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Step
1
of 4
Checklist Date
*
Checklist Location
*
Worker's Name
*
Child's Name
*
I. Residence Information
House Size
*
Number of Floor
Child's Bedroom Location
Child's Bathroom Location
Nannies Bedroom Location
Clothesline Location
Number of Family Members
*
Number of another Domestic Workers
*
Number of Pets
Next
II. Child's Equipments
Brand and type of milk bottle
Brand and type of sterilizer
Brand of breast milk warmer
Stroller's Brand
Brand and type of carrier
Bathtub type
Brand & type of shower
Special cooking equipment used by Employer (example: microwave, oven, blender, others)
Next
III. Foods
Children's favorite food menu
Food allergies
Another food prohibition
Do you use formula milk?
Characteristics / habits of children when eating
Next
IV. Worker's Bedroom
Is Nanny Sleep with the children?
Do you have a special tool for cleaning baby's ears?
V. Child's School Information
School's Name
Does the Nanny come accompany / wait for school children?
Examples of assignments / homework to be taught (if any)
School time (day and hour)
Preparing Child's school supplies / not?
VI. Child's Habits (Time Routine)
Morning
Afternoon
Evening
Night
VII. Child's Lessons / Courses
Type of Lessons / Courses
Lesson time (days and hours)
Lessons / Courses Location
Does the Nanny accompany children to the Lessons / Courses Location?
VIII. Child Behavior
Child's Age
Child's Personality
Children's physical and motor development
(Physical: height, weight, etc.), (Motoric: eating and drinking, alone, scribbling/drawing)
Child's Eating Patterns
Child's Sleeping Patterns
Personal hygiene patterns for children
IX. Others
Does the Nanny have to cook for the child?
Does the Nanny have to clean the children's room and play area?
Do Nanny have to do child study assistance?
Does the Nanny have to make a child's progress report in stages?
Have children been toilet trained?
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