TX HHS Form 4004. Residential Child Care Licensing Environment Health Checklist

The TX HHS Form 4004, Residential Child Care Licensing Environmental Health Checklist-Foster Homes, is a practical tool designed to help foster family homes comply with environmental health safety evaluation requirements. This form can be used by local health authority or agency staff to assess the environmental health and safety of a foster home.

This checklist includes key sections that cover various aspects of environmental health and safety, such as cleanliness and sanitation, water quality, sewage disposal, plumbing, and more. The form also requires information on facility name, address, and contact details. Common scenarios of use include routine inspections or evaluations to ensure the foster home meets minimum standards for environmental health and safety.

The TX HHS Form 4004 is an essential tool for foster family homes seeking to demonstrate compliance with environmental health and safety requirements. By completing this form, foster families can identify areas for improvement and take necessary steps to create a safe and healthy environment for the children in their care.