Babysitter’s Report Record
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BABYSITTER’S REPORT RECORD 1 Babysitter’s Report Record Household Rul and Discipline a. I noticed these good behaviors: _________________________________________________________________ _________________________________________________________________ b. I encountered the following behavior challenges: Saf?y a. We received the following phone calls and visitors: b. The following accidents and illnesses happened while you were gone: What the Child Did/Did Not Do What I Did Date/Time Name Reason for Calling or Visiting Visitor’s Phone Number Date/Time What Happened Where it Took Place What I Did What the Child Did
Transcript of Babysitter’s Report Record
B A B Y S I T T E R ’ S R E P O R T R E C O R D 1
Babysitter’s Report
Record
Household Rules and Disciplinea. I noticed these good behaviors:
_________________________________________________________________
_________________________________________________________________
b. I encountered the following behavior challenges:
Safet ya. We received the following phone calls and visitors:
b. The following accidents and illnesses happened while you were gone:
What the Child Did/Did Not Do What I Did
Date/Time NameReason for Calling
or Visiting
Visitor’s Phone
Number
Date/Time What HappenedWhere it
Took Place What I Did
What the
Child Did
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2 B A B Y S I T T E R ’ S R E P O R T R E C O R D
Playa. We played with the following games and toys:_________________________________________________________________
_________________________________________________________________
b. I noticed these good behaviors while we were playing:_________________________________________________________________
_________________________________________________________________
Basic Carea. We ate the following foods:_________________________________________________________________
b. ___________________________ (child’s name) had naptime/went to bed
at __________ (time). __________ (child’s name) slept for __________ (hours/minutes)
and woke up __________ times.
___________________________ (child’s name) had naptime/went to bed
at __________ (time). __________ (child’s name) slept for __________ (hours/minutes)
and woke up __________ times.
c. For ___________________________ (child’s name), I changed the diaper/helped
with toileting __________ times.
For ___________________________ (child’s name), I changed the diaper/helped
with toileting __________ times.
Other Comments_________________________________________________________________
_________________________________________________________________
I gave ___________________________ (child’s name) the following medications and
amounts exactly as instructed by ___________________________ (parent or guardian):
Time: __________ Medicine: __________
Amount given: __________
Any reactions: __________
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