
=Primary, S=Secondary, O=Other Exit Route Followed2 Comments LDSS-4439 (5/2014) REVERSE Date/Shift 1 Drill Start Time Starting Attendance Recommend Max 2-3 minutes to complete 2 Drill End Time1 Ending Attendance Name of caregiver conducting drill Please specify: P=Primary, S=Secondary, O=Other Exit Route Followed2 Comments .
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How to fill out the NY LDSS-4439 online
Completing the NY LDSS-4439 form is an essential part of documenting evacuation drills for child day care programs in New York State. This guide will walk you through the process of filling out this form online, ensuring that you provide all the necessary information accurately and efficiently.
Follow the steps to complete your evacuation drill documentation.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the program name in the designated field at the top of the form.
- Input the license or registration number for your child day care program.
- Fill in the address of the program to ensure correct documentation.
- Document the date and shift for the evacuation drill in the provided fields.
- Record the drill start time and ensure to note the starting attendance.
- Next, input the drill end time and the ending attendance.
- Specify the name of the caregiver conducting the drill, marking whether they are primary, secondary, or other.
- Detail the exit route followed during the drill in the applicable section.
- Finally, offer any comments regarding the drill in the comments section provided.
- Once all fields are filled out, you can save changes, download, print, or share the completed form.
Submit your completed NY LDSS-4439 form online to ensure your child day care program is compliant.
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