Childcare Room Inspection Form
Use this form to conduct a thorough inspection of a childcare room. Please complete all sections accurately.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Room Name or Number
*
Overall Cleanliness
*
Excellent
Good
Fair
Poor
Are all safety hazards (e.g., exposed outlets, sharp corners, loose cords) addressed?
*
Yes
No
Not Applicable
Condition of Furniture and Equipment
*
Excellent
Good
Needs Repair
Unsafe
Are emergency exits accessible and clearly marked?
*
Yes
No
Adequate Lighting and Ventilation
*
Yes
No
Are cleaning supplies and hazardous materials stored securely?
*
Yes
No
Not Applicable
Additional Comments or Notes
Submit Inspection
Should be Empty: