DA Form 5761-2-R. Family Child Care (Fcc) Risk Assessment Tool Interview Summary (LRA)

DA Form 5761-2-R, titled Family Child Care (FCC) Risk Assessment Tool Interview Summary, is primarily used within Land Rehabilitation and Development (LRD) projects of the Department of the Army. This form functions as a summary of interviews conducted during the risk assessment process for Family Child Care (FCC) homes.

The form contains sections where interview findings related to the FCC home's compliance with safety and health regulations are recorded. Observers document their interactions with the FCC provider and assess the provider's understanding of safety practices. The form may also include sections for additional comments and recommendations.

Key fields in this form encompass interview details, observations, and safety compliance assessments. Accurate completion of the form is essential for evaluating the suitability of the FCC home for child care services and ensuring the well-being of children.

Application Example: A team of Family Child Care program assessors uses DA Form 5761-2-R to summarize the results of interviews with an FCC home provider. The form helps assess the provider's knowledge of safety regulations, understand their approach to child care, and identify any potential risks that need to be addressed.

No additional documents are typically required when completing this form.

Related Form: DA Form 4256 - Family Child Care Provider Agreement. This form establishes agreements between the FCC program and providers regarding child care services.