Dcd 0303 Form PDF Details

Ensuring the safety of facilities that provide care for both adults and children is of paramount importance, necessitating strict adherence to specific fire safety standards and regulations. Recognized as a critical tool in this endeavor, the DCD 0303 form, serves as a comprehensive Adult Day Care & Child Care Fire Inspection Report. This form, revised as of October 2010, must be meticulously filled out during a fire safety inspection to evaluate a facility's compliance with essential safety measures. It encompasses a wide array of checkpoints covering general precautions, emergency planning, fire service features, building services and systems, fire resistance rated construction, interior decorations and furnishings, fire protection, and means of egress. Each section within the form includes a series of statements requiring an inspector to mark whether the facility meets the standard (Yes), does not meet the standard (No), or if the standard is not applicable (N/A) to the facility, accompanied by a requirement to explain any non-applicable items. The form also distinguishes between facilities approved for day time care only and those approved for both day time and night care, underscoring the different requirements that may apply based on the hours of operation. Finally, an inspector’s assessment of the fire safety conditions as either 'Satisfactory' or 'Unsatisfactory' decisively indicates the facility's immediate fire safety status, paving the way for necessary actions to enhance the safety of its occupants.

QuestionAnswer
Form NameDcd 0303 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesday care inspection form, care fire report, fire inspection report, care child inspection report

Form Preview Example

DCD –0303

Rev. 10/10

ADULT DAY CARE & CHILD CARE FIRE INSPECTION REPORT

COUNTY________________________ DATE OF INSPECTION ____________ Facility ID #

Please complete all items below. If not applicable, check N/A in the box with a written explanation attached.

Name of Facility_______________________________

Adult ____ Child ____

 

 

Address __________________________________________ Phone______________

 

 

City _____________________ Zip ___________ Responsible Party________________

 

GENERAL PRECAUTIONS:

 

YES

NO

N/A

1.

Attic/basement/closets/garage/furnace room & heaters clear of trash & combustible materials.

 

 

 

 

2.

Clearance from ignition sources & combustible materials maintained.

 

 

 

 

 

EMERGENCY PLANNING:

 

YES

NO

N/A

3. Approved evacuation plan posted.

 

 

 

 

 

4.Evidence of monthly fire drills posted.

5.Record of employee training in fire prevention/evacuation & annual fire safety training on site.

FIRE SERVICE FEATURES:

YES

NO

N/A

6.Street Number posted. (Contrasting color to building & height 4” or more.)

7.Unobstructed fire apparatus road. (Width of 20’ & vertical clearance of not less than 13’6”).

8.Hydrants/Fire Department connections/control valves clear of obstructions by 3’.

BUILDING SERVICES AND SYSTEMS:

YES

NO N/A

9.Approved heating system, listed. (No fuel burning or portable electric space heaters.)

10.Emergency lighting/exit lights in good operating order.

11.Electrical panels clear of storage. (Minimum 30”)

12.Wiring/fixtures in good condition. (Extension cords not suitable for permanent wiring.)

13.Type I hood system over all domestic cooking appliances that produce grease laden vapors.

FIRE RESISTANCE RATED CONSTRUCTION:

YES

NO

N/A

14.

Required fire resistant rating maintained. (Walls, partitions, floors)

 

 

 

15.

Door-hold open devices/automatic door closures operating properly.

 

 

 

INTERIOR DECORATIONS & FURNISHINGS:

YES

NO

N/A

16.No storage of clothing/personal effects in corridors & lobbies.

17.Maximum 10% of decorative materials covering walls. Doses not apply to artwork & teaching material in classroom. Nothing suspended from ceiling

18.20% maximum coverage for artwork & teaching material located on corridor walls.

19.Exits free of obstructions.

FIRE PROTECTION:

YES

NO

N/A

20.Sprinkler system maintained with annual test reports provided.

21.Smoke detector/fire alarm system maintained with annual test reports provided.

22.Approved extinguishers mounted properly & in good working order.

23.Cooking suppression systems & hood exhaust properly maintained.

24.Protective guards(such as screens) on fuel burning furnaces or fireplaces provided.

MEANS OF EGRESS:

YES

NO

N/A

25.All exits & their access (i.e. Aisles & Corridors) free of obstructions.

26.All locking devices on exit doors are of an approved type.

27.Yards & fencing to allow unobstructed exit to exterior of site.

Approved for day time care only

Approved for day time and night care

At the time of this inspection, the fire safety conditions in this facility were:

Satisfactory

Unsatisfactory

Inspector___________________________________________ Phone ___________________

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