Grats BEC has 2014, FACILITIES INSPECTION FORM Facility Name: Grats Early Education Center Loc. Code:_9443__ M&O District: _East ADMINISTRATIVE Injury and Ilness Prevention Program Responsible person identified Required inspection schedule met ‘Accident investigations are prompt and thorough Program documents on file Staff received Hazard Communication training Emergency Fire and Earthquake Drills Drills conducted per code; principal sign off Elem. Fire drill one/month; 9-12 twice/year Elem. drop/cover drill once/qtr.; 9-12 once/sem Emergency preparedness plan available Supply location is orderly, clean Emergency response materials (¢.g., kit) available and in accessible location Emergency/earthquake water changed every 6 mos. Fire station testing log maintained Facility Site Safety District-wide Safety Plan available Site and buildings are free of fire hazards Fire extinguishers available in each building Fire extinguishers accessible, current Fire extinguisher inspections conducted monthly Exits marked and unobstructed, exit doors operable Fire lanes open/unobstructed ‘Telephones available for emergency use Gates permit entry for emergency vehicles Accessibility for special needs students Free of unauthorized chemicals Cal/OSHA’s required notices posted Pest Management Program Free of unauthorized pesticide/herbicide products Program notifications/documentation on campus Exclusion work completed Food use areas identified 2 oO oooo000 2 goooo0o0o0o00000 s Zz é I0o00 Inspection Date: October 2014 Comments: Comments: Comments: ‘Attachment E — Facility Inspection Checklist Page 1 of 6Grats BEC tay 2014 ADMINISTRATIVE (continued) 5. Trouble Calls Yes No ‘Trouble calls being made in a timely manner O Comments: Plant manager maintains a log of trouble calls and M&O response statuses BUILDING 6. General Building Maintenance Yes /No Buildings in good repair wW/ 1 Comments: Roofs/gutters well maintained Wyo Free of dry rot, water damage, exposed wires wy ‘oO Floor covering in good repair a Furniture and equipment has seismic restraints or oO bracing y Atleast 18” clearance for sprinkler heads wa At least 36” clearance for electrical panels oO 7. Drinking Water Yes No Water fountains are functional, operable ©, O Comments: Fixtures are clean; parts are not obstructed Ua Water pressure is adequate yao ‘Access and ration is sufficient Oa Water is visibly clear Go District flushing procedures in place Yo 8. Graffiti Yes No Free of graffiti on restroom walls, partitions, fixtures yY O Comments: Free of graffiti on building exteriors, windows eo Free of graffiti on building interiors, hallways, oO stairwells, rooms Regular graffiti removal process in place, with oO matching paint-over 9. Asbestos Yes No AHERA compliance maintained O Comments; Appropriate documentation on site (e.g., AHERA O10 Management Plan) Interior building components in good condition aa Exterior building components in good condition oO 10. Painted Surfaces Yes No Interior building components in good condition YO Comments: Exterior building components in good condition wo ‘Attachment E — Facility Inspection Checklist Page 2 of 6Gras BEC ly 2014 BUILDINGS (continued) 11. Electrical, Heating and Ventilation Ventilation/heating/cooling systems in good repair Lighting, alarms, cables are adequate Fixtures, switches and outlets are operable Maintenance requests kept on file Free of obvious safety hazards 12. Windows — Operable, Safe, Clear Windows provide light and unobstructive view Any broken windows have been reported, dated Any broken windows were repaired w/in 72 hours Any cracked windows have been reported Venetian blinds in good repair Free of obvious safety hazards 13. Restrooms ~ Operable, Supplied, Clean Toilets, sinks, and urinals clean and operable Adequate ventilation Free of offensive odors Clean fixtures, walls, floors Stalls have doors with functional slide bolts Dispensers stocked w/paper, soap Sink surfaces in good repair Lights, doors, windows, and hand dryers are operable Accessible during working hours Free of obvious safety hazards | . Last date of deep cleaning __() 14. Kitchens Pest problems have been managed Drains clean Adequate cleanliness Last date of deep cleaning __(o/ 15. Lunch Shelters Pest problems have been managed Drains clean Roof intact Lighting adequate/functioning Heaters functional (if applicable) Tables, trash receptacles and decks clean F 2 Comments: ER In00 Ya ea Yes No comments: Blin vied “1 aay i fait 7 jh con BON él Yes No 4" Comments: oo Sg wo Yo a4 ao wo Yes No ot Comments Re ooo < g é wa oo ‘Attachment E — Facility Inspection Checklist Page 3 of 6Gras BEC ly 2014 BUILDINGS (continued) 16, Stairways/Hallways 7. 18. 19. 20. Lighting adequate/functioning Free of slippery conditions, Free of obstructions Lockers in good repair Adequate cleanliness Handrails in good repair Gyms/Locker Rooms Free of odors Lighting adequate/funetioning Lockers in good repair Hot water available for showers Backboards properly attached Floors free of safety hazards (not slippery or peeling) Adequate cleanliness Auditorium/Multi-Purpose Rooms Lighting adequate/functioning Drapes and dimmer board in good condition Free of broken/loose seats Adequate cleanliness Classrooms Lighting adequate/funetioning Free of broken furniture Proper flags Adequate cleanliness, including sinks Glides on chairs Shops Lighting adequate/functioning Equipment has appropriate guards Safety lines clearly painted on floor Hot water available Adequate cleanliness ‘Yes No ao Comments: aod BH Yo Yes No O 1 Comments: od od ood ag Qo Yes No comments an Spe — ——e et Yes No O OD Comments: og OO _— oOo je} [a Yes No Comments: 000 ‘Attachment E — Facility Inspection Checklist Page 4 of 6Gros BEC tay 2014 BUILDINGS (continued) 21. Libraries Lighting adequate/functioning Shelving in good repair Carpet in good condition (no stains, broken seams, ete.) Adequate cleanliness 22. Administrative Office Lighting adequate/functi Adequate cleanliness 23. Hopper Rooms Organized Well stocked Adequate cleanliness Cleaning solutions are authorized and labeled GROUNDS, 24. General Grounds Maintenance ‘Campus is clean, operational Parking lines clear Game lines clear Litter removed daily Collection bin area is neat Chemicals stored safely and in appropriate locations Perimeter of school site/fencing is neat Site free of weeds ‘Sewer/storm drains clear Exterior lighting is functioning/adequate Fences/gates in good repair (on track, has locks, no holes/rust) Asphalt in good condition (no significant cracks, holes, standing water, loose gravel/mulch, ete.) Custodial equipmentitools (mowers, carts, etc safe, operable condition ~i.e., guards, brakes, ete and stored properly 25, Playground Equipment Equipment inspection on file at M&O District, Equipment is functional and in good repair Playground surfacing in good repair Yes No % OO 2 TRF We oooo0 e 2 o SSS RANARIAA q oO ‘Comments: Comments: Comments: Comments: ‘Attachment E — Facility Inspection Checklist Page 5 of 6Grats BEC hls 2014, 26. Landscape Yes No Tre canopies adequately wa Comments: ‘Trees/plants adequately trimmed away from aa buildings Free of obvious hazards o I hereby certify that the above areas are either in good working condition or deficiencies have been forwarded to the appropriate office. Site Administrator: AWN 0 ew Print Name House Keeper: —stbale Mara Print Nanve Signature M&O Inspector: Signature Safety Inspector Signature ‘Attachment E ~ Facility Inspection Checklist Page 6 of 6