TREASURE VALLEY FAMILY YMCA
SAFETY CHECKS
Reporter Name
*
First Name
Last Name
Reporter Email
*
example@ymcatvidaho.org
Branch
*
Association Services
Caldwell
Downtown
Tomlinson South
West
Child Development
Horsethief Camp
Date
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Year
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Minutes
AM
PM
AM/PM Option
What would you like to complete? (select all that apply)
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Aquatic Safety Check
CAP Safety Check
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Aquatic Safety Checks
Are any water fitness classes occurring?
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Yes
No
Are swim lessons currently occurring?
*
Yes
No
General AQ Expectations
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Yes
No
Comments
Guards are identifiable: LIFEGUARD shirt, swimsuit, whistle , and fanny pack
Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled
Fanny pack contains the following items in good working order:
- Resuscitation mask with an O2 port, one-way valve
- Nitrile gloves
Guards can see the entire are of responsibility, including the pool bottom and is actively scanning
Guards are alert, actively scanning bottom-middle-surface every 10 seconds with no other personal, conversational or work activity, including zone exchanges.
Guards are positioned so any area of the pool can be reached in 20 seconds
Guards exhibit professional demeanor by posture, behavior, and attentiveness
Patron to Guard ratio does not exceed 1:25 any zone
Deck is well maintained and free of clutter
Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.):
All swimmers under 18 have swim tested, are clearly marked, and are staying in the corresponding areas of the pool
All lifeguard staff members on duty have the following, current certification on file:
-Y Lifeguard
-Basic Life Saving
-Basic FIrst Aid
-Emergency Oxygen Administration
All lifeguard staff members on duty have current in-service records and meet the minimum in-service requirements
Off-stand lifeguards are engaged in customer service activities, or cleaning duties
Off-stand lifeguards are wearing shoes
General AQ Expectations Met (15 Possible)
SWIM INSTRUCTOR EXPECTATIONS
*
Yes
No
Comments
Swim Instructors are engaged with children
Swim Instructors have their uniforms on and have whistles
Swim Instructors are facing all kids while conducting class
Swim Instructors are using positive redirection techniques
Swim Instructors exhibit professional demeanor by posture, behavior, and attentiveness
Class ratios do not exceed 1:4 for 3-5 years olds and 1:6 for ages 6 and up.
Deck is well maintained and free of clutter.
Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.)
All swimmers under 18 have swim tested, are clearly marked, and are staying in the corresponding areas of the pool
All Swim Instructors on duty have the following, current certification on file:
-YSI
-Basic Life Saving
-Basic First Aid
-Emergency Oxygen Administration
All Swim Instructors on duty have current in-service records and meet the minimum in-service requirements
Swim Instructors are actively engaging with parents at the beginning/ end of lessons.
Swim Lessons Expectations Met (12 Possible)
WATER FITNESS INSTRUCTOR EXPECTATIONS
*
Yes
No
Comments
Water Fitness Instructors have their uniforms on and have whistles.
Water Fitness Instructors are providing alternatives for each exercise
Water Fitness Instructors exhibit professional demeanor by posture, behavior, and attentiveness
Water Fitness Instructors are able to see all participants and are facing the class at all times.
Deck is well maintained and free of clutter.
Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.)
All Water Fitness Instructors on duty have the following, current certification on file:
-Nationally Approved Water Fitness Certification
-YASA
-Basic Life Saving
-Basic First Aid
-Emergency Oxygen Administration
All Water Fitness Instructors on duty have current in-service records and meet the minimum in-service requirements
Water Fitness Expectations Met (8 Possible)
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Child Abuse Prevention Safety Check
What observation would you like to complete?
*
General Facility (not formally supervised)
Specific Youth Program (formally supervised)
On Site or Off site?
*
On Site (Y Operated Facility/Property)
Off Site
Program Type/Location
*
Day Camp Name
*
Cabin/Yurt/Tent Name
*
Specific identifier for the sleeping quarters observed
Youth Sports Game Day or Practice
*
Game Day
Practice
Thorough or Quick Check?
*
Thorough Check
Quick Check
General Facility CAP Expectations
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Yes
No
Comments
Staff are easily identifiable.
There is adequate staff in the facility to provide monitoring and presence.
There is a manager or supervisor on duty.
All windows into youth areas are clear and unobstructed for visibility
All unused rooms, offices, storages areas, and closets are locked.
Stairwells are consistently monitored.
Exterior doors not monitored by staff are locked to prevent unauthorized entry.
General Facility CAP Expectations Met (7 Possible)
Bathroom and Locker Room CAP Expectations
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Yes
No
Comments
There is evidence of irregular and frequent bathroom checks by staff (e.g., log posted in restrooms, etc.).
Neither adults nor youth are just hanging out in the bathrooms or locker rooms.
Adult locker rooms only have adults present.
Family locker rooms only have families or adults requiring special assistance present.
Cell phones and other photo/video devices are not being used in locker room areas.
Visibility into saunas and steam rooms allow for monitoring.
Bathroom/Locker Room CAP Expectations Met (6 Possible)
Youth Supervision CAP Expectations - Thorough
*
Yes
No
Comments
Staff are easily identifiable.
Staff proactively greet observer.
Adequate facility and program access control is in place.
The process of signing you in and assignment to supervision and groups is well executed.
-Check-in procedure (parent or staff sign youth in) accurately accounts for all youth
-The time from sign-in to supervision assignment is well monitored
-Drop-in programs evaluate how they account for and assign supervision to youth
- Programs where parents are present do not necessarily require sign-in
Areas used for programming are open and observable, or adequate monitoring protocols are in place.
-Windows are clear and unobstructed
-Visibility of changing table area, shower area (e.g. doors and curtains do not go to floor)
-Where not open and observable, two or more staff are present
Staff are not on cell phones unless being used for appropriate communication within the program.
Head counts and roll calls are routinely conducted throughout the program
Staff interact with all youth and do not pay undue attention to specific youth.
There is information posted/available to parents and youth regarding boundaries, rules, reporting, etc.
All observed staff-youth interactions are open and observed by others (i.e., no 1-on-1 situations).
Observed youth-youth interactions are open and monitored by staff.
Observed verbal interactions align with the code of conduct.
-Inappropriate verbal interactions: name-calling, secrets, curing, off-color or sexual jokes, shaming, belittling, involving youth in personal problems, harsh language, threats, humiliation
Observed physical interactions align with the code of conduct.
-Inappropriate physical contact: full frontal hugs, kisses, wrestling, piggyback rides, tickling, massage, touching chest/bottom/genital areas, lap sitting for children grades K+
The overall culture of the program is positive and engaged.
Bathroom breaks are well supervised
–Bathroom checked or monitored by staff
–Two or more youth with staff
–Number of youths using bathroom does not exceed number of stalls
–Staff outside of bathroom actively supervise (by ear, feet under stalls, etc.)
–Protocols are in place for when staff assistance is required (e.g., stall door open, additional staff)
Play area is well monitored.
–Staff are positioned to see all areas in use by youth
–Staff are actively engaged with youth using the play area
–Playground is used by Y program only, or there is a clear protocol for keeping Y youth supervised
Activity transitions are well monitored.
Staff are able to accurately report how many children are under their supervision currently.
Staff are able to describe at least two ways they can report concerns of boundary or policy violations.
Staff have a copy of the CAP "Keep Kids Safe" Card available.
Staff are aware of how they can anonymously report CAP concerns.
Youth Supervision CAP Expectations Met (21 Possible)
Youth Supervision CAP Expectations - Quick
*
Yes
No
Comments
Staff show professionalism (e.g., easily identifiable uniform/nametag, greeting people, positively leading youth).
All program interactions are in direct line of observation of others.
Youth are well supervised. (e.g., staff know which youth they are supervising, name/roll call is done regularly)
Staff are actively engaged and not distracted while supervising youth.
No verbal boundary or policy violations are observed.
No physical boundary or policy violations are observed.
Bathroom areas are supervised to prevent abuse
(e.g., Bathrooms are checked or monitored by staff, two or more youth with staff, number of youth using bathroom does not exceed number of stalls, staff are outside of bathroom actively supervising by ear, monitoring feet under stalls, etc., if staff assistance is required, open stall door protocol is followed.)
When asked, staff can share critical prevention rules.
(e.g. no alone time, appropriate touch, etc.)
When asked, staff know at least two ways that they can report concerns of boundary or policy violations.
When asked, staff are aware of how they can anonymously report CAP concerns.
Youth Supervision Cap Expectations Met (10 Possible)
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Additional Comments (if applicable)
Bright spots, concerns, staff or participants spoken with, etc.
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