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 care. This checklist helps foster family homes comply with Texas Health and Human Services Commission fire safety evaluation requirements by assessing various aspects of their home's fire safety.

This comprehensive checklist covers essential areas such as smoke detectors, escape routes, and combustible materials. It requires the inspector to verify the presence of working smoke detectors in each sleeping room, hallway, and top of stairs (if applicable). The form also assesses the availability of secondary means of escape, unobstructed travel to outside exits, and secure exit doors that can be opened from the inside.

The TX HHS Form 3004 is designed for use by foster family homes with six or fewer ambulatory children, all capable of self-preservation. The form must be completed by the person conducting the inspection, who should include their signature and contact information at the bottom. Key points to note:

• Verify working smoke detectors in each sleeping room, hallway, and top of stairs (if applicable)
• Ensure unobstructed travel to outside exits
• Check secure exit doors that can be opened from the inside
• Assess availability of secondary means of escape