Section 3

Amendment status not verified — confirm the current text below against the official source.

…………………………… A. General Information : i. Name and address of the Organisation: ..................................................................................................................................................... ...................................................................... ii. Registration No. (Under JJ Act, 2015): ………………………. Date of issue : ………………………………………………………………….. Date of expiry : ................................................................................. iii. Complete address of the CCI : ……………………………………………...................................................................................................... ........................... …………………………………………. iv. Name of the Officer/Person-in-Charge: ………………………………………………………………………… v. Contact No: …………………………. Email Id: ……………………………………………….. ………………………………………........... 332 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] vi. Type of Home (Please tick  one): Observation Home/ Special Home/ Place of Safety/ Children’s Home/ Open Shelter / Any other (please specify): vii If Aided/supported: by State Government, Name of the Department: viii If run by Government: B. Status of Children: (i) Sanction capacity of the Home…………………………. (ii ) Are the children of both sexes below 10 years kept in the same home Yes No If yes, number of such children as on today…………………. ( iii) Are the bathing and sleeping facilities maintained separately for boys and girls in the age group of 5-10 years Yes No (iv) Are children segregated in the age group given below? Give number of children in the age group of i. 7-11 years: ii. 12- 18 years: iii. Are there children in the age group of 0-5 years staying there? Yes No If yes, Give numbers: iv. Are there children above 18 years staying there? Yes No If yes, Give numbers: v. No. of new admissions in the current month…………………………… vi. No. of children who have moved out/released……………………………. vii. No. of children referred by CWC/JJB during the month…………………. viii. No. of children produced before CWC/JJB during the month…………….. ix. No. of children as on last day of the previous month ……………………. x. No. of children with special needs, if yes, give details…………………….. xi. Interventions made for their rehabilitation: ……………………………….......... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................... xii. Are the Individual care plans prepared for every child? Yes No C. Infrastructure: • Building: • Rented:……………… Owned……………………………. ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 333 • Are CCTV cameras installed at the entrance Yes No • Security Adequate Inadequate • Sufficient space to accommodate the children: Yes No Space available: No. of rooms / dormitories Details Provision of sick room / medical unit Counseling room Recreational / activity room for Children • Is there a TV set available with Cable network • How often are children allowed to view TV • Are children playing games indoors • What games are available to them • Are children playing games outdoors • Do they have equipments/ accessories to play • Do children go for picnics/excursions • Do they have interactions with eminent personalities • Is there a recreation room available to children Yes No in the evenings or any time Yes No age appropriate games or not Yes No Yes No Yes No Yes No Kitchen / Dining Room • Is the cooking area and pantry separate • Do children get individual thalis, mugs glasses • Are cooking utensils adequate and clean • Is there a fridge available for children • Is there a Oven available for children • Is there a Gas stove available in kitchen • Is there a chimney available • What is the arrangement to keep the gas cylinders • Adequate water supply for washing, cooking • Adequate drinking water available ( RO) Yes No Yes No Yes No Yes No Yes No Yes No Yes No safe/away from children or not Yes No Yes No 334 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Premises • Does the home have a child friendly indoors? Yes No • How often is the sweeping, swabbing done? Twice a day or more • Are the children involved in cleaning exercise during class hours? Yes No • Are the facilities of coolers/ heaters available for children? Yes No • Are the doors and windows maintained properly? Yes No • Are the rooms and dormitories well ventilated? Yes No • Is there an alternate provision for lights and fans when there is no electricity available? Yes No • Are the outdoors clean, pleasant and child friendly? Yes No • Is cooking done by machines or by cook Number of toilets & bathrooms for Children • Flush is working • Taps in the wash basin are functioning • Is the floor slippery • Drains clean • Drains are clogged • Fittings for hanging clothes/ towels in place • Cob webs are removed • Door has a latch • Door has peep holes • Frequency of bath a child is allowed • Water is adequately available • Adequate numbers of buckets and mugs • Personal toiletries are provided • Is washing powder or soap given • Do children wash their own clothes • Is there a washer man available • Is the washing machine functional Yes No Yes No Yes No Yes No Yes No Yes No once or more in a day Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Open space for outdoor activities Class rooms space for vocational training ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 335 Clothing / Bedding/Lockers/ Toiletries provided to the children: • Are the clothes provided as per size and season Yes No • Frequency of changing undergarments Yes No • New clothes are stitched or bought stitched or bought • Are the mattresses given individually Yes No • Are pillows given individually Yes No • Are the mattress and pillows clean Yes No • Do children have separate cupboards Yes No • Are bed sheets and Khes available Yes No • Are blankets available in winters Yes No • Number of sets provided on arrival one/two/three/four • Frequency of providing new clothes Monthly/ Quarterly • Are these sets of same color or different colors? Same/different • Are children provided with individual lockers to keep their personal items Yes No Other articles provided to the children: ……………………………………………….. …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… D. Services provided to the children: • Medical facilities/ Maintenance of Health Cards: ……………………………......... ………………………………………………………………………………………………………. ………………………………………………………………………………………………………. ………………………………………………………………………………………………………. ………………………………………………………………………………………………………. ............................................................................................................................ • Nutrition / Special Diet: …………………………………………………………………. ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………………. • Provision of safe drinking water: .................................................................. ...................................................................................................................... • Daily Routine of Children: 336 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Time Activities / Schedule Morning Day Time Afternoon Evening Late evening/ Night • Education ( Formal Education / NFE & Life Skill Training Programme) : ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… • Computer/ Internet/ Phone • Is the facility of Computer with internet available? Yes No • Is the facility functional? Yes No • Are the children allowed to use the facility? Yes No • Is the telephone for official purposes only Yes No • Are the children allowed to use telephone fixed timing/ as and when required • Is the number of Childline (1098) displayed near the phone Yes No • Counseling/ Guidance services/special educator/physiotherapist, etc. provided : …………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… • Vocational training: .................................................................................... ........................................................................................................................... • Recreational facilities: .................................................................................. ........................................................................................................................... • Linkages developed with other agencies/ departments: ................................ ........................................................................................................................... • Implementation of track the missing child programme: ................................. - Entries of children in track the missing child website: .................................. ........................................................................................................................... ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 337 - User Id and password provided: ................................................................... ........................................................................................................................... • Other programmes and activities initiated: ................................................... ........................................................................................................................... ........................................................................................................................... E. Staff Details : S.N. Name Designation Date of Joining Attendance at the time of visit Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 338 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] F. Children’s Committee / Management Committee • Formation of Children’s Committee : • Age wise formation of Children’s Committee : • Frequency of Children’s Committee Meeting: • .................................................................................................................................. • Formation of Management Committee : • Date of constitution of Management Committee and frequency of meetings held : ................................................................................................................................ G. Record Maintenance : Staff attendance register Children attendance register Central admission register Individual case file with individual care plan Communication with CWC/JJB Children’s suggestion book Children’s suggestion box Medical file / medical cards Personal belongings register Management Committee – minutes register Children’s Committee - minutes register Nutrition / Diet File Any other record maintained YES NO YES NO ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 339 Observations/ Remarks: ............................................................................................................................. Name of inspection Committee member: Signature: Name of inspection Committee member: Signature: Name of inspection Committee member: Signature: Name of inspection Committee member: Signature: [F. No.1-2/2016-CW-II] RASHMI SAXENA SAHNI, Jt. Secy. Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054. HARINDRA KUMAR Digitally signed by HARINDRA KUMAR Date: 2016.09.23 17:10:01 +05'30'