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Adoption Home Inspection: Health Department Requirements

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Kim and I are nearing completion of the approval process to adopt two more children into our family.  (Note: finishing the approval process is only the first step… It will be years before we get the kids). 

One of the final steps in the process is having our home inspected by the Baltimore County Health Department to ensure it’s suitable for additional children.  The inspection is the same for adoptive and foster parents, as well as for other situations where a family is housing a client in their home. 

The inspection covers a wide range of home health-related items.   Some of them make us laugh, because NONE of our friends with biological children care about these items in their own home.  The list from Baltimore County is below (as of 12/2008).  Obviously, a list like this will vary by jurisdiction, so you should contact your own state or county health department to determine what’s needed if you’re in the adoption/fostering process.

For fun, leave a comment on this post and let us know if your home passes (or if not, why it fails :-) )

Food Handling

  • Food not in the original package is stored in labeled and dated containers.
  • All opened food packagees are resealed.
  • Food is obtained only from approved sources.
  • Home canned food is not provided for clients.
  • Equipment, dishes, utensils, and glasses are kept clean.
  • A monitoring thermometer is required in refrigerators/freezers to insure that potentially hazardous food is stored at safe temperatures.
  • Chemical products are not stored with food or disposable products suchs as plates, cups, utensils, or paper ware.
  • Cockroaches and pests are not present in stored food products.

Safe Food Storage Temperatures:

  • Refrigerated Food:  45 degs. F or below
  • Frozen Food: 0 degs. F or below

Kitchen/Dining Room

  • Furniture, walls, cabinets, appliances, sinks, and equipment are free of grease, food debris, or dirt build-up.
  • Perimeters of floors, areas behind and underneath appliances are clean and free of debris.
  • Exhaust hoods and filters over ranges are clean.
  • Trash cans are kept clean.  If used, liners are removed daily.
  • Refrigerator interiors are clean and free of dried-on food debris, spillage, odorous containers of spoiled leftover food, rotting vegetables and fruits, and broken eggs.
  • Shelving and bins are clean and are not rusted.
  • Interiors of ranges, microwaves, toaster ovens, and other appliances are clean.
  • Glasses, dishes, utensils, pots and pans have been cleaned before storage.
  • Interiors of cabinets, drawers, and food storage containers are clean.

Living Room/Family Room

  • Floors and rugs are cleaned and vacuumed.
  • Furniture is free of food debris and soil.
  • Furnishings are dust-free.
  • Fireplace areas are being maintained.
  • Window coverings are clean and free of dust.
  • Rooms are free of cobwebs and clutter.

Bathrooms

  • Walls, floors, ceilings, and tiles are clean and free of mold and mildew.
  • Toilets, showerheads, grab rails, tubs, sinks, and faucets are clean and free of mineral deposits.
  • The interiors of medicine cabinets and sink cabinets are kept clean and the contents organized.
  • Exhaust fans are operational and free of dust and dirt.
  • Glass shower doors or curtains are clean and free of mold and mildew.
  • Bathroom trash cans are clean and emptied as needed.
  • Bath accessories (i.e. rugs, toilet tank/lid covers, mirrors, toothbrush and soap holders, and towels) are free of soil.
  • Non-slip bath mats / decals for the tub.

Bedrooms

  • Furniture, bed linens, curtains, and rugs are clean, free of stains and odors.
  • Furniture interiors are free of food debris.
  • Closets are organized and uncluttered.
  • Clean clothing is stored on hangers, hooks, or in drawers.
  • Walls, floors, and ceilings are clean and free of dirt, dust, and cobwebs.
  • Dirty clothes are kept in cleanable hampers.
  • Smoke detectors are required in every bedroom.
  • Windows are screened.

Garage

  • Floors are clean.
  • Storage is organized and limited.

Basements

  • Boxes and articles are stored uncluttered.
  • Floors are dry, swept, and kept clean.
  • The area is periodically aired out and free of mildew and other odors.
  • Walls, ceilings, furniture, and storage are free of cobwebs.
  • No items are stored within 3 ft. of the furance / hot water heater.

Client Areas

  • Lockable storage area is available for clients’ medication.
  • Bed linens and towels are available to each client.

Storage Closets / Areas

  • Shelving and floors are clean.
  • Contents are organized on shelves or storage racks.
  • Botoom shelves are at least 4 to 6 inches above floor.

Exterior Premises

  • Driveways, curbs, and sidewalks are in good repair.
  • The yard is clean and free of litter and hazards.
  • Play equipment is in good repair.
  • Trash cans have fitted lids.
  • There are no mice, rats, or stinging insect problems.
  • Swimming pools are being maintained.

Pets

  • Pet dogs, cats, and ferrets have had their rabies vaccinations.
  • There are License #s or verification of innoculations for these pets.
  • Other pets (turtles / birds) have a Certificate of Health.
  • Litter box is clean.
  • Pet areas in the living areas, basements, or garages are clean and free of odors.
  • Pet food is not a source of pest problems.
  • Packages are resealed or enclosed in covered containers.

Private Water Supply / Sewage Disposal System

  • The well is properly protected from contamination.
  • The sewage disposal system is operational.
  • Raw sewage is not leaking from the disposal system.
  • The plumbing system is in good repair.
  • Hot water temperatures are between 100 degs. F and 120 degs. F.

Maintenance

  • Walls, floors, and ceilings are in good repair.
  • Doors and windows are vermin proofed.
  • Screens and door flashings are installed.
  • Cracks and crevices in the kitchen/bathrooms are closed with an approved caulking compound.
  • Adequate lighting is available in all areas.
  • Building exterior is in good repair.

Safety

  • All containers of housekeeping products are labeled as to their contents and usage.
  • Emergency phone numbers are posted by telephones.
  • Each floor has an operational smoke detector.
  • A 2A-10BC or larger rated fire extinguisher is mounted in the kitchen.
  • Grab rails/grab bars are provided whereever necessary.
  • Stairs are free of storage.
  • Rug guards and stair treads are provided.
  • Hot water avialble to clients is periodically checked to prevent scalding accidents.
  • Flashlights are available for emergency use.
  • A fire evacuation plan has been devised and practiced.
  • Gasoline powered equipment is safely stored outside.
  • Basement bedrooms meet Fire Department requirements.
  • Safety covers for electrical outlets.
  • There are no tripping hazards.
  • Housekeeping supplies and other chemicals, such as pesticides, are stored safely or in locked areas.

Lead Paint

  • Houses built prior to 1978 and with visible paint deterioration/chipping may be subject to a lead paint inspection.

What do you think?  Would your house pass inspection?  We’re hoping ours does…

Fred
by: Fred | December 17, 2008 | filed in: Inspections
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Comments & Conversation on this Article...

11 Responses to Adoption Home Inspection: Health Department Requirements

  • Todd responds...
    December 17th, 2008 8:46 am

    I think we could pass 95% of it. But serious, who labels and dates food that was opened? So a bag of pretzels once opened should be dumped into a new container (wasteful) and labeled….hmmmm….what has this world come to!

    Best of luck to both of you on this long stressful journey!

  • Lauren responds...
    December 17th, 2008 2:59 pm

    FAIL!! I guess my home isn’t suitable for children…

  • sito responds...
    December 17th, 2008 10:29 pm

    Holy cow! I understand that they need some standards, but this seems over the top. I don’t know anyone whose house would pass. (Although everyone I know does wash their utensils before putting them back in the drawer and would not tolerate cockroaches in their stored food.)

    Good luck with this entire process.

  • Fred responds...
    December 17th, 2008 11:05 pm

    sito: thanks for the encouragement. Good news is that we passed today (whew!).

    For the rest: thanks for NOT commenting on the myriad of spelling mistakes. I copied the list by hand in a rush – didn’t have time to read over it. I think I got them all in tonight’s review.

  • Kenna Rogers responds...
    December 17th, 2008 11:29 pm

    WOW!! Congratulations on passing your inspection! I can only imagine how nervewracking that would be! At time current time, my house wouldn’t pass, but would if I would get off the computer! I am grateful there are people like you who want and are able to provide for these children! Good luck with all your endeavors!

  • Beth responds...
    December 19th, 2008 1:19 pm

    I FAIL

    # Closets are organized and uncluttered.
    # Dirty clothes are kept in cleanable hampers.
    # Smoke detectors are required in every bedroom.

  • Casey H responds...
    December 20th, 2008 12:21 am

    I’ve got 2 kids and thats all the more reason I dont pass!! They dont allow me to organize, they dont allow me to have things uncluttered….

  • Utah Plumbing responds...
    December 21st, 2008 8:17 am

    I fail in maintenance. Will try to achieve this as soon as i can.

  • Kevin Etheridge responds...
    January 8th, 2009 4:08 pm

    Fred I am happy that your home passed inspection. My wife and I are in the process of doing Foster to Adopt and have our inspection January 22nd. When they did the inspection, did they look in every closet and under and behind appliances etc?

    Thanks,
    Kevin

  • [...] I just had to do this for our adoption home inspection, I thought I’d post a step-by-step for anyone else who wants to change your hot water [...]

  • Melissa Scott responds...
    October 20th, 2009 7:51 pm

    OK–we FAIL! So many of them, so little time! I have 4 sons, so any of the items that mention “uncluttered” or “Free of odors” are out the window! Seriously, we do pretty well on most of it, because I’m cleaning ALL the time, but who labels and dates things they open? And let’s not talk about the interior of MY microwave!

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