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Page 1 of 4 Fire Safety Inspection for State Daycare Licensing New Daycare License Applicant Daycare License Renewal Applicant Date Owner Name of Facility Address City State Zip Facility Phone Number Land Line or Cellular Phone Note: The licensing authority is the Idaho Department of Health and Welfare. The minimum standards as outlined in the state daycare licensing act will not preempt any local ordinance that is more stringent. This inspection form was drafted within the confines of the legislated fire safety standards for daycare facilities and does not mean to infer that the provisions within provide for a level of fire safety that would meet nationally recognized standards. Nor does it mean that it would provide a level of fire safety that would meet our own adopted fire safety standards for other occupancies in Idaho. II. GENERAL REQUIREMENTS FOR ALL DAYCARE OCCUPANCIES Standard Facility Meets Standard (Yes) Facility does Not Meet Standard (No) Exiting Requirements Are the required exits located to provide an unobstructed path outside the building to a public way or area of refuge? Can exit doors be opened from the inside without the use of a key or any special knowledge or effort? Are there at least two exits (travel distance between not to exceed 75 feet) located a distance apart, not less than one-half the diagonal dimension of the building or portion used for daycare? Exception: In buildings with automatic fire sprinkler systems, the distance may be increased to 110 feet. Are the required exits not less than 32 inches of clear exit width and not less than six feet, eight inches in height? Exception: Sliding patio doors will be accepted as a required second exit in "Family and Group Daycare Facilities" only. ---PAGE BREAK--- Page 2 of 4 Standard Facility Meets Standard (Yes) Facility does Not Meet Standard (No) Exiting Requirements (cont.) Are sleeping rooms provided with at least one emergency egress window having at least a minimum single net clear opening of 5.7 square feet, minimum height 24 inches, minimum width 20 inches, and maximum finished sill height not over 44 inches? Note: An approved exit door is acceptable in lieu of egress windows. Also, an approved piece of furniture or platform, if anchored in place, can be approved to sit in front of a window, if the sill height is over 44 inches Are approved egress windows from sleeping areas operable from the inside without the use of separate tools? Where children are located on a story below the level of exit discharge (basement), are there at least two exits provided, one of which is directly to the outside? Note: More than one exit from the basement opening directly to the outside may be required, depending on the structure of the building. Daycare is prohibited on any upper floor beyond the first floor. Exception: Daycare is permitted at the second floor level, provided that the building has two exits, one of which must open directly to the outside and be in compliance with building codes. Is the facility in compliance? Fire Extinguishers For DAYCARE CENTERS: Is there a portable fire extinguisher (minimum 2A-10BC) mounted securely in the kitchen area and one other approved location that is visible, does not exceed five feet from the floor to the top of the extinguisher, and not more than seventy five (75) feet travel distance, and is it maintained properly? Note: Fire extinguishers shall be maintained properly. For GROUP DAYCARE FACILITIES and FAMILY DAYCARE HOMES: Is there a portable fire extinguisher (minimum 2A-10BC) mounted securely in the kitchen area that is visible, does not exceed five feet from the floor to the top of the extinguisher, and not more than seventy five (75) feet travel distance, and is it maintained properly? Note: Fire extinguishers shall be maintained properly. Is there a hood-type fire suppression system installed in the kitchen area, if required? In facilities over three thousand (3,000) square feet are additional fire extinguishers present and approved by local fire official or designee? In Facilities greater then twenty thousand (20,000) square feet in area or when the number of children under the age of eighteen (18) month exceeds one hundred (100) is there an automatic sprinkler system? ---PAGE BREAK--- Page 3 of 4 Standard Facility Meets Standard (Yes) Facility does Not Meet Standard (No) Telephone Is there an operable telephone on the premises? Smoke Detectors Is there a smoke detector installed in the basement having a stairway which opens from the basement into the facility (such detector shall be connected to a sounding device or other detector to provide an alarm which will be audible in the sleeping area)? Are approved smoke detectors provided on the ceiling or wall outside each separate sleeping area or in the immediate vicinity of bedrooms? Is there a smoke detector in each room used for sleeping purposes? Is there a smoke detector in each story within the facility including the basement? Fire Safety and Evacuation Plan Note: Each daycare center, group daycare facility or family daycare home voluntarily licensed by the Department, must have an approved fire safety and evacuation plan prepared. Fire evacuation and safety plans must include the elements listed below. Procedures and policies that accounts for all employees and children after an evacuation is completed. Identifies evacuation routes, locations of facility exits, and assembly point for an evacuation. Includes location of smoke detectors, fire alarm appliances and fire extinguishers. A schedule of fire and emergency evacuation drills and annual reviews that all employees and children participate in with records of those drills available for reference and review. For Facilities with an Occupancy Load of Fifty or More Note: In addition to the requirements above, those facilities with an occupancy load of fifty (50) or more occupants must also meet the criteria outlined below. Do exit doors swing in the direction of egress? Do exit doors from rooms having an occupant load to fifty (50) or more, if provided with a latch, have panic hardware? Are Exit signs installed at required exit doorways and where otherwise necessary to clearly indicate the direction of egress? For facilities with over fifty (50) children, is an approved fire alarm system installed? ---PAGE BREAK--- Page 4 of 4 Standard Facility Meets Standard (Yes) Facility does Not Meet Standard (No) Occupant Load Note: Occupant load is determined by the local fire official or designee. Only those areas used for daycare purposes will be used when determining occupant load. To determine occupant load, calculate the square footage of the space between the interior face of the exterior walls, assigned to daycare use, and divide by the occupant load factor of 35. Allowances for interior walls or partitions and furnishings have been taken into account in the occupant load factor, except fixed seating. The occupant load for fixed seating is determined by counting the seats. Enter Occupant Load: Is the facility in compliance? Note: This inspection is for the purpose of meeting only the requirements of the Department of Health and Welfare. The operator/owner may also be required to meet; zoning, building code, fire code or other agency regulations within their local jurisdiction to conduct this type of business. In addition, a separate Health and Safety inspection is required on all facilities that are required to be licensed. Facility passes fire inspection: Yes No Occupant Load: Residential Commercial INSPECTION MADE TITLE AND Signature of Name of facility operator/owner (please Signature of facility operator/owner: Idaho Department of Health and Welfare Daycare Licensing Fire Safety Inspection Form - Revised June 20, 2016 SIGN SIGN