housekeeping practices around work areas.
Hot water temperatures are adequate and not harmful.
Burglary system / Alarm is in working order.
First Aid supplies are readily available.
Communication Device is readily available.
Cleaning supplies and hazardous materials are properly stored.
Office lighting is adequate and in working order.
HVAC is adequate and MERV 13 filters are installed.
Office Equipment and Appliances are in working order.
Section 5

Clinical Space

Review medication storage, access, expiration dates, and required medication labeling.

Checklist Item
Yes
No
N/A
Medication is stored in locked, supervised storage.
Access to Medication is limited to authorized personnel only.
All stored medication is within expiration date.
All stored medication is prescribed to a current service recipient.
Appropriate containers for medication, syringes, medical waste disposal is available.
Medication label includes the name of the person served.
Medication label includes medication name.
Medication label includes dosage.
Medication label includes prescribing physician.
Medication label includes expiration date.
Medication label includes number or code identifying the written order.
Section 6

Living Space

Review resident rooms, furnishings, storage, comfort, privacy, and required staffing ratios.

Checklist Item
Yes
No
N/A
Telephone for use by residents.
Rooms include separate bed for each resident.
Clean, comfortable, covered mattress, sufficient linens & blankets for each bed.
Clients provided with a safe place to store personal belongings and valuables.
Bedroom space within legal requirements and accommodates required furnishings.
Single rooms provided as needed.
Sleeping area personalized.
Living area inviting, comfortable, and reflective of residents.
Sufficient supplies and equipment to meet residential needs.
Rooms for providing onsite services, as appropriate.
One suitably furnished room for on-duty personnel.
Doors present on sleeping areas, unless contraindicated.
Employees knock before entering a resident’s room.
Worker/client ratios meet the requirement of the standard.
Section 7

Bathrooms

Confirm bathrooms are clean, safe, private, and properly stocked.

Checklist Item
Yes
No
N/A
Bathrooms are functioning properly.
Door present on Bathrooms.
Bathrooms are clean and tidy.
Floors are free of water.
Hygiene products are readily available.
Section 8

Fire Safety

Confirm fire safety equipment is present, functioning, and inspection-ready.

Checklist Item
Yes
No
N/A
Smoke detectors / fire alarms are in working order.
Fire extinguisher inspections are up to date.
Section 9

Vehicles

Review transportation readiness, vehicle condition, and passenger safety requirements.

Checklist Item
Yes
No
N/A
Vehicles to transport clients have current inspection/registration.
Appropriate passenger restraint systems in vehicles to transport clients.
Vehicle is operational and in good working order.
Section 10

Maintenance

Review grounds, tools, equipment, and emergency generator readiness.

Checklist Item
Yes
No
N/A
Grounds are well maintained and free of debris.
Tools are operational and in good working order, safely stored.
Emergency generators are operational and in good working order, safely stored.
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