LDSS 4439 Form PDF Details

Ensuring the safety of children in day care settings is of paramount importance, and the state of New York has implemented stringent measures to uphold this responsibility. Among these, the LDSS-4439 form, released in May 2014 by the New York State Office of Children and Family Services, plays a critical role. This document serves as an official record for evacuation drills conducted in child day care programs. The form mandates that these essential safety exercises occur monthly, covering every shift that provides care, to accommodate the different times children may be present. To optimize preparedness, it requires varying the exit route for each drill, ensuring that all approved means of egress are practiced and familiar to both staff and children. Additionally, it specifies that all caregivers should be capable of leading an evacuation, underscoring the importance of comprehensive training and readiness. The completion of the form, which includes documenting the drill's start and end times, attendance before and after the drill, the caregiver conducting it, and the exit route followed, is not just a mere bureaucratic task; it's a critical step in reinforcing a culture of safety and preparedness within day care facilities. Whether using the LDSS-4439 form or an approved equivalent, these records stand as a testament to the commitment to protecting the most vulnerable members of the community, highlighting the ongoing efforts to ensure their safety through regular and thorough evacuation drills.

QuestionAnswer
Form NameLDSS 4439 Form
Form Length2 pages
Fillable?Yes
Fillable fields163
Avg. time to fill out33 min 6 sec
Other namesfire drill log ocfs, record evacuation drills child day care, ldss 4439, form ldss4439 form

Form Preview Example

LDSS-4439 (5/2014) FRONT

NEW YORK STATE

OFFICE OF CHILDREN AND FAMILY SERVICES

RECORD OF EVACUATION DRILLS

CHILD DAY CARE PROGRAMS

Program Name:

 

License/Registration Number:

 

 

 

Address:

Evacuation drills must be conducted at least monthly. One drill during each shift of care. The exit route must be varied to ensure that all approved means of egress are practiced. All caregivers should be able to lead during an evacuation drill. This form or an approved equivalent must be used to document evacuation drills.

Date/Shift Drill Start Time

Starting

Attendance

Drill End

Time1

Ending

Attendance

Name of

caregiver

conducting drill

Exit Route Followed2

Comments

1Recommend Max 2-3 minutes to complete 2 Please specify: P=Primary, S=Secondary, O=Other

LDSS-4439 (5/2014) REVERSE

Date/Shift Drill Start Time

Starting

Attendance

Drill End

Time1

Ending

Attendance

Name of

caregiver

conducting drill

Exit Route Followed2

Comments

1Recommend Max 2-3 minutes to complete 2 Please specify: P=Primary, S=Secondary, O=Other