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csc_time_tracking_weekly_cl_data
Weekly Check List Log entry
{Error}
Original
Work Location
Select Location
{loc_name_Options}
I am
temporarily
Covering for this location ( Select this location if you are covering temporarily for a different unit other than your original work location)
Select Temporary Work Location
{ListBox1_Options}
Document Date
Coordinator
Staff Name
KITCHEN
Is the counter free of all dust, dirt and food particles? Are items on the counter organized and neat in appearance?
Is the floor free of all dust, dirt and food particles? Are all walkways clear? Are all floor areas free of unncessary items?
Is the stove top free of all items and wiped down?
Is the microwave free of splatters, food particles etc?
Are all items in the refrigerator properly stored? Are all expired items removed from the refrigerator? Have all spills been wiped up?
Are all items in the freezer properly stored? Have all spills been wiped up?
Are all items in the cabinets stored properly? Are shelves neat in appearance?
Notes
{kit_notes}
LIVING AREA
Is all furniture arranged properly? Have couches been vacuumed and tables dusted?
Is the floor free of all dust, dirt and food particles? Are all walways clear? Are all floor areas free of unnecessary items? Have carpets been vacuumed and/or steam cleaned?
Have all windows been wiped? Are blinds and properly closed?
Are all cabinets and wires properly stored? Are all items in good working condition?
Are all walls free of marks, holes etc? Are all pictures hung straight?
Notes
{liv_notes}
BEDROOM
Do all individuals have appropriate bedding? Are all beds assembled properly and look orderly?
Have all floors been washed or vacuumed? Do any need steam cleaning?
Are all items stored in dressers folded and organized? Are all dresser drawers closed? Do individuals have adequate space to store their belongings?
Do all bedrooms have proper lighting?
Are all walls free of marks, holes etc? Are all pictures hung straight?
Notes
{bed_notes}
BATHROOM
Are items on the vanity arranged neatly? Have the sinks been wiped down?
Are all floors dry and free of debris? Are all mats cleaned and orderly?
Has the toilet been cleaned? Is it in good working order?
Are the walls and basin mildew free? Are items in the shower organized neatly and appropriately?
Are all walls free of marks, holes etc? Are all pictures hung straight?
Notes
{bat_notes}
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