TX HHS Form 3004. Family Foster Home Fire Safety Evaluation Checklist

The TX HHS Form 3004, Family Foster Home Fire Safety Evaluation Checklist, is a crucial tool for ensuring the safety of children in foster family homes. This comprehensive checklist helps caregivers comply with Texas Health and Human Services Commission fire safety evaluation requirements.

This form is specifically designed for foster family homes with six or fewer ambulatory children, all capable of self-preservation. It covers essential aspects of fire safety, including smoke detector installation, secondary means of escape, exit door functionality, and storage of combustible items. The checklist also addresses common scenarios of use, such as the presence of gas-fired heaters and flammable liquids.

The form is easy to navigate, with clear instructions and a straightforward layout. It requires the inspector's signature and contact information at the bottom, ensuring accountability and facilitating communication. By using this form, foster family home caregivers can confidently demonstrate their commitment to fire safety and provide a safe environment for children in their care.