Visitation in a Supportive Environment Checklist Adapted from National Guardianship Association checklist.

Date of Visit: ___

1. Hygiene/Appearance
2. ○Fit, condition, cleanliness, appropriateness, and style of clothing ___
3. ○Hair—style and cleanliness ___
4. ○Nails trimmed/clean ___
5. ○Utilizing adaptive devices—eyeglasses, hearing aids, dentures ___
6. ○Access to personal hygiene supplies of choosing ___
2. Environment
2. Environment
3. ○Clean/odor-free ________________________________________________________________________ ________________________________________________________________________
4. ○Home-like