Childcare Staff Observation Form
Use this form to document and assess childcare staff performance during routine observations.
Staff Member Name
*
First Name
Last Name
Observer Name
*
First Name
Last Name
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Observation
*
Hour Minutes
AM
PM
AM/PM Option
Room/Group Observed
*
Please Select
Infant Room
Toddler Room
Preschool Room
Outdoor Play Area
Other
Staff Engagement and Interaction Assessment
*
Rows
Needs Improvement
Meets Expectations
Exceeds Expectations
Greets and welcomes children
1
2
3
Engages in positive communication
4
5
6
Responds to children's needs
7
8
9
Encourages participation
10
11
12
Demonstrates patience
13
14
15
Health, Safety, and Professionalism Assessment
*
Rows
Rarely
Sometimes
Consistently
Follows health and safety procedures
16
17
18
Maintains a clean environment
19
20
21
Models professional behavior
22
23
24
Supervises children attentively
25
26
27
Uses appropriate discipline techniques
28
29
30
Overall Staff Performance Rating
*
1
2
3
4
5
Strengths Observed
Areas for Improvement
Recommended Follow-Up Actions
Submit Observation
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