Children Home (Form-K)

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Social Audit under Juvenile Justice (Care & Protection) Act-2015for

Child Care Institutions (CCI)


Children Home (Form-K)
State:.............................................District:................................................Type of
Institution:.......................................................
Name & Complete Address of the Organisation:................................................
.............................................................................

Please try to provide a copy of the records related to the following information-
Have they
Q. provided the If No, what are the
Section Description
No. document reasons for it
(Yes-1; No-2)

Provide the details of composition of the institution’s


1.29
Management Committee (MC)/ Governing Body (GB).

Provide a copy of the minutes of the last meeting of the


1.29.6
Management Committee (MC)/ Governing Body (GB).

Provide a copy of the minutes of the last meeting of the


1.30.6
Home Management Committee (HMC).
Section-
1
Provide the details of composition of the institution’s
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Children’s Committee (CC)

Provide a copy of the minutes of the last meeting of the


1.31.6
Children’s Committee (CC).

If the Child Care Institution (CCI) is involved in any other


activity apart from psycho-social rehabilitation of
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children in need of care and protection, provide its
details.

Section-
2.1 Provide the details according to Annexure- 1
2

Provide a separate sheet on the kind of facilities and


Section-
3.14 support available for children with special needs (Mental
3
Health).

Section-
4.14 Provide a copy of the Daily Routine Chart
4

Provide details of project wise Bank Account(s)


maintained by it with A/c No, purpose, amount received
6.2
including FCRA Account (Provide Copy of Pass Book/
Section- Bank Statement of the last financial year)
6
Provide copies of Audited Statement Accounts & FC
6.5
Returns for the last two years
In case any social audit has been conducted of the home,
Section-
7.9 provide a copy of the inspection recommendations and
7 record of actions thereof.
Provide the reports/ details related to the agency’s
खण्ड-8 8.1 external linkages with professional/institutions for
various services.

Annexure-1: Children Home


Human Resource
Present
Experience On job at the
S. Mobile working training Date of time of
Designation Name Qualification
N. No. with (list Joining visit
children topics) ( if not
why)
Office in
1
Charge

2 Counselor

Child
Welfare
3 Officer/
probation
officer

4 Case worker
House Mother/
5
House Father

6 Doctor

Para medical
7
staff
Store keeper
8
cum accountant
Art & Craft
9 cum music
teachers
PTI instructor
10 cum Yoga
Trainer
11 Driver

12 Cook

13 Helper
14 House Keeping

15 Gardener

16 Any other

Name & designation

Observation of the Audit team:

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