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

Date of Visit: ___

1. Hygiene/Appearance

• ○Fit, condition, cleanliness, appropriateness, and style of clothing ___
• ○Hair—style and cleanliness ___
• ○Nails trimmed/clean ___
• ○Utilizing adaptive devices—eyeglasses, hearing aids, dentures ___
• ○Access to personal hygiene supplies of choosing ___

2. Environment

2. Environment
3. ○Clean/odor-free ________________________________________________________________________ ________________________________________________________________________

___

• ○Home-like