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[null,"目次"]
[null,"保育園現況及び運営状況報告書（集合指導監査・現地確認事前資料）",null,null,null,null,null,"法人関係書類（社会福祉法人の本部がある保育園のみ）"]
[null,"１　設置主体",null,null,null,null,null,"法人１-１　社会福祉法人役員名簿"]
[null,"２　運営について",null,null,null,null,null,"法人１-２　社会福祉法人評議員名簿"]
[null,"３　施設の現況",null,null,null,null,null,"法人１-３　社会福祉法人評議員選任・解任委員名簿  "]
[null,"４　施設運営及び職員について",null,null,null,null,null,"法人２-１　社会福祉法人の理事会等の審議状況"]
[null,"５　児童について",null,null,null,null,null,"法人２-２　社会福祉法人の評議員会等の審議状況"]
[null,"６　特別保育について",null,null,null,null,null,"法人２-３　社会福祉法人の理事会の付議，評議員会への承認状況自己点検リスト"]
[null,"７　健康診断について",null,null,null,null,null,"法人２-４　社会福祉法人の評議員選任・解任委員会の審議状況"]
[null,"８　医薬品の現況",null,null,null,null,null,"法人２-５　社会福祉法人の閲覧用書類自己点検リスト"]
[null,"９　清掃・消毒等について",null,null,null,null,null,"法人３　借入金の状況"]
[null,"10　飼育動物・植物の管理について",null,null,null,null,null,"法人４　資産（土地・建物）等の状況   "]
[null,"11　給食関係"]
[null,"12　新規採用職員の採用前の腸内細菌検査実施状況（前年度、当年度）"]
[null,"13　保育について"]
[null,"14　経理自己点検リスト"]
[null,"15　令和5年度保護者徴収金確認表"]
[null,"16　会計責任者及び出納職員について"]
[null,"17　業務管理体制の整備状況について"]
[null,"18　令和５年度契約一覧表"]
[null,"19　業務委託契約一覧表"]
[null,"20　物品リース・レンタル契約一覧表"]

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[null,null,null,null,null,null,null,null,null,null,null,"令和　 年   月 　日 現在",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《要　選択》","《要　選択》","《要　選択》"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＊この資料は原則、現時点の状況で作成してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","□　無","可（○）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■","■　有","否（×）"]
[]
[]
[null,null,"保育園現況及び運営状況報告書\n（集合指導監査・現地確認事前資料）"]
[]
[]
[]
[]
[null,null,null,null,"（保育園名）",null,null,null,null,null,null,null,"保育園"]
[null,null,null,"〒"]
[null,null,null,"所在地"]
[null,null,null,"電話番号"]
[null,null,null,"FAX"]
[null,null,null,"施設長名"]
[]
[null,"・","仮園舎等で監査を行う場所が上記と異なる場合"]
[null,null,"〒"]
[null,null,"住所"]
[null,null,null,"（仮園舎・集会所・その他（　　　））"]
[null,null,"電話番号"]
[null,null,"FAX"]
[]
[]
[]
["・集合指導監査・現地確認事前監査の事前提出資料の提出について"]
["　　保育園現況及び運営状況報告書（このエクセルファイル）をメールで提出し、添付書類を郵送で提出する場合は、郵送分の発送日を記入してください。"]
[]
[null,null,null,null,null,null,null,null,null,null,"年　　月　　日"]
[]
["１　設置主体"]
["法人名"]
["法人の所在地"]
["法人代表者氏名",null,null,null,null,"　　　　　　　　　　　　（認可時　　　　　　　）"]
["法人設立認可年月日",null,null,null,null,"年　　　月　　　日"]
["法人設立登記年月日",null,null,null,null,"年　　　月　　　日"]
["保育所認可年月日",null,null,null,null,"年　　　月　　　日"]
["定員（認可時）",null,null,null,null,"　　　　　　　　名"]
["〃（現在）",null,null,null,null,"　　　　　　　　名"]
[]
["２　運営について"]
["　園の運営方針、保育方針及び１年間の運営をふりかえって、特記事項、保育、給食について自由に記してください。"]
[]
["記入欄"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["３　施設の現況"]
["（１）敷地面積"]
["摘要",null,null,"認可時（直近）㎡",null,null,null,null,"現況（㎡）",null,null,null,null,"備考"]
["建築面積"]
["屋外遊戯場",null,null,null,null,null,null,null,null,null,null,null,null,"砂場面積　　　㎡"]
["その他"]
["計"]
["上記屋外遊戯場以外に代替園庭を利用している場合の公園等の名称"]
[]
[]
["（２）水道施設等"]
["区分",null,"設置の有無",null,null,null,"設置している場合"]
["受水槽",null,"《要　選択》",null,null,null,"清掃年月日",null,null,"年　　月　　日"]
[null,null,null,null,null,null,"水質検査日",null,null,"年　　月　　日"]
[null,null,null,null,null,null,"検査の結果",null,null,null,"□","良","□","否"]
["井戸",null,"《要　選択》",null,null,null,"使用目的",null,null,null,"□","飲用",null,"□","調理用"]
[null,null,null,null,null,null,null,null,null,null,"□","その他（　　　　　　）"]
[null,null,null,null,null,null,"水質検査日",null,null,"年　　月　　日"]
[null,null,null,null,null,null,"検査の結果",null,null,null,"□","良","□","否"]
[]
[]
["（３）建物面積",null,null,"　（備考欄には、直近の認可と現況が異なる場合の理由を記入してくださ"]
["い。例）現在変更申請中、〇月までに申請予定等）"]
["摘要",null,null,"室数",null,"認可（直近）（㎡）",null,null,null,"現況（㎡）",null,null,null,"備考"]
["乳児室"]
["ほふく室"]
["保育室"]
["遊戯室"]
["調理室"]
["調乳室",null,null,null,null,null,null,null,null,null,null,null,null,"活用状況　有・無"]
["沐浴室"]
["医務室",null,null,null,null,null,null,null,null,null,null,null,null,"活用状況　有・無"]
["事務室"]
["保育士休憩室",null,null,null,null,null,null,null,null,null,null,null,null,"活用状況　有・無"]
["調理員休憩室",null,null,null,null,null,null,null,null,null,null,null,null,"活用状況　有・無"]
["調理員専用便所"]
["便所（乳児用）"]
["便所（幼児用）"]
["便所（職員用）"]
["倉庫"]
["廊下"]
["管理人室",null,null,null,null,null,null,null,null,null,null,null,null,"入居者　有・無"]
["その他"]
["計"]
["※平面図に各部屋の面積を記入し、（）内に歳児の別及び組名を記入してください。"]
[]
["（４）駐車場設置状況"]
["保育所駐車場\n設置台数",null,null,null,"左記のうち"]
[null,null,null,null,"保護者送迎用",null,null,null,"職員用",null,null,null,"その他（　　　　）"]
["　　　　台",null,null,null,"　　　　台",null,null,null,"　　　　台",null,null,null,"　　　　台"]
[]
[]
["（５）防災設備の整備状況"]
["消防計画の（変更）届出日",null,null,null,null,null,null,"年　　月　　日"]
["防火管理者（職名・氏名・届出日）",null,null,null,null,null,null,"　　　　　　　　　　　年　　月　　日"]
["消防用設備等点検日",null,null,null,null,null,null,"令和　　年　　月　　日"]
[null,null,null,null,null,null,null,"令和　　年　　月　　日"]
[null,null,null,null,null,null,null,"※消防署報告日　令和　　年　　月　　日"]
[null,null,null,null,null,null,null,"※令和5年度に実施した２回の点検について記入してください。"]
[]
["施設平面図    （手書きでも可）"]
["（例）"]
["屋外遊技場",null,null,null,null,null,null,null,null,null,"事務室","厨房"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"職員W/C",null,"更衣室\n（休憩室）"]
["廊下"]
[]
["保育室\n（５歳児）\n（〇〇組）\n　　㎡",null,"保育室\n（４歳児）\n（〇〇組）\n　　㎡",null,"W・C",null,"保育室\n（３歳児）\n（〇〇組）\n　　㎡",null,"保育室\n（２歳児）\n（〇〇組）\n　　㎡",null,"保育室\n（１歳児）\n（〇〇組）\n　　㎡",null,"調乳室\n　㎡\n木浴室\nW/C\n　㎡",null,"保育室\n（0歳児）\n（〇〇組）\n　　㎡"]
[]
[]
[]
[]
[]
[]
[]
["※消火器の設置場所の記入をお願いします。",null,null,null,null,null,null,null,null,null,"例）"]
["※歳児の別及び組名は、「５児童について（２）組編成」における「組名」及び「年齢」"]
["と一致させてください。"]
[]
["４　施設運営及び職員について"]
["（１）各種規程の整備状況"]
["各種規程",null,null,null,"規程の有無",null,null,"最終改正施行日",null,null,"理事会議決日",null,null,"労働基準監督署\n届出日"]
[]
["定款",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["運営規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["就業規則",null,null,null,"《要　選択》"]
["非常勤職員就業規則",null,null,null,"《要　選択》"]
["育児休業規程",null,null,null,"《要　選択》"]
["介護休業規程",null,null,null,"《要　選択》"]
["給与規程",null,null,null,"《要　選択》"]
["旅費規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["役員等報酬規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["役員等費用弁償規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["理事長専決規則",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["経理規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["慶弔規程",null,null,null,"《要　選択》",null,null,null,null,null,null,null,null,"―"]
["※有・無欄は該当する方にチェックしてください。"]
["※最新の状況について記入すること。"]
["※「理事会議決日」及び「労働基準監督署届出日」は各々の規程及び規則の最終改正に係る部分に関する理事会議決日及び労働基準監督署届出日を記入してください。"]
[]
["※理事会議決日→労働基準監督署届出日→最終改正施行日の日付順になっていることを確認してください。"]
[]
["※設置主体が社会福祉法人以外の場合は「理事会議決日」は記載不要です。"]
[]
["（２）各種規程等の閲覧用書類の自己点検リスト"]
["　各種規程等について、閲覧に供しているか否か、閲覧に供している場合は、施行日欄に現在閲覧に供している書類の施行日をご記入ください。36協定以外の労使協定は該当がある場合のみご記入ください。"]
[]
["各種規程",null,null,null,"閲覧",null,null,null,null,null,"施行日"]
[]
["就業規則",null,null,null,"《要　選択》"]
["非常勤職員就業規則",null,null,null,"《要　選択》"]
["育児休業規程",null,null,null,"《要　選択》"]
["介護休業規程",null,null,null,"《要　選択》"]
["給与規程",null,null,null,"《要　選択》"]
["旅費規程",null,null,null,"《要　選択》"]
["消防計画",null,null,null,"《要　選択》"]
["慶弔規程",null,null,null,"《要　選択》"]
["36協定",null,null,null,"《要　選択》"]
["変形労働時間制に\n伴う労使協定",null,null,null,"《要　選択》"]
[]
["24協定",null,null,null,"《要　選択》"]
["（３）各種加算等の職員への支給状況"]
["　令和6年度の支給状況をご記入ください。記入日現在、本年度分の支給を開始していない場合は令和5年度の支給状況をご記入ください。"]
[]
[null,null,null,null,"給与規程記載の手当名\n例）職務手当",null,null,null,null,null,"職員への支給方法\n（該当するものにチェック）"]
[]
["処遇改善加算Ⅰ",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["処遇改善加算Ⅱ※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["処遇改善加算Ⅲ※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給し、かつ"]
[null,null,null,null,null,null,null,null,null,null,"一部特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["家賃助成※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["奨学金返済助成※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["初任給調整措置費※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["勤続手当※",null,null,null,null,null,null,null,null,null,"□","毎月の手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給開始月：　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
["公定価格変更に伴う委託費追加分（令和5年度の委託費追加分の支給状況）（新設園は記入不要）",null,null,null,null,null,null,null,null,null,"□","特定月に一時金・手当として支給"]
[null,null,null,null,null,null,null,null,null,null,"（支給月：　　　　　　）"]
[]
[]
["※処遇改善加算Ⅱ、処遇改善加算Ⅲ、家賃助成、奨学金返済助成、初任給調整措置費、勤続手当は福岡市及び福岡市保育協会に該当する補助金、加算を申請している場合のみご記入ください。"]
[]
["（４）正規職員の状況［施設長、保育士、調理員等］"]
["職種",null,"氏名",null,"年齢","経験\n年数\n※注２","最終学歴",null,"本俸",null,null,null,"備考\n役員及び施設長との親族関係等\n※注１",null,"福岡市記入欄（記入不要）※注4"]
[null,null,null,null,null,null,"資格取得\n年月日",null,"前年度４月（級号俸）\n俸給月額"]
[null,null,null,null,null,null,"採用年月日",null,"当年度４月（級号俸）\n俸給月額",null,null,null,null,null,"給与\n支払","資格証"]
["保育士",null,"福岡　花子",null,35,8,"大学",null,"前年度（2-6）\n198,700",null,null,null,"施設長の子\n主任\nH23.4.1正規職員"]
[null,null,null,null,null,10,"2002-04-30",null,"当年度（3-4）\n208,700"]
[null,null,null,null,null,null,"2007-04-01"]
["施設長",null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
["※注１　備考欄には「主任」「家庭支援推進保育士」等、及び親族関係があれば記入してください。\n　　２　経験年数は、当施設での勤務年数を上段に、下段に当該施設及び他の社会福祉施設勤務年数 \n　        を合算（処遇改善等加算（旧民改費）の例による）して記入してください。(１年未満の端数は\n　　　　０年としてください。)\n 　  ３　採用年月日は法人で採用した年月日を記入してください。（法人内での異動や非常勤職員から\n　　　　引き続き正職員になった場合は、備考欄等の余白に当施設で採用した年月日を記入してくださ\n　　　　い。）\n　　４　福岡市記入欄は福岡市で使用しますので、記入しないでください。\n"]
[]
[]
[]
[]
[]
["（つづき）"]
["職種",null,"氏名",null,"年齢","経験\n年数\n※注２","最終学歴",null,"本俸",null,null,null,"備考\n役員及び施設長との親族関係等\n※注１",null,"福岡市記入欄（記入不要）※注4"]
[null,null,null,null,null,null,"資格取得\n年月日",null,"前年度４月（級号俸）\n俸給月額"]
[null,null,null,null,null,null,"採用年月日",null,"当年度４月（級号俸）\n俸給月額",null,null,null,null,null,"給与\n支払","資格証"]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
[null,null,null,null,null,null,null,null,"前年度（　-　）\n"]
[null,null,null,null,null,null,null,null,"当年度（　-　）\n"]
[]
["※注１　備考欄には「主任」「家庭支援推進保育士」等、及び親族関係があれば記入してください。\n　　２　経験年数は、当施設での勤務年数を上段に、下段に当該施設及び他の社会福祉施設勤務年数 \n　        を合算（処遇改善等加算（旧民改費）の例による）して記入してください。(１年未満の端数は\n　　　　０年としてください。)\n 　  ３　採用年月日は法人で採用した年月日を記入してください。（法人内での異動や非常勤職員から\n　　　　引き続き正職員になった場合は、備考欄等の余白に当施設で採用した年月日を記入してくださ\n　　　　い。）\n　　４　福岡市記入欄は福岡市で使用しますので、記入しないでください。\n"]
[]
[]
[]
[]
[]
["（５）賃金職員の状況［保育士、調理員、事務員、派遣職員（保育士・調理員）等］"]
["職種",null,"氏名",null,"年齢","経験\n年数","資格\n有無","採用年月日\n※注1",null,"賃金\n単価",null,"1日の\n労働\n時間","週平均の雇用\n日数","雇用契約書の\n有無","福岡市記入欄\n※注3"]
[]
["保育士",null,"福岡　花子",null,30,5,"有","2013-11-11",null,"時給",null,5,5,"有","賃金\n支払\n状況","資格証"]
[null,null,null,null,null,null,null,null,null,"1,000円"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["※注１　継続して雇用している職員は，当初の採用年月日を記入してください。\n　　2　委託契約による教室の講師等については記載の必要はありません。\n　　3　福岡市記入欄は福岡市で使用しますので、記入しないでください。\n"]
[]
[]
[]
[]
[]
["（６）退職者の状況"]
["正規・賃金\n職員の区分",null,"職種",null,"氏名",null,"年齢","在園\n年数","採用年月日",null,"退職年月日",null,"労働者名簿へ記載の有無\n※注1","退職理由",null,"労働者名簿へ記載の有無\n※注2"]
[]
[]
[]
[]
[]
[]
[]
[]
["※注1　退職年月日の労働者名簿への記載の有無をご記入ください。\n※注2　退職理由の労働者名簿への記載の有無をご記入ください。\n※　同一法人内の他施設への異動の場合は、別途、下記に記載してください。\n"]
[]
[]
["正規・賃金\n職員の区分",null,"職種",null,"氏名",null,null,"年齢","異動年月日",null,"異動前の施設",null,null,"異動後の施設名"]
[]
[]
[]
[]
[]
[]
["（７）労働基準法関係"]
["24協定",null,"賃金控除",null,null,null,"《要　選択》",null,null,"協定締結日",null,"年　　月　　日"]
[null,null,null,null,null,null,"控除項目",null,"（　　　　　　　　　　　　　　　）"]
[null,null,"給与の口座振り込み",null,null,null,"《要　選択》"]
["36協定",null,"時間外・休日労働に関する協定届",null,null,null,"《要　選択》",null,null,"協定締結日",null,"令和　　年　　月　　日"]
[null,null,null,null,null,null,"労働基準監督署への届け出日",null,null,null,null,"令和　　年　　月　　日"]
[null,null,null,null,null,null,null,null,"協定開始日",null,null,"令和　　年　　月　　日"]
["年次\n有給休暇",null,"１時間単位での取得可能か",null,null,null,null,null,null,null,null,"□","可","□","否"]
[null,null,"１時間単位で取得を認めている場合、労使協定の締結日"]
[null,null,null,null,null,null,null,null,null,null,null,"　　年　　月　　日"]
["勤務形態",null,"正規職員"]
[null,null,"□","変形労働時間制を採用していない"]
[null,null,"□","変形労働時間制を採用　（単位：",null,null,null,null,null,"□","1ヵ月・",null,"□","１年）※"]
[null,null,null,"協定開始日",null,null,"（令和　　年　　月　　日）"]
[null,null,null,"労働基準監督署への届出日",null,null,null,null,null,null,"（令和　　年　　月　　日）"]
[null,null,"賃金職員（週の勤務日数が5日以上）"]
[null,null,"□","変形労働時間制を採用していない"]
[null,null,"□","変形労働時間制を採用　（単位：",null,null,null,null,null,"□","1ヵ月・",null,"□","１年）"]
[null,null,"賃金職員（週の勤務日数が5日未満）"]
[null,null,"□","変形労働時間制を採用していない"]
[null,null,"□","変形労働時間制を採用　（単位：",null,null,null,null,null,"□","1ヵ月・",null,"□","１年）"]
["無期転換ルール",null,"□","就業規則に記載しており、対応している。"]
[null,null,"□","就業規則に記載はないが、職員からの申し出があれば随時受け入れている。"]
[null,null,"□","就業規則に記載はないが、今後職員からの申し出があれば受け入れる予定。"]
[null,null,"□","対応していない。"]
["時間外勤務手当の算定方法",null,"時間外勤務手当の実際の計算方法について記載してください。"]
[null,null,"（例）（基本給＋諸手当）÷167.3×1.25"]
[null,null,"　　　（基本給＋諸手当）×12÷2080×1.25"]
[]
["※１年単位の変形労働時間制を採用している場合は協定開始日及び労働基準監督署への届出日を記入してください。"]
[]
[]
["（８）苦情解決体制"]
["苦情受付担当者"]
["担当職員氏名",null,null,null,"役職"]
[]
[]
["苦情解決責任者"]
["担当職員氏名",null,null,null,"役職"]
[]
[]
["苦情解決の仕組みの周知方法（何れかにチェックをつけてください）"]
["□","入園のしおり",null,null,"□","園だより",null,"□","園内掲示物",null,"□","その他（　　　　　　　）"]
[]
["第三者委員について"]
["氏名",null,null,null,"役職・資格等",null,null,null,"委嘱期間"]
[null,null,null,null,null,null,null,null,"　年　　月　　日　～　年　　月　　日"]
[]
[null,null,null,null,null,null,null,null,"　年　　月　　日　～　年　　月　　日"]
[]
["第三者委員会の開催状況（前年度４月１日～監査直近）"]
["開催日時",null,null,null,"開催場所",null,null,null,"議題"]
[]
[]
[]
[]
["※第三者委員会を開催しなかった場合は未記入で構いません。"]
["苦情解決結果の公表状況（前年度４月１日～監査直近）"]
["□","園のHP",null,"□","園だより",null,"□","事業報告書",null,"□","その他（　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"□","苦情なし"]
[]
[]
["（９）職員の配置について"]
["３歳児の職員配置基準（プルダウンから選択）",null,null,null,null,null,null,null,null,"児童",null,"人につき、職員1名配置"]
["４・５歳児の職員配置基準（プルダウンから選択）",null,null,null,null,null,null,null,null,"児童",null,"人につき、職員1名配置"]
[]
["（10）最低基準確認表"]
[null,null,null,null,null,null,null,null,null,null,"月　　　日（　　　）"]
["出席した\n児童の人数","必要保育士数算定（ａ）",null,null,null,null,null,null,null,null,null,"配置保育士数（ｂ）"]
[null,"０　歳",null,null,null,"人","／3＝",null,{"$f":"ROUNDDOWN(D440/3, 1)","v":0},null,"人","正規職員",null,null,"人"]
[null,"１，２歳",null,null,null,"人","／６＝",null,{"$f":"ROUNDDOWN(D441/6, 1)","v":0},null,"人","賃金職員",null,null,"人"]
[null,"３　歳",null,null,null,"人",{"$f":"CONCATENATE(\"／\",K434,\"＝\")","v":"／＝"},null,{"$f":"IF(K434<>\"\",ROUNDDOWN(D442/K434, 1),0)","v":0},null,"人"]
[null,"４歳～",null,null,null,"人",{"$f":"CONCATENATE(\"／\",K435,\"＝\")","v":"／＝"},null,{"$f":"IF(K435<>\"\",ROUNDDOWN(D443/K435, 1),0)","v":0},null,"人",null,null,null,null,"可否"]
[null,"計",null,null,null,null,null,null,{"$f":"ROUND(SUM(I440:I443),0)","v":0},null,"人","計",null,{"$f":"SUM(N440:N441)","v":0},"人"]
["出勤した保育士の名字","出勤した保育士（正規職員）の名字をご記入ください。"]
[]
[]
[]
[]
[null,"出勤した保育士（賃金職員・派遣職員）の名字をご記入ください。"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"月　　　日（　　　）"]
["出席した\n児童の人数","必要保育士数算定（ａ）",null,null,null,null,null,null,null,null,null,"配置保育士数（ｂ）"]
[null,"０　歳",null,null,null,"人","／3＝",null,{"$f":"ROUNDDOWN(D457/3, 1)","v":0},null,"人","正規職員",null,null,"人"]
[null,"１，２歳",null,null,null,"人","／６＝",null,{"$f":"ROUNDDOWN(D458/6, 1)","v":0},null,"人","賃金職員",null,null,"人"]
[null,"３　歳",null,null,null,"人",{"$f":"CONCATENATE(\"／\",K434,\"＝\")","v":"／＝"},null,{"$f":"IF(K434<>\"\",ROUNDDOWN(D459/K434, 1),0)","v":0},null,"人"]
[null,"４歳～",null,null,null,"人",{"$f":"CONCATENATE(\"／\",K435,\"＝\")","v":"／＝"},null,{"$f":"IF(K435<>\"\",ROUNDDOWN(D460/K435, 1),0)","v":0},null,"人",null,null,null,null,"可否"]
[null,"計",null,null,null,null,null,null,{"$f":"ROUND(SUM(I457:I460),0)","v":0},null,"人","計",null,{"$f":"SUM(N457:N458)","v":0},"人"]
["出勤した保育士の名字","出勤した保育士（正規職員）の名字をご記入ください。"]
[]
[]
[]
[]
[null,"出勤した保育士（賃金職員・派遣職員）の名字をご記入ください。"]
[]
[]
[]
[]
["５　児童について"]
["（１）児童数（年度当初の年齢で区分）"]
[null,null,null,"0歳",null,"1歳",null,"2歳",null,"3歳",null,"4歳～",null,"計"]
["定員",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(D475:M475)","v":0}]
["入所児","4/1現在",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(D476:M476)","v":0}]
[null,"/　現在※",null,null,null,null,null,null,null,null,null,null,null,0]
["私的\n契約児","4/1現在",null,null,null,null,null,null,null,null,null,null,null,0]
[null,"/　現在※",null,null,null,null,null,null,null,null,null,null,null,0]
["現員計",null,null,null,null,null,null,null,null,null,null,null,null,0]
["※資料作成時の現員数で作成してください。"]
[]
["（２）組編成"]
["組名",null,"年齢","入所児数",null,"私的契約児数",null,"基準面積",null,null,"担当保育士名"]
[null,null,null,null,null,null,null,"室面積",null,null,"正規職員",null,null,"賃金職員"]
["〈記入例〉\n〇〇組",null,"4\n5","10\n10",null,null,null,"39.6㎡",null,null,"〇〇　〇〇\n△△　△△",null,null,"□□　□□"]
[null,null,null,null,null,null,null,"45.0㎡"]
["△△組",null,3,20,null,null,null,"39.6㎡",null,null,"〇〇　〇〇\n△△　△△",null,null,"□□　□□"]
[null,null,null,null,null,null,null,"40.0㎡"]
["□□組",null,3,15,null,null,null,"29.7㎡",null,null,"〇〇　〇〇\n△△　△△",null,null,"□□　□□"]
[null,null,null,null,null,null,null,"30.0㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
[null,null,null,null,null,null,null,"　　㎡"]
["※資料作成時の現員数で作成してください。\n※組・年齢・室ごとに入所児数を記入してください。\n※基準面積欄は、入所児童及び私的契約児数に、１人あたりの基準面積０、１歳児３.３㎡、２歳児以上１.９８㎡を積算してください。"]
[]
[]
["（３）開園時間（延長保育時間を含む）"]
[null,null,null,"【平日】",null,null,null,null,null,null,null,"【土曜】"]
[null,"：　　～　　：",null,null,null,null,null,null,null,"：　　～　　："]
[]
["（４）短時間保育時の保育時間",null,null,null,null,null,null,"：　　～　　："]
[]
["（５）休園状況"]
[null,"a　年末年始",null,null,"　　年　　月　　日～　　年　　月　　日"]
[null,"b　その他",null,"（　　　　　　　　）",null,null,null,null,"年　　月　　日"]
[]
["（６）私的契約児保育料"]
["年齢",null,"前年度保育料",null,null,"当年度保育料",null,null,"年齢",null,"前年度保育料",null,null,"当年度保育料"]
["0歳",null,null,null,null,null,null,null,"3歳"]
["１歳",null,null,null,null,null,null,null,"4歳"]
["２歳",null,null,null,null,null,null,null,"5歳"]
[]
["６　特別保育について"]
["（１）延長保育"]
[null,"□","実施（",null,"□","１時間",null,"□","２時間",null,"□","３時間",null,"□","４時間　）"]
[null,"使用している保育室",null,null,null,"（",null,null,null,null,null,null,"）"]
[null,"□","未実施"]
["（２）休日保育"]
[null,"□","実施",null,"□","未実施"]
[null,"使用している保育室"]
["（３）一時保育"]
[null,"□","実施",null,"□","未実施"]
[null,"使用している保育室",null,null,null,"□","専用の部屋",null,null,"□","入所児童と同じ保育室　　"]
["（４）さぽ～と保育"]
[null,"対象児童",null,null,"《要　選択》"]
[null,"対象児童人数と在籍する組（記入例：〇〇組□□人）"]
[]
[]
[]
["７　健康診断について"]
["区分","実施日",null,null,null,null,null,"内容",null,"結果\n（保護者への結果通知方法を選択）"]
["児童","令和　年度",null,"令和　年　月　日",null,null,null,"内科健診",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"内科健診",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"歯科検診\n（R5より０歳児必須）",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"尿検査",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"毎月",null,null,null,"発育測定",null,"□","口頭","□","文書","□","アプリ"]
[null,null,null,"その他（　　　）",null,null,null,null,null,"□","他"]
[null,"令和　年度",null,"令和　年　月　日",null,null,null,"内科健診",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"内科健診",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"歯科検診",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"令和　年　月　日",null,null,null,"尿検査",null,"□","結果通知表等のサイン",null,null,null,"□","口頭"]
[null,null,null,null,null,null,null,null,null,"□","文書","□","アプリ","□","他"]
[null,null,null,"毎月",null,null,null,"発育測定",null,"□","口頭","□","文書","□","アプリ"]
[null,null,null,"その他（　　　）",null,null,null,null,null,"□","他"]
["職員","令和　年度",null,"令和　年　月　日"]
[null,"令和　年度",null,"令和　年　月　日"]
["※前年度及び今年度に実施した健康診断について記入してください。　\n※発育測定 、健康診断の結果等は、児童票に記録するとともに保護者に必ず報告してください。\n"]
[]
["８　医薬品の現況"]
["医薬品の管理者",null,null,"（例）主任"]
["主な医薬品（市販薬）等",null,null,"（例）ワセリン・湿布"]
[]
["緊急時の薬の\n預かり",null,null,"（例）■　有",null,null,null,"《要　選択》"]
[null,null,null,"種類：エピペン等\n保管場所：医務室",null,null,null,"種類",null,null,null,"保管場所"]
[]
[]
["体調不良時の\n休息場所",null,null,"（例）■医務室",null,null,null,null,"□","医務室",null,"□","事務室"]
[null,null,null,null,null,null,null,"　　　　　","□","その他（　　　　　　　　　　　　）"]
["９　清掃・消毒等について"]
[null,null,null,"清掃及び消毒の実施方法",null,null,null,null,null,null,null,"実施頻度"]
["木浴室"]
[]
["・おむつ交換台"]
[]
["・汚物入れ"]
[]
["・便器（オマル）"]
[]
["便所及び便器"]
[]
[]
["10　飼育動物・植物の管理について"]
["□","飼育動物なし"]
["□","飼育動物あり"]
["飼育動物の種類",null,null,null,null,null,null,null,"管理状況"]
["（例）金魚",null,null,null,"（例）〇〇組",null,null,null,"（例）水替え",null,null,null,"（例）週1回"]
[]
[]
[]
[]
["□","植物の管理なし"]
["□","植物の管理あり（主なもの）"]
["植物の種類",null,null,null,null,null,null,null,"管理状況"]
["（例）桜",null,null,null,"（例）園庭",null,null,null,"（例）剪定・消毒",null,null,null,"（例）年2～3回"]
[]
[]
[]
[]
["11　給食関係"]
["（１）給食に関する基本情報"]
["①献立作成",null,null,"□","市献立を基本",null,null,"□","園で独自に作成"]
["　保護者等に配布している献立表を添付してください。（直近1ヵ月分）"]
[]
["②3歳以上児の給食費徴収額 "]
[null,null,"月額徴収額　※１",null,null,null,null,null,null,null,"一括して「給食費」として徴収している場合も、それぞれ想定している額を記載してください。\n主食の提供がない場合は、主食欄に「提供なし」と記載してください。"]
["前年度",null,"副食",null,null,"円","主食",null,null,"円"]
["当年度",null,"副食",null,null,"円","主食",null,null,"円"]
["※1　徴収額について上記月額以外に設定があれば、条件と金額について記載してください。"]
["例：土曜日は１回あたり別途500円徴収、長期欠席の場合日割りにして減額　等"]
[]
[]
[]
["③職員給食の提供"]
[null,"□","提供なし"]
[null,"□","提供あり"]
[null,"献立内容：",null,"□","主食","□","副食","□","おやつ",null,"□","おやつの一部（　　　　　）"]
[null,"提供量：",null,"以上児・未満児の",null,null,null,null,null,"倍","徴収金額：",null,null,null,"円/月・回"]
[]
["④業務委託（当年度）",null,null,null,"※委託ありの場合は、仕様書を添付してください。"]
[null,"□","委託なし"]
[null,"□","委託あり",null,"委託先"]
[]
["（２）施設の給与栄養量の目標（当年度）"]
["「施設の給与栄養量の目標」（給食管理　様式１）または同様の内容が確認できるものを添付してください。"]
[]
[]
["（３）施設の予定献立及び実施献立の給与栄養量（任意の月について記載してください。）"]
["３歳以上児",null,null,null,null,"年",null,null,null,"月"]
[null,null,"エネルギー",null,null,"タンパク質",null,"脂質",null,"カルシウム",null,"鉄",null,"ビタミンA"]
["予定献立",null,"　　　　　kcal",null,null,"　　　g",null,"　　　g",null,"　　　mg",null,"　　　mg",null,"　　μgRAE"]
["実施献立",null,"　　　　　kcal",null,null,"　　　g",null,"　　　g",null,"　　　mg",null,"　　　mg",null,"　　μgRAE"]
[]
[null,null,"ビタミンＢ1",null,null,"ビタミンＢ２",null,null,"ビタミンＣ",null,null,"食物繊維",null,"食塩相当量"]
["予定献立",null,"　　　mg",null,null,"　　　mg",null,null,"　　　mg",null,null,"　　　g",null,"　　　g"]
["実施献立",null,"　　　mg",null,null,"　　　mg",null,null,"　　　mg",null,null,"　　　g",null,"　　　g"]
[]
["３歳未満児",null,null,null,"年",null,null,null,"月"]
[null,null,"エネルギー",null,null,"タンパク質",null,"脂質",null,"カルシウム",null,"鉄",null,"ビタミンA"]
["予定献立",null,"　　　kcal",null,null,"　　　g",null,"　　　g",null,"　　　mg",null,"　　　mg",null,"　　μgRAE"]
["実施献立",null,"　　　kcal",null,null,"　　　g",null,"　　　g",null,"　　　mg",null,"　　　mg",null,"　　μgRAE"]
[]
[null,null,"ビタミンＢ1",null,null,"ビタミンＢ２",null,null,"ビタミンＣ",null,null,"食物繊維",null,"食塩相当量"]
["予定献立",null,"　　　mg",null,null,"　　　mg",null,null,"　　　mg",null,null,"　　　g",null,"　　　g"]
["実施献立",null,"　　　mg",null,null,"　　　mg",null,null,"　　　mg",null,null,"　　　g",null,"　　　g"]
["※栄養価を確認していない場合は、内容検討表及び食糧構成基準を別途添付してください。"]
[]
["（４）給食の状況"]
["①給食材料費（前年度・当年度）"]
["ア　年間給食費",null,null,"※「給食管理　様式⑨」の「入所児童延総人数1人ひと月当たりの月平均額を記載してください。"]
[null,null,null,null,"3歳未満児（主食＋副食）",null,null,null,null,null,"3歳以上児（副食のみ）"]
["前年度"]
["当年度　　月まで"]
["イ　児童の給食と職員食の材料費の区分"]
["□"," 発注を分けている",null,null,null,null,null,null,null,"□","一括発注をして後で按分している"]
["□"," 職員給食に要した金額を把握していない",null,null,null,null,null,null,null,"□","職員食を提供していない"]
[]
["②給食会議（食や食育について施設全体で検討する会議）の開催状況（前年度）"]
["・開催回数",null,null,null,"回/年",null,null,"・職員会議と",null,null,"□","同時開催　　",null,"□","別途開催"]
["・議事録",null,null,"《要　選択》",null,null,null,"・議事録の回覧",null,null,null,"《要　選択》"]
["・構成員"]
["・主な内容"]
[]
["③給食時間（昼食以外は開始時間を記載）"]
["食事開始時間",null,null,"午前おやつ",null,null,"昼食",null,null,null,"午後おやつ",null,null,"延長"]
["3歳未満児",null,null,"：",null,null,"　　：　　～　　：　　",null,null,null,"：",null,null,"："]
["3歳以上児",null,null,null,null,null,"　　：　　～　　：　　",null,null,null,"："]
["完了食",null,null,"：",null,null,"　　：　　～　　：　　",null,null,null,"："]
[]
["④検食の状況"]
[null,null,null,"午前おやつ",null,null,"昼食",null,null,null,"午後おやつ",null,null,"延長"]
["検食時間",null,null,"：",null,null,"　　：　　～　　：　　",null,null,null,"：",null,null,"："]
["検食担当者職種名"]
["上記検食者不在時"]
["検食記録",null,null,"《要　選択》",null,null,"《要　選択》",null,null,null,"《要　選択》",null,null,"《要　選択》"]
[]
["⑤昼食の盛付場所（主食、おかず、汁物、全て　などに分けて記載）"]
[null,null,null,null,"調理室",null,null,null,null,null,"保育室・ランチルーム"]
["3歳未満児"]
["3歳以上児"]
["離乳食"]
["アレルギー対応食"]
[]
["⑥食材の使用状況"]
["　全く使用しない食材には「×」、あまり使用しないようにしている食材には「△」、特に使用制限を設けていない食材には「○」をつけてください。（下記の一覧にないもので、「×」「△」がある場合は、追記してください。）"]
[]
[]
["パン類",null,null,null,null,"植物性油脂",null,null,null,null,"獣鳥肉類"]
["脱脂粉乳",null,null,null,null,"麺類",null,null,null,null,"魚介練製品"]
["肉加工品",null,null,null,null,"他乳製品",null,null,null,null,"動物性油脂"]
["卵類",null,null,null,null,"牛乳"]
[]
["⑦アレルギー対応食の状況"]
["・整備している書類：",null,null,null,"□","医師の診断書や指示書",null,null,null,null,"□","保護者からの依頼書"]
[null,null,null,null,"□","個人票（個人ごとの経過が分かるもの）",null,null,null,null,null,null,"□","対応一覧表"]
[null,null,null,null,"□","その他（　　　　　　　　　　　　　　　　　　　　）"]
["・除去の基本方針：",null,null,null,"□","完全に除去（全て提供するか、全て提供しないかの２極対応）"]
[null,null,null,null,"□","多段階に除去（食品リスト等に沿って除去する）"]
[null,null,null,null,"□","その他（　　　　　　　　　　　　　　　　　　　　）"]
["・代替食提供状況：",null,null,null,"□","代替食品を使って提供",null,null,null,"□","除去するだけで代替食品は使用しない"]
[null,null,null,null,"□","その他（　　　　　　　　　　　　　　　　　　　　）"]
["・食物アレルギーに関するマニュアルの作成",null,null,null,null,null,null,null,"《要　選択》"]
[null,"※「運営管理の手引き」以外に自園で作成しているマニュアル"]
[]
["⑧試食会等の実施状況（前年度）"]
["□","実施なし"]
["□","実施あり",null,"実施回数",null,null,null,"回/年",null,"実施日"]
[null,null,null,"対象者：",null,"□","保護者",null,"□","地域住民",null,"□","その他（　　　　　）"]
[null,null,null,"材料の区分：",null,null,"□","発注を分けている",null,null,"□","一括発注して後で按分している"]
[null,null,null,null,null,null,"□","試食会等に要した金額を把握していない"]
[]
["（５）衛生管理の状況"]
["ア　施設・設備の衛生管理（自主点検を実施している項目にチェックをつける）"]
["　※当年度に新規開設した施設（調理室の移転・改修を含む）は、調理室の最新の図面（最新の厨房機器平面図、厨房機器リスト）を添付してください。"]
[]
["□","使用水（色・濁り・臭い・異物・残留塩素）",null,null,null,null,null,null,null,"※残留塩素は水道直結の場合不要"]
["□","給食室の温度",null,null,"□","給食室の湿度",null,null,"□","調理施設の点検（ひと月に１回実施分）"]
[]
["イ　冷蔵庫・冷凍庫の使用状況"]
["※給食関係で使用しているすべての冷蔵庫、冷凍庫（給食室外に設置しているが、給食関係のものを入れている冷蔵庫、冷凍庫も含む）について、一台ずつの状況を記入してください。"]
[]
[null,null,"種類",null,null,null,null,"設置場所",null,null,null,null,"温度管理（記録）"]
[null,null,"冷蔵庫（冷凍冷蔵庫）",null,null,null,null,"検収室",null,null,null,null,"■","有","□","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,"□","有","□","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,"□","有","□","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,"□","有","□","無"]
[null,null,null,null,null,null,null,null,null,null,null,null,"□","有","□","無"]
["・保存食（検食）用冷凍庫の使用状況（該当するものにチェックをつけてください）"]
["□","保存食専用",null,null,"□","一般用冷凍庫と兼用"]
["・使用状況（別紙で添付してください）"]
["　記載例を参考に、各冷蔵庫等について設置場所、区画ごとの保管状況等を記載してください。（保存食専用冷凍庫については記載不要）"]
[]
["※区画ごとに保管するものの例としては、肉、魚、卵、野菜、牛乳、調味料などの食材のほか、調理済み食品（サラダ等）についても記載してください。"]
[]
["【記載例】冷凍・冷蔵庫①（場所；給食室内）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["ウ　保健所の給食施設一斉点検結果"]
["・直近の点検年月日",null,null,null,"　年　　月　　日"]
["・指摘事項及び対応状況"]
[]
["エ　原材料の取り扱い（実施している項目にチェックをつける）"]
["□","納入時の立会い　"]
["□","納入時の時間と温度（生鮮食品）の記録（放射温度計の使用：",null,null,null,null,null,null,null,null,null,null,"《要　選択》",null,null,"）"]
[null,"記録場所：",null,"□","納品書",null,"□","発注書",null,"□","献立表",null,"□","その他（　　　）"]
["□","納入業者が実施する食品衛生検査成績書等の収集と保管"]
["　収集した成績書の検査年月を記載してください（同じ年度に複数収集している場合は、年度の最後に収集した成績書について記載してください）。使用していない食材については「使用なし」と記載してください。"]
[]
[]
[null,null,null,"肉類",null,null,"魚介類",null,null,"卵",null,null,"牛乳"]
[null,"前年度"]
[null,"当年度"]
[]
[null,null,null,"乳製品",null,null,"豆腐",null,null,"練製品"]
[null,"前年度"]
[null,"当年度"]
[]
["オ　調理上の衛生管理（記録をしている項目にチェックをつける）"]
["□","加熱時の中心温度",null,null,"□","出来上がり時間",null,null,"□","最終加熱時間",null,"□","保管温度（冷蔵庫や温蔵庫の温度）"]
["　記録場所：",null,null,"□","献立表",null,"□","その他（　　　　　　　　　　　　　　　　　　）",null,null,null,null,null,null,null,null,null,null,null,"　 　　　"]
[]
["カ　調理従者等の衛生管理（自主点検を実施している項目にチェックをつける）"]
["□","始業前の健康チェック",null,null,null,"　　","□","施設長等による健康チェックの確認"]
[]
["キ　調理従事者・乳児担当保育士の腸内細菌検査の実施状況（該当項目にチェックをつける）"]
["・検査項目：",null,null,"□","赤痢菌",null,"□","サルモネラ菌",null,null,"□","腸管出血性大腸菌"]
[null,null,null,"□","その他（　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["・とりまとめ等担当者：",null,null,"□","給食担当者",null,"□","主任保育士",null,"□","事務","□","その他（　　　　）"]
["・各月の検査報告日を記載してください（前年度～直近）　※１～2名分の報告日は記載不要"]
["　陽性者が判明した月は、その報告日を○で囲んでください。"]
[null,"前年度",null,"4月報告日",null,"5月報告日",null,"6月報告日",null,"7月報告日",null,"8月報告日",null,"9月報告日"]
[]
[null,null,null,"10月報告日",null,"11月報告日",null,"12月報告日",null,"１月報告日",null,"２月報告日",null,"３月報告日"]
[]
[null,"当年度",null,"4月報告日",null,"5月報告日",null,"6月報告日",null,"7月報告日",null,"8月報告日",null,"9月報告日"]
[]
[null,null,null,"10月報告日",null,"11月報告日",null,"12月報告日",null,"１月報告日",null,"２月報告日",null,"３月報告日"]
[]
["・陽性者が判明した時の対応方針"]
[]
[]
[]
["ク　消毒等について（使用していない場合は「使用無し」と記載してください。）"]
["対象",null,null,"消毒方法（薬剤や機器の名称等）",null,null,null,null,"対象",null,null,"消毒方法（薬剤や機器の名称等）"]
["手指",null,null,null,null,null,null,null,"包丁"]
["調理台",null,null,null,null,null,null,null,"ふきん"]
["シンク",null,null,null,null,null,null,null,"爪ブラシ"]
["床",null,null,null,null,null,null,null,"大型の鍋・ザル"]
["配膳ワゴン※1",null,null,null,null,null,null,null,"生野菜・果物"]
["まな板",null,null,null,null,null,null,null,"哺乳瓶"]
["※１　調理室内と調理室外（廊下や保育室）を行き来する配膳ワゴンの足回りの消毒について。"]
["・食器消毒保管庫",null,null,null,null,null,null,"℃",null,null,null,null,"分間"]
["・衛生的な手洗いの実施（実施しているタイミングにチェックをつける）"]
["□","調理施設に入る前",null,null,null,"□","生肉や生魚などを扱った後",null,null,null,null,"□","トイレの後"]
["□","作業内容変更時",null,null,"□","盛り付けの前",null,null,"□"," 清掃を行った後"]
["・調理従事者が使用するトイレの洗浄・消毒"]
["　いつ：",null,"□","始業前",null,"□"," 作業中",null,"□","業務終了後",null,"□","その他（　　　　　）"]
["　頻度：",null,"□","毎日",null,"□","その他（　　　　　　　　　　　　　　　　　　　　）"]
["　洗浄・消毒の方法："]
["　担当者：",null,"□","調理従事者",null,"□","保育士",null,"□","その他（　　　　　　　　　　　）"]
[]
["ケ　まな板、包丁、器具類の使い分け(使い分けをしているものにチェックをつける）"]
[null,"①野菜の下処理　②肉、魚用　③非加熱食品、加熱後食品、④使い分けなし"]
[null,null,null,"①","②","③","④","その他の使い分け"]
["包丁",null,null,"□","□","□","□"]
["まな板",null,null,"□","□","□","□"]
["ざる・ボウル等",null,null,"□","□","□","□"]
[]
["（６）食育活動について　（前年度の主な実績）"]
["主な内容",null,null,null,null,null,"対象者",null,null,null,"担当者（職名）",null,null,"実施回数・頻度"]
[]
[]
[]
[]
[]
[]
["（７）調理業務従事職員の状況"]
["　調理業務に従事している職員について、有している資格（管理栄養士、栄養士、調理師）すべてに○をつけてください。　＊賃金職員、委託先業者職員についても記入してください。その場合、氏名の後に（賃）（委）と記載してください。　また、食品衛生責任者は氏名の前に○をつけてください。"]
[]
[]
["氏名",null,null,"資格",null,null,null,null,"氏名",null,null,"資格"]
[null,null,null,"管理・栄養・調理・なし",null,null,null,null,null,null,null,"管理・栄養・調理・なし"]
[null,null,null,"管理・栄養・調理・なし",null,null,null,null,null,null,null,"管理・栄養・調理・なし"]
[null,null,null,"管理・栄養・調理・なし",null,null,null,null,null,null,null,"管理・栄養・調理・なし"]
[null,null,null,"管理・栄養・調理・なし",null,null,null,null,null,null,null,"管理・栄養・調理・なし"]
[null,null,null,"管理・栄養・調理・なし",null,null,null,null,null,null,null,"管理・栄養・調理・なし"]
[]
["（８）調理業務従事職員の研修参加の実績（前年度の主な実績）"]
["研修会等の名称",null,null,null,null,null,"主催",null,null,null,null,"参加者名"]
[]
[]
[]
[]
["（９）窒息や誤嚥のリスクが高い食材の提供状況"]
["※提供する場合の切り方や対象年齢等考慮している点について記載してください。提供していない場合はそのように記載してください。"]
[]
["食材",null,"対応※",null,null,null,null,null,"食材",null,"対応"]
["丸くてツルっとしたもの",null,null,null,null,null,null,null,"硬い豆\nナッツ類"]
[]
["りんご・梨　",null,null,null,null,null,null,null,"白玉団子\n餅類"]
[]
[]
["12　新規採用職員の採用前の腸内細菌検査実施状況（前年度、当年度）"]
["・職種欄には、①調理②乳児担当③その他から選び番号を記載してください。"]
["（清掃、駐車場、運転のみに従事する職員については記載不要です。）"]
["・非常勤、パート、派遣等に関わらず、記載してください。"]
[]
["氏名",null,null,"職種",null,"勤務開始年月日",null,null,"結果報告年月日",null,null,"検査項目"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,null,"赤痢・ｻﾙﾓﾈﾗ菌・腸管出血性大腸菌"]
[null,null,null,null,null,null,null,null,null,null,null,"その他（　　　　　　　　　）"]
[]
["13　保育について"]
["（１）令和6年度年間行事計画表"]
[null,"※施設で作成している年間行事実施表があればそれを添付してください。"]
[null,"　（添付した場合は下記の表は記入する必要はありません。）"]
[]
[null,"月",null,"行事内容"]
[]
[null,4]
[]
[null,5]
[]
[null,6]
[]
[null,7]
[]
[null,8]
[]
[null,9]
[]
[null,10]
[]
[null,11]
[]
[null,12]
[]
[null,1]
[]
[null,2]
[]
[null,3]
[]
[]
["（２）保護者・地域との連携について"]
["ア　保護者との連携"]
["・園だより",null,null,null,"□","有（　月　　回　）",null,null,null,"□","無"]
["・クラスだより",null,null,null,"□","有（　月　　回　）",null,null,null,"□","無"]
["・連絡帳",null,null,null,"□","有（　　歳まで　）",null,null,null,"□","無"]
["　又は連絡用アプリ",null,null,null,"□","有（　　歳まで　）",null,null,null,"□","無 ※アプリの種類（　　　　　）"]
["・保育参観",null,null,null,"□","有（　年　　回　）",null,null,null,"□","無"]
["・保護者会",null,null,null,"□","有","□","無"]
[]
["イ　地域との連携"]
["・地域との連携及び交流先（例　中学校職場体験，小学校との交流）"]
[]
[]
["・地域における子育て支援の内容（例　公民館子育てサロン、見学時の子育て相談）"]
[]
[]
[]
["ウ　児童の出席確認"]
["出席・欠席の人数確認",null,null,null,null,"《要　選択》",null,null,"確認する時間（　　時　　分頃）"]
["欠席連絡がない場合の対応",null,null,null,null,"《要　選択》",null,null,"把握方法（",null,"□"," アプリ","□","℡","□","その他)"]
["子どもの通所は保護者が行う",null,null,null,null,"保護者への徹底",null,null,"□","有（しおり・入所時に説明・　　）",null,null,null,null,"□","無"]
["代理者による送迎時の確認",null,null,null,null,"□","有（保護者に確認・事前登録・　　　　　）",null,null,null,null,null,null,null,"□","無"]
[]
["（３）職員の資質向上"]
["ア　職員会議",null,null,null,"（　月",null,"回　）"]
[null,"・会議録",null,null,"□","有","□","無"]
["イ　その他の会議及び研修",null,null,null,null,null,null,"（　月",null,"回　）"]
[null,"・会議及び研修の記録",null,null,null,null,null,"□","有","□","無"]
["ウ　全職員（非常勤・賃金職員含む）での共通理解の図り方（例　会議録を後日供覧）"]
[]
[]
["エ　研修計画"]
["・園内の研修計画",null,null,null,"□","有","□","無"]
["・園外の研修計画",null,null,null,"□","有","□","無"]
["オ　救急・救命研修"]
["救急・救命研修の受講",null,null,null,"□","有（R6・R5・4以前）",null,null,null,null,"□","無"]
["園内での救急・救命訓練の実施",null,null,null,"□","有（心肺蘇生法・気道内異物除去・AED・エピペン・他　　）"]
[null,null,null,null,"□","無"]
[]
["（４）安全管理重点確認監査チェックシート（保育施設）"]
["記入日：",null," 　 　年  　月　  日（  ）　時間　　：　　～　　："]
["記入者："]
["確認事項",null,null,"確認事項",null,null,null,null,null,null,null,null,null,null,"可・否"]
["１　門扉・玄関",null,null,"門扉が施錠されているなど、職員の確認なしに外部から施設に入ることができないようになっているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"子どもだけで容易に外出できないようになっているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["２　危機管理体制"]
["（１）責任者",null,null,"安全管理に関する責任者は誰になるのか。（例：園長、主任、等）"]
[null,null,null,"緊急時の役割について、分担と担当する順番・順位を把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（２）共通理解",null,null,"子どもの安全確保に関し、職員会議などで職員間の共通理解を図っているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"事故防止等のマニュアルについて、全職員に周知し、各職員は保管場所を把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["（３）避難経路",null,null,"消防計画で決められた避難場所を把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"保護者や関係機関への連絡方法を把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（４）園外活動",null,null,"登園時や散歩等の園外活動等の前後等、場面の切り替わりにおいて、子どもの人数を適切に把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"散歩等の園外活動を行う場合、園外に出る子どもの人数、引率者名、目的地、ルート、出発時間、戻り時間等を記録しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"園外活動中に発生した事故等についての対応手続きが定まっているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["３　最低基準の遵守",null,null,"保育室の面積、保育士数が最低基準を満たしているか。（保育室を抽出し、児童数、保育士数から必要面積・保育士を算出し、最低基準を満たしているか確認）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["４　危険・事故防止対策"]
["（１）落下物",null,null,"地震の際等に落下の危険がある重量物等を、棚の上、壁面収納（引き戸等で地震の際に開く危険性がないものを除く）等に置いていないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"子どもが引っ張ることができるテーブルクロス等がないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（２）転倒",null,null,"家具やテレビ、ピアノ等について、転倒・移動防止策が行われているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（３）誤飲",null,null,"子どもがいる部屋に、マグネット、画鋲、玩具など、子どもが誤飲する危険性のあるものがないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"乳幼児の手の届く位置に漂白剤や消毒液等が置かれていないか",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（４）衝突",null,null,"保育室内のドアやピアノの鍵盤蓋には指ばさみ防止がなされているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"家具の角などに安全対策を行っているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"扉が外れそうになっている等の施設の整備不良はないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（５）転落",null,null,"窓の近くに足場となるような物を置くなど、子どもの高所からの転落につながるような箇所がないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["（６）感電",null,null,"コンセントに子どもが触れることができる状態になっていないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（７）閉じ込め",null,null,"子どもが入り込み、所在がわからなくなるような場所や死角となるような場所はないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"倉庫等に、子どもが不用意に侵入しないよう施錠しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（８）食物アレルギー",null,null,"保育士は、アレルギー対応が必要な子どもを把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"専用トレイ、配膳用名札にクラス名・名前・アレルゲンを明記するなど、視覚的にアレルギー対応食を区別できるよう配慮しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"席の配置、配膳ワゴンの場所は、安全確保に配慮して設定されているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"保育士は、配膳・喫食時に、他児のもの(配膳ワゴン上､机上等)をアレルギー児が食べないよう、隣りに座る、他児との間に座るなどして、目を配っているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"配膳用名札の名前と顔を確認し、専用トレイにアレルギー対応食をのせた状態で提供しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["（９）午睡",null,null,"部屋の明るさは、子どもの様子がわかる程度となっているか。（子どもの顔色等の様子がわかるか）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"午睡開始時において、うつぶせで寝ている子どもはいないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"子どもの顔に布団がかかっているなど、呼吸の妨げになるようなものはないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"定期的に子どもの呼吸の状況等をチェックし、幼児については、その結果をチェック票に記入しているか。（目安 0歳：5分ごと、1歳：10分ごと、2歳：10～15分ごと）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"入園間もない子どもや、両親の喫煙等により、乳幼児突然死症候群のリスクが高いとされる子ども等を把握しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"ぬいぐるみや、ヒモ、またはヒモ状のもの等がないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"隙間に顔が埋まる危険はないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"隣の子どもとの間隔は適当か。（他の子どもが覆い被さる危険は無いか）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（10）飲食",null,null,"誤嚥、窒息などの事故が起きた食材（例：白玉風のだんご、丸のままのミニトマト等）を提供していないか。提供する場合は、食材をカットして与えるなど対応しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"子どもが、ゆっくり落ち着いて食べることができているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"子どもが食べ物をのどに詰まらせた際の、緊急対応方法について理解しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["（11）屋外活動",null,null,"遊具に破損していたり、子どもの頭が挟まるような隙間があったりする等、危険な箇所はないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"施設の外壁や囲障(ブロック塀)が、老朽化し亀裂が生じたり、傾き、ぐらつきなどが生じたりしていないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"上記の他、事故の原因となるような箇所はないか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（12）プール活動",null,null,"専ら監視を行う者とプール指導等を行う者を分けて配置し、また、その役割分担を保育士が理解しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"監視役はプールの状況を全体的に把握できる位置にいるか",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"緊急時の対応方法について、理解しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
["（13）その他",null,null,"上記の他、事故の原因となるような箇所はないか（例：スズメバチやマダニなど害虫が発生していないか。夏場は、強い日差しにより遊具の金属部分が熱くなりやけどの可能性がある、ハサミやカッター等危険物が放置されている。　など）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[]
[null,null,null,"日常的にヒヤリ・ハット事例を収集し、その内容について職員会議等により、職員間で共有しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["５　虐待等の防止"]
["（１）未然防止",null,null,"職員会議において、虐待防止、子どもの人権への配慮及び職員倫理について、議題に取り上げているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"虐待防止、子どもの人権への配慮及び職員倫理の醸成に係る研修を実施しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"人権尊重の気づきを促すため、チェックリスト(「保育所・認定こども園等における人権擁護のためのセルフチェックリスト（全国保育士会）」)等を用いて自己評価を実施し、結果を職員間で共有しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"虐待防止担当者の設置や虐待が疑われる場合の報告プロセスの整備等、虐待が生じないような職場環境を整備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["（２）発生時の対応",null,null,"園内で不適切な保育が疑われる事案が発生した際、事案を早期に把握するための相談・連絡する体制を整備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"園内で不適切な保育が疑われる事案を確認した際、速やかに市町村に相談・連絡する体制を整備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"家庭での虐待が疑われる事案が発生した際、事案を早期に把握するための相談・連絡する体制を整備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"家庭での虐待が疑われる事案を確認した際、速やかに市町村又は児童相談所に相談・連絡する体制を整備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["６　登降園管理",null,null,"児童の出席確認、欠席情報の共有、無断欠席児童の保護者への連絡についての手順を定め、実践しているか。（監査当日の登園管理の流れを確認）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"登園管理の手順について、職員会議等で共有しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"出欠情報を一元的に管理し、常に各職員が確認できるようにしているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[null,null,null,"欠席届がない未登園の児童について、あらかじめ連絡担当者を定めた上で、園から保護者に速やかに確認を行い、その情報を職員間で共有しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"毎日の出席簿について、あらかじめ確認者を定めた上で、最終的に施設長等の責任者が確認しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
["７　車両送迎",null,null,"県の安全管理標準指針の内容を盛り込んだマニュアル・手順書を作成し、実践しているか。（監査当日の車両送迎の流れを確認）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"児童の送迎車両について、児童が勝手に乗り降りできないように施錠しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"送迎車両は、国が定めるガイドラインに準じる幼児専用車両か。幼児専用車両以外の場合は、月齢に合わせたチャイルドシート等装備しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[null,null,null,"車両ごとに運行日誌を備え、必要事項（運転日時、運転者、同乗者名、走行距離、燃料費、運転手の健康状態チェック、車両の事前・事後点検等）を記録し、運行後は、園長等運行を管理する者に提出しているか。",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[]
[null,null,null,"送迎車両が出発するまでの事前準備を行ったか。（車両点検、運転手の健康・アルコールチェック、当日送迎を利用する児童の確認方法、送迎を利用しない場合の施設への連絡方法、添乗する職員と運転手との停車位置の確認、添乗する職員と受入れ職員との情報共有方法、添乗職員が車内へ携行するもの等）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[]
[]
[null,null,null,"乗降車時、具体的な手順を定め、送迎車両に乗車した児童の人数を確実に把握できるようにしているか。（乗車した児童（名前や人数）と受け入れた児童（名前や人数）の突合方法、受け入れた児童の出欠確認の方法、降車後の児童の取り残しや忘れ物確認の方法）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[]
[null,null,null,"送迎中に事故や災害が発生した場合の対応について、マニュアル等を作成し、施設内や送迎車両に常備しているか。（児童の安全確保、警察・消防への連絡、園・保護者への連絡）",null,null,null,null,null,null,null,null,null,null,"《要　選択》"]
[]
[]
["（５）保護者負担の状況"]
["区分\n種類",null,null,null,null,null,null,"保護者負担金の有・無\n（プルダウンから選択）",null,null,null,"負担年額（円）"]
[]
["負担金","園服代",null,null,"夏"]
[null,null,null,null,"冬"]
[null,null,null,null,"体操服"]
[null,null,null,null,"その他"]
[null,"帽子代"]
[]
[null,"上履き、鞄類等"]
[]
[null,"本代",null,null,"0歳児"]
[null,null,null,null,"１歳児"]
[null,null,null,null,"２歳児"]
[null,null,null,null,"３歳児"]
[null,null,null,null,"４歳児"]
[null,null,null,null,"５歳児"]
[null,"教材費",null,null,"0歳児"]
[null,null,null,null,"１歳児"]
[null,null,null,null,"２歳児"]
[null,null,null,null,"３歳児"]
[null,null,null,null,"４歳児"]
[null,null,null,null,"５歳児"]
[null,"保護者会費"]
[null,"園外保育費",null,null,"貸切バス"]
[null,null,null,null,"交通機関"]
[null,null,null,null,"その他"]
[null,"各種教室",null,null,"課内"]
[]
[null,null,null,null,"課外"]
[]
[null,"特別保育",null,null,"延長保育",null,null,null,null,null,null,"\n（内給食費　　　　）"]
[]
[null,null,null,null,"休日保育",null,null,null,null,null,null,"\n（内給食費　　　　）"]
[]
[null,null,null,null,"一時保育",null,null,null,null,null,null,"\n（内給食費　　　　）"]
[]
[null,"その他"]
["負担物品","寝具類等"]
[null,"主食代"]
[null,"副食代"]
[]
[]
["※新年度に購入させる物品の一覧表を添付してください。 ※各種保護者負担金の一覧表を添付してください。"]
[]
["14　経理自己点検リスト"]
["１　会計管理・経理事務の状況"]
["①運営規程に定める期間とおりに証ひょう書類は保管されているか。",null,null,null,null,null,null,null,null,null,"□","適","□","不適"]
[]
["②現金、預貯金、有価証券及び印鑑の管理は適正か。",null,null,null,null,null,null,null,null,null,"□","適","□","不適"]
["③法人名義のキャッシュカード・クレジットカードを保有している場合は管理は適正か。",null,null,null,null,null,null,null,null,null,"□","適","□","不適","□","該当なし"]
[]
["④インターネットバンキングを利用している場合はパスワードの管理は適正か。",null,null,null,null,null,null,null,null,null,"□","適","□","不適","□","該当なし"]
[]
["⑤インターネットバンキングを利用している場合は会計管理者の最終確認はなされているか。",null,null,null,null,null,null,null,null,null,"□","適","□","不適","□","該当なし"]
[]
["⑥教材費等を簿外処理している場合，販売手数料は本部又は施設拠点（サービス）区分に収入計上しているか。",null,null,null,null,null,null,null,null,null,"□","適","□","不適","□","該当なし"]
[]
["令和5年度分の販売手数料等を本部又は施設拠点（サービス）区分の通帳へ預け入れした日",null,null,null,null,null,null,null,null,null,"令和6年　月　日"]
[]
["（第３段階適用園のみ）\n２　計算書類の備え付け"]
[]
["以下の書類を保育園に備え付けているか。\n（社会福祉法人）\n・資金収支計算書\n・事業区分資金収支内訳書\n・拠点区分資金収支計算書\n・拠点区分資金収支明細書（作成している場合のみ）\n（学校法人）\n・資金収支計算書\n・資金収支内訳書\n（企業会計）\n・損益計算書\n・貸借対照表\n"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"□","適","□","不適"]
[]
[]
[]
[]
[]
["※該当するものにチェックしてください。"]
[]
[15,{"$f":"IF(L1170=\"社会福祉法人以外\",\"前年度決算における\",\"令和5年度\")","v":"令和5年度"},null,null,null,null,"保護者徴収金確認表"]
[null,null,null,"運営法人の種別（プルダウンから選択）"]
[{"$f":"IF(L1170=\"社会福祉法人以外\",\"前年度決算\",\"令和５年度\")","v":"令和５年度"},null,"における下記項目の保護者徴収金について、決算書類の該当科目、個人別収納"]
["簿、現金出納簿の金額をご記入ください。"]
[]
["徴収項目",null,"延長保育料（月極・単発）、一時保育料"]
[]
["決算額\n※１",null,null,null,"個人別収納簿\n（徴収すべき金額）",null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"決算日までに　　徴収した金額\",\"R6.3.31までに　徴収した金額\")","v":"R6.3.31までに　徴収した金額"},null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"未集金額　　　（決算日以降に徴収した金額）\",\"未集金額　（R6.4.1以降に徴収した金額）\")","v":"未集金額　（R6.4.1以降に徴収した金額）"}]
[]
[null,null,null,"＝",null,null,null,"＝",null,null,null,"＋",null,null,null,null,null,null,{"$f":"IF(A1178=E1178,A1178,\"\")","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(S1178=SUM(I1178,M1178),\"OK\",\"金額確認！\")","v":"OK"}]
[{"$f":"IF(L1170=\"社会福祉法人以外\",\"\",\"※1　決算書類における「補助金事業収入（一般）」の金額をご記入ください。\")","v":"※1　決算書類における「補助金事業収入（一般）」の金額をご記入ください。"}]
[]
["徴収方法（該当するものを選んでください）"]
[null,"□","現金徴収"]
[null,"□","保護者の口座からの引き落とし"]
[null,"□","保育園の指定口座への振り込み"]
[null,"□","その他",null,"（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[]
["徴収項目",null,"主食費・副食費"]
[]
["決算額\n※2",null,null,null,"個人別収納簿\n（徴収すべき金額）",null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"決算日までに　　徴収した金額\",\"R6.3.31までに　徴収した金額\")","v":"R6.3.31までに　徴収した金額"},null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"未集金額　　　（決算日以降に徴収した金額）\",\"未集金額　（R6.4.1以降に徴収した金額）\")","v":"未集金額　（R6.4.1以降に徴収した金額）"}]
[]
[null,null,null,"＝",null,null,null,"＝",null,null,null,"＋",null,null,null,null,null,null,{"$f":"IF(A1192=E1192,A1192,\"\")","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(S1192=SUM(I1192,M1192),\"OK\",\"金額確認！\")","v":"OK"}]
[{"$f":"IF(L1170=\"社会福祉法人以外\",\"\",\"※2　決算書類における「利用者等利用料収入（一般）」に主食費及び副食費として計上した金額をご記入ください。\")","v":"※2　決算書類における「利用者等利用料収入（一般）」に主食費及び副食費として計上した金額をご記入ください。"}]
[]
[]
["徴収方法（該当するものを選んでください）"]
[null,"□","現金徴収"]
[null,"□","保護者の口座からの引き落とし"]
[null,"□","保育園の指定口座への振り込み"]
[null,"□","その他",null,"（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[]
["徴収項目",null,"認定こども園における保育料"]
[]
["決算額\n※3",null,null,null,"個人別収納簿\n（徴収すべき金額）",null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"決算日までに　　徴収した金額\",\"R6.3.31までに　徴収した金額\")","v":"R6.3.31までに　徴収した金額"},null,null,null,{"$f":"IF(L1170=\"社会福祉法人以外\",\"未集金額　　　（決算日以降に徴収した金額）\",\"未集金額　（R6.4.1以降に徴収した金額）\")","v":"未集金額　（R6.4.1以降に徴収した金額）"}]
[]
[null,null,null,"＝",null,null,null,"＝",null,null,null,"＋",null,null,null,null,null,null,{"$f":"IF(A1207=E1207,A1207,\"\")","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(S1207=SUM(I1207,M1207),\"OK\",\"金額確認！\")","v":"OK"}]
[{"$f":"IF(L1170=\"社会福祉法人以外\",\"\",\"※3　決算書類における「利用者負担金収入」の金額をご記入ください。\")","v":"※3　決算書類における「利用者負担金収入」の金額をご記入ください。"}]
[]
["徴収方法（該当するものを選んでください）"]
[null,"□","現金徴収"]
[null,"□","保護者の口座からの引き落とし"]
[null,"□","保育園の指定口座への振り込み"]
[null,"□","その他",null,"（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["16　会計責任者及び出納職員について"]
["職責",null,null,null,"氏名",null,null,null,null,"役職"]
["統括会計責任者",null,null,null,null,null,null,null,null,"□","理事長"]
["□","設置","□","未設置",null,null,null,null,null,"□","その他（　　　　　　　　　　）"]
["会計\n責任者",null,"本部",null,null,null,null,null,null,"□","施設長"]
[null,null,null,null,null,null,null,null,null,"□","その他（　　　　　　　　　　）"]
[null,null,"施設",null,null,null,null,null,null,"□","施設長"]
[null,null,null,null,null,null,null,null,null,"□","その他（　　　　　　　　　　）"]
["出納職員",null,"本部",null,null,null,null,null,null,"□","事務員（正規・非正規）"]
[null,null,null,null,null,null,null,null,null,"□","その他（　　　　　　　　　　）"]
[null,null,"施設",null,null,null,null,null,null,"□","事務員（正規・非正規）"]
[null,null,null,null,null,null,null,null,null,"□","その他（　　　　　　　　　　）"]
["〈記入例〉\n統括会計責任者\n■設置　□未設置",null,null,null,"〇〇　〇〇",null,null,null,null,"□","理事長"]
[null,null,null,null,null,null,null,null,null,"■","その他（△△保育園施設長　　）"]
[]
["17　業務管理体制の整備状況について"]
[1,"子ども・子育て支援法上の確認を受けている施設・事業所の数（法人単位での合計数）",null,null,null,null,null,null,"合計　　か所　　※注１参照"]
[]
[2,"業務管理体制の届出先\n※いずれかにチェック",null,null,null,null,null,null,"□","国","□","福岡県",null,"□","福岡市"]
[null,null,null,null,null,null,null,null,"届出年月日　平成　年　月　日"]
[3,"法令遵守責任者の氏名・役職",null,null,null,null,null,null,"氏名："]
[null,null,null,null,null,null,null,null,"役職名："]
["※注１　例えば、貴法人において、１つの保育所と１つの小規模保育事業の認可を受けていれば、「２か所」となります。"]

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["18　令和5年度契約一覧表（契約1件当たり10万円以上の物品購入・修繕・工事）\n　　　　　　　※令和5年度中に契約を行った分のみ記載してください。(新設園は令和6年度に契約を行った分を記載してください）"]
["施設名：　　                  　　"]
["件　　　名　　　","業　者　名","契約日","支払日","金額","固定資\n産計上\nの有無",null,"入札・見積合せの有無",null,null,null,null,null,null,"契約書・請書の有無",null,null,null,null,null,null,"支払\n方法",null,"備　　　考\n（入札・見積合せを行わなかった理由\n・予定価格など）（入札の際は事前の理事会審議日及び理事会報告日を記入）"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["※入札を行った場合は備考欄に事前理事会審議日（契約内容・業者選定・予定価格・立会人・入札日）及び入札結果の理事会報告日を必ず記入してください。"]
["※価格による随意契約については３社以上の見積もりが必要です。ただし、契約の種類や金額によっては２社以上の見積もりでも可能です。"]
["※１００万円を超える契約は契約書、５０万円を超える契約は請書又は契約書が必要です。"]
["※高額（各法人の経理規程による）な契約は入札が必要です。（入札にあたっては予定価格を定める必要があります。）"]

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["（記入例）　18　令和5年度契約一覧表（契約1件当たり10万円以上の物品購入・修繕・工事）\n　　　　　　　※令和5年度中に契約を行った分のみ記載してください。(新設園は令和6年度に契約を行った分を記載してください）"]
["施設名：　○○保育園　"]
["件　　　名　　　","業　者　名","契約日","支払日","金額","固定資\n産計上\nの有無",null,"入札・見積合せの有無",null,null,null,null,null,null,"契約書・請書の有無",null,null,null,null,null,null,"支払\n方法",null,"備　　　考\n（入札・見積合せを行わなかった理由\n・予定価格など）（入札の際は事前の理事会審議日及び理事会報告日を記入）"]
["（物品）　熊チャン時計","(株)　○×社","Rxx . xx . xx","Rxx . xx . xx","１５７,５００円","□","有","□","入札","■","見積合せ",null,"□","無","□","契約書",null,"□","請書","■","無","□","振込","@78,750円×2"]
[null,null,null,null,null,"■","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■","現金"]
["（物品）　ノートパソコン","●△電器　(株)","Rxx . xx . xx","Rxx . xx . xx","１３６,５００円","■","有","□","入札","□","見積合せ",null,"■","無","□","契約書",null,"□","請書","■","無","■","振込","新春の大売り出しの広告により○社か比較したところ●△電器(株)が一番安かった。"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["（修繕）　窓サッシ建具修理","××サッシ　(株)","Rxx . xx . xx","Rxx . xx . xx","６３０,０００円","□","有","□","入札","■","見積合せ",null,"□","無","□","契約書",null,"■","請書","□","無","■","振込"]
[null,null,null,null,null,"■","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["（工事）　保育室増築工事","(株)　○○建設","Rxx . xx . xx","Rxx . xx . xx","４,７２５,０００円","■","有","■","入札","□","見積合せ",null,"□","無","■","契約書",null,"□","請書","□","無","■","振込","予定価格　　５,０００,０００円\n〇月〇日理事会事前審議\n〇月〇日理事会結果報告"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["備品や事務用品を一括して見積もり合わせし契約した場合（元帳では分かれているが契約は1つのもの）は\n下記のように１つの契約として記入してください。",null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["（物品）　遊具他事務用品","○○文具","Rxx . xx . xx","Rxx . xx . xx","８５０,０００円","■","有","□","入札","■","見積合せ",null,"□","無","□","契約書",null,"■","請書","□","無","■","振込","固定資産取得支出　　６５０,０００円\n消耗品費　　５０,０００円\n保育材料（数種）　　１５０,０００円"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["（工事）　保育室改修工事","(株)　○○工務店","Rxx . xx . xx","Rxx . xx . xx","２,８７７,０００円","■","有","■","入札","□","見積合せ",null,"□","無","■","契約書",null,"□","請書","□","無","■","振込","予定価格 　　３,０００,０００円\n固定資産取得支出　　２,５００,０００円\n修繕費　　３７７,０００円"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
[null,null,null,null,null,"□","有","□","入札","□","見積合せ",null,"□","無","□","契約書",null,"□","請書","□","無","□","振込"]
[null,null,null,null,null,"□","無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","現金"]
["※入札を行った場合は備考欄に事前理事会審議日（契約内容・業者選定・予定価格・立会人・入札日）及び入札結果の理事会報告日を必ず記入してください。"]
["※価格による随意契約については３社以上の見積もりが必要です。ただし、契約の種類や金額によっては２社以上の見積もりでも可能です。"]
["※１００万円を超える契約は契約書、５０万円を超える契約は請書又は契約書が必要です。"]
["※高額（各法人の経理規程による）な契約は入札が必要です。（入札にあたっては予定価格を定める必要があります。）"]

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["19　業務委託契約（年間総支払金額が10万円以上又は複数年にわたり継続して契約しているもの）一覧表（前回の実地監査日後に契約したもの）"]
["       (新設園は現時点で契約中のもの）"]
["施設名：　　　　　　　　　　　　　　　　　　　"]
["件　　　名","業　者　名","契　約　日\n（継続契約の場合は当初の契約日）","契約金額\n（年間総支払額）","支払い方法及び額","契約書等の有無",null,null,null,"備　　　考\n（契約書が無い理由など）"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
["※人材派遣契約は個人との雇用契約以外のものを記載してください。（会計士・労務士・弁護士，各種教室等の業務委託を含む）"]
["※契約書の支払金額と実際の支払金額は一致すること。"]

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["（記入例）　19　業務委託契約（年間総支払金額が10万円以上又は複数年にわたり継続して契約しているもの）一覧表（前回の実地監査日後に契約したもの）"]
["　　　　　　　　　　 (新設園は現時点で契約中のもの）"]
["施設名：　○○保育園　　　　　　　　　　　　　"]
["件　　　名","業　者　名","契　約　日\n（継続契約の場合は当初の契約日）","契約金額\n（年間総支払額）","支払い方法及び額","契約書等の有無",null,null,null,"備　　　考\n（契約書が無い理由など）"]
["（業務委託）　保育所経理業務委託","○○会計士事務所","2019-08-01","６４８,０００円","月払い　５４,０００円","■","有","□","無"]
["（研修）　保育士研修","○×研究会","2020-01-15","１４０,４００円","一括支払い","■","有","□","無","１／２５・２６　実施の職員研修会"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
["※人材派遣契約は個人との雇用契約以外のものを記載してください。（会計士・労務士・弁護士，各種教室等の業務委託を含む）"]
["※契約書の支払金額と実際の支払金額は一致すること。"]

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["20　物品リース・レンタル契約（リース総額・レンタル料が10万円以上）一覧表（前回の実地監査日後に契約したもの）　　（新設園は現在契約中のもの）"]
["　　　"]
["施設名：　　　　　　　　　　　　　　　　　　　"]
["件　　　名","リース業者名","リース・レンタル期間","リース総額","支払い方法及び額","契約書等の有無",null,null,null,"備　　　考\n（契約書が無い理由，リース期間など）"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[]
["※リース契約書の支払金額と実際の支払金額は一致すること。"]

{"sheet":"20記入例","index":7,"n_rows":18,"n_cols":10,"rows_kept":18,"cut":false,"hidden":false,"merged":[[20,0,20,9],[0,0,0,9],[17,0,17,9],[18,0,18,9],[19,0,19,9],[1,0,1,9],[3,5,3,8]]}
["（記入例）　20　物品リース・レンタル契約（リース総額・レンタル料が10万円以上）一覧表（前回の実地監査日後に契約したもの）　"]
["　　　　　　　　　　（新設園は現在契約中のもの）"]
["施設名：○○保育園　　　　　　　　　　　　　　"]
["件　　　名","リース業者名","リース・レンタル期間","リース総額","支払い方法及び額","契約書等の有無",null,null,null,"備　　　考\n（契約書が無い理由，リース期間など）"]
["（賃借）　複合機（コピー・FAX）リース","　○×クレジット","R1.8.1～R6.7.31","　　\n２,３９４,０００円","３９,９００円","■","有","□","無","５年リース"]
["（賃借）　電話機リース","××ファイナンス","R1.9.1～R6.8.31","５０４,０００円","８,４００円","■","有","□","無","５年リース"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
[null,null,null,"円",null,"□","有","□","無"]
["※リース契約書の支払金額と実際の支払金額は一致すること。"]

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["法人１-１　社会福祉法人役員名簿"]
["１　社会福祉法人名",null,null,null,null,null,null,null,null,"２　所在地",null,"福岡市"]
["３　役員",null,"定数",null,"人","（理事",null,"人、","監事",null,"人）","現員",null,"人、","欠員",null,"人"]
["４　役員構成",null,"令和　　年　　月　　日現在"]
["役職名","氏名",null,"住所",null,"職業",null,"親族等及び\n関係者",null,"資格等","就任承諾書\n取得年月日",null,"就任承諾書\n記載の任期",null,null,"特殊関係申立書取得年月日",null,"履歴書\n取得年月日"]
[]
["理事長"]
[]
["理事"]
[]
["〃"]
[]
["〃"]
[]
["〃"]
[]
["〃"]
[]
["〃"]
[]
[]
[]
["監事"]
[]
["〃"]
[]
[]
["※１　作成日現在の状況で作成してください。評議員について別葉で作成してください。\n　２　「職業」欄は、作成日現在の職業を「○○病院長」「○○会社社長」「○○学園長」等できるだけ具体的に記入し、現在無職の場合でも、役員に就任した\n　　　当時又は就任前の職業を「元○○○○」と記載してください。                                                            \n　３　「親族等及び関係業者等」欄の｢親族等｣は、各役員について親族又は会社役員等特別の関係者がいる場合に記入してください。(例｢○○理事の妻｣｢○○理\n　　　事の会社役員｣)。また、｢関係業者等｣は、各役員について当該法人に係る社会福祉施設の整備、運営と密接に関連する業務を行う者については｢関係業者｣\n　　　と付記し、その業務内容を記入してください。\n　４　資格等についてはプルダウンから選択してください。"]
[]
[]
[]
[]
[]
[]
["参考","３で記入する「親族等」の範囲",null,null,null,null,null,null,"会社","（役員）","本人",null,null,"内縁の妻",null,null,"親族"]
[null,"・各役員と親族（３親等内の親族、配偶者）",null,null,null,null,null,null,null,null,"（金銭）",null,null,"（生計同一）",null,"（生計同一）"]
[null,"・右図の関係にある者",null,null,null,null,null,"使用人",null,"役員",null,"使用人等",null,null,"親族"]
["※法人の理事長（理事）が、監事の法人の監事になること、経理等を委託している会計事務所等の役員や職員が監事になること等は認められていません。"]
["法人1-2　社会福祉法人評議員名簿"]
["１　社会福祉法人名",null,null,{"$f":"IF(D2=\"\",\"\",D2)","v":""}]
["２　所在地",null,{"$f":"IF(L2=\"\",\"\",L2)","v":"福岡市"}]
["３評議員",null,"定数",null,"人、","現員",null,"人、","欠員",null,"人"]
["４評議員構成",null,"令和　　年　　月　　日現在"]
["役職名",null,"氏名",null,null,"住所",null,null,"職業",null,"就任承諾書\n取得年月日",null,"就任承諾書\n記載の任期",null,null,"特殊関係申立書取得年月日",null,"履歴書\n取得年月日"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
["評議員"]
[]
[null,"※１　作成日現在の状況で作成してください。\n　２　「職業」欄は、作成日現在の職業を「○○病院長」「○○会社社長」「○○学園長」等できるだけ具体的に記入し、現在無職の場合でも、\n　　　評議員に就任した当時又は就任前の職業を「元○○○○」と記載してください。                                                            "]
[]
[]
[]
["参考"]
["※評議員に、以下のものが含まれることは認められません。"]
["・役員及び当該社会福祉法人の職員",null,null,null,null,null,null,null,null,null,"会社","（役員）","本人",null,null,"内縁の妻",null,null,"親族"]
["・各評議員及び各役員と親族（３親等内の親族、配偶者）関係にある者",null,null,null,null,null,null,null,null,null,null,null,"（金銭）",null,null,"（生計同一）",null,"（生計同一）"]
["・下図の関係にある者",null,null,null,null,null,null,null,null,"使用人",null,"役員",null,"使用人等",null,null,"親族"]
[]
["法人１-３　社会福祉法人評議員選任・解任委員名簿  "]
["１　社会福祉法人名",null,null,{"$f":"IF(D2=\"\",\"\",D2)","v":""}]
["２　所在地",null,{"$f":"IF(L2=\"\",\"\",L2)","v":"福岡市"}]
["３　評議員選任・解任委員",null,null,null,"定数",null,"人、","現員",null,"人、","欠員",null,"人"]
["４　評議員選任・解任委員",null,null,null,"構成","令和　　年　　月　　日現在"]
[null,"役職名",null,null,"氏名",null,null,"住所",null,null,null,"職業",null,null,"任期"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"※１　作成日現在の状況で作成してください。\n　２　「職業」欄は、作成日現在の職業を「○○病院長」「○○会社社長」「○○学園長」等できるだけ具体的に記入し、現在無職の場合でも、\n　　　委員に就任した当時又は就任前の職業を「元○○○○」と記載してください。  "]
[]
[]
[]
["参考"]
["※評議員選任・解任委員に、以下のものが含まれることは認められません。"]
["・理事"]
["・評議員（ただし、次期の評議員として選任されないことが明らかである場合は可）"]
[]
["法人２-１　社会福祉法人の理事会等の審議状況"]
["下記事項は理事会で審議を要する事項です。該当がある場合は次ページ２-1の審議状況の議題欄に下記の事項は必ず記載してください。"]
[]
[null,"議題",null,null,null,null,null,null,null,null,null,null,"福岡市記入欄\n（記入しないでください）"]
[]
[null,"評議員会の日時、場所、議題、議案の決定\n（評議員会の開催毎に必要）\n"]
[null,"評議員候補者の選任"]
[null,"評議員選任・解任委員会細則整備・改正"]
[null,"評議員選任・解任委員の選任"]
[null,"評議員選任・解任委員会の招集"]
[null,"理事長の選定"]
[null,"理事候補者の選任"]
[null,"監事候補者の選任"]
[null,"業務執行理事の選定"]
[null,"次年度事業計画の承認"]
[null,"次年度収支予算の承認"]
[null,"補正予算の承認"]
[null,"前年度決算書類等の承認"]
[null,"各種規程の整備・改正（就業規則，給与規程他）"]
[null,"施設長の任免"]
[null,"特別昇給・給与規程によらない初任給の決定"]
[null,"理事長及び業務執行理事の職務執行状況報告（会計年度に最低２回は必要）"]
[null,"入札に関する事項（契約内容，業者選定，予定価格，立会人，入札日）"]
[null,"基本財産の処分"]
[null,"多額の借財"]
[]
["法人２-１　社会福祉法人の理事会等の審議状況  ",null,null,null,null,null,null,null,null,null,null,null,null,"社会福祉法人名",{"$f":"IF(D2=\"\",\"\",D2)","v":""}]
["開催年月日",null,"理事\n定数","理事\n現員数","出席\n理事数","欠席理事氏名",null,"欠席監事氏名",null,"議題（監事監査実施日）",null,null,null,null,"費用弁償及び報酬\n支給を受けた者の氏名",null,null,"費用弁償\n合計額"]
["招集通知日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）１　前年度４月から監査直近までに開催された理事会の全てについて記載してください。\n　　　２　「議題」欄は、審議された議題の全てについて、「令和○○年度事業計画、予算」「令和○○年度事業報告、決算」「役員候補者の推\n　　　　　薦」「定款変更」「○○施設増築計画」等と簡記してください。\n　　　３　決算を審議した理事会の「議題」欄には（　）書きで監事監査の実施日を記載してください。"]
[]
[]
[]
["法人２-２　社会福祉法人の評議員会の審議状況"]
["下記事項は評議員会で審議を要する事項です。該当がある場合は次ページ２-２の審議状況の議題欄に下記の事項は必ず記載してください。\n"]
["（評議員会）"]
[null,null,"議題",null,null,null,null,null,null,"福岡市記入欄\n（記入しないでください）"]
[]
[null,null,"理事の選任"]
[null,null,"監事の選任"]
[null,null,"前年度計算書類及び財産目録の承認"]
[null,null,"前年度事業報告の報告"]
[null,null,"役員等報酬等支給基準（費用弁償規程含む）の改正"]
[null,null,"定款変更"]
[null,null,"社会福祉充実計画の承認"]
[null,null,"理事・監事の報酬等の決議"]
[null,null,"基本財産の処分"]
[]
["法人２-２　社会福祉法人の評議員会等の審議状況",null,null,null,null,null,null,null,null,null,null,null,null,"社会福祉法人名",{"$f":"IF(D2=\"\",\"\",D2)","v":""}]
["開催年月日",null,"評議員\n定数","評議員\n現員数","出席評議員数",null,"欠席評議員氏名",null,null,"議題",null,null,null,null,"費用弁償及び報酬\n支給を受けた者の氏名",null,null,"費用弁償\n合計額"]
["招集通知日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）１　前年度４月から監査直近までに開催された評議員会の全てについて記載してください。\n　　　２　「議題」欄は、審議された議題の全てについて、「令和○○年度事業報告、決算」「役員選任」「定款変更」「○○施設増築計画」等\n　　　　　と簡記してください。\n"]
[]
[]
[]
["法人２-３　社会福祉法人の理事会の付議，評議員会への承認状況自己点検リスト"]
["　下記決算書類は作成した場合は、理事会への付議・評議員会への承認を要する書類です。理事会へ付議・評議員会で承認された書類にはチェック欄にチェックをしてください。"]
[]
["（理事会への付議）"]
["計算書類",null,null,null,null,null,null,"チェック欄",null,"付属明細書",null,null,null,null,null,null,null,"チェック欄"]
["資金収支計算書",null,null,null,null,null,null,null,null,"法人全体で作成するもの"]
["　第１号第１様式",null,null,"法人単位資金収支計算書",null,null,null,"□",null,"　別紙３（①）",null,null,"借入金明細書",null,null,null,null,"□"]
["　第１号第２様式",null,null,"資金収支内訳表",null,null,null,"□",null,"　別紙３（②）",null,null,"寄付金収益明細書",null,null,null,null,"□"]
["　第１号第３様式",null,null,"事業区分資金収支内訳表",null,null,null,"□",null,"　別紙３（③）",null,null,"補助金事業等収益明細書",null,null,null,null,"□"]
["　第１号第４様式",null,null,"拠点区分資金収支計算書",null,null,null,"□",null,"　別紙３（④）",null,null,"事業区分間及び拠点区分間繰入金明細書",null,null,null,null,"□"]
["事業活動計算書",null,null,null,null,null,null,null,null,"　別紙３（⑤）",null,null,"事業区分間及び拠点区分間貸付金(借入金)残高証明書",null,null,null,null,"□"]
["　第２号第１様式",null,null,"法人単位事業活動計算書",null,null,null,"□",null,null,null,null,null,null,null,null,null,"□"]
["　第２号第２様式",null,null,"事業活動内訳表",null,null,null,"□",null,"　別紙３（⑥）",null,null,"基本金明細書",null,null,null,null,"□"]
["　第２号第３様式",null,null,"事業区分事業活動内訳表",null,null,null,"□",null,"　別紙３（⑦）",null,null,"国庫補助金等特別積立金明細書",null,null,null,null,"□"]
["　第２号第４様式",null,null,"拠点区分事業活動計算書",null,null,null,"□",null,"拠点区分で作成する明細書"]
["貸借対照表",null,null,null,null,null,null,null,null,"　別紙３（⑧）",null,null,"基本財産及びその他の固定資産（有形・無形固定資産）の明細書",null,null,null,null,"□"]
["　第３号第１様式",null,null,"法人単位貸借対照表",null,null,null,"□",null,null,null,null,null,null,null,null,null,"□"]
["　　計算書類に対する注記（法人全体）",null,null,null,null,null,null,"□",null,"　別紙３（⑨）",null,null,"引当金明細書",null,null,null,null,"□"]
["　第３号第２様式",null,null,"貸借対照表内訳表",null,null,null,"□",null,"　別紙３（⑩）",null,null,"拠点区分資金収支明細書",null,null,null,null,"□"]
["　第３号第３様式",null,null,"事業区分貸借対照表内訳表",null,null,null,"□",null,"　別紙３（⑪）",null,null,"拠点区分事業活動明細書",null,null,null,null,"□"]
["　第３号第４様式",null,null,"拠点区分貸借対照表",null,null,null,"□",null,"　別紙３（⑫）",null,null,"積立金・積立資産明細書",null,null,null,null,"□"]
["　　計算書類に対する注記（拠点区分）",null,null,null,null,null,null,"□",null,"　別紙４（⑬）",null,null,"サービス区分間繰入金明細書",null,null,null,null,"□"]
[null,null,null,null,null,null,null,null,null,"　別紙５（⑭）",null,null,"サービス区分間貸付金(借入金)残高明細書",null,null,null,null,"□"]
[null,null,null,null,null,null,null,null,null,"財産目録（別紙４）",null,null,null,null,null,null,null,"□"]
["（評議員会への承認）"]
["計算書類",null,null,null,null,null,null,"チェック欄"]
["資金収支計算書"]
["　第１号第１様式",null,null,"法人単位資金収支計算書",null,null,null,"□"]
["　第１号第２様式",null,null,"資金収支内訳表",null,null,null,"□"]
["　第１号第３様式",null,null,"事業区分資金収支内訳表",null,null,null,"□"]
["　第１号第４様式",null,null,"拠点区分資金収支計算書",null,null,null,"□"]
["事業活動計算書"]
["　第２号第１様式",null,null,"法人単位事業活動計算書",null,null,null,"□"]
["　第２号第２様式",null,null,"事業活動内訳表",null,null,null,"□"]
["　第２号第３様式",null,null,"事業区分事業活動内訳表",null,null,null,"□"]
["　第２号第４様式",null,null,"拠点区分事業活動計算書",null,null,null,"□"]
["貸借対照表"]
["　第３号第１様式",null,null,"法人単位貸借対照表",null,null,null,"□"]
["　　計算書類に対する注記（法人全体）",null,null,null,null,null,null,"□"]
["　第３号第２様式",null,null,"貸借対照表内訳表",null,null,null,"□"]
["　第３号第３様式",null,null,"事業区分貸借対照表内訳表",null,null,null,"□"]
["　第３号第４様式",null,null,"拠点区分貸借対照表",null,null,null,"□"]
["財産目録（別紙４）",null,null,null,null,null,null,"□"]
[]
["法人２-４　社会福祉法人の評議員選任・解任委員会の審議状況",null,null,null,null,null,null,null,null,null,null,null,null,"社会福祉法人名",{"$f":"IF(D2=\"\",\"\",D2)","v":""}]
["開催年月日",null,"評議員選任・解任委員\n定数",null,"委員\n現員数",null,"出席委員数",null,"欠席委員氏名",null,null,null,"費用弁償及び報酬\n支給を受けた者の氏名",null,null,null,"費用弁償\n合計額"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）１　前年度４月から監査直近までに開催された評議員選任・解任委員会の全てについて記載してください。"]
[]
["法人２-５　社会福祉法人の閲覧用書類自己点検リスト\n"]
["\n下記は法人の主たる事務所に据え置き、閲覧に供さなければならない書類です。\n実際に施設に備えつけている閲覧用書類をご確認いただき、閲覧に供している場合はチェック欄にチェックしてください。\n"]
[]
["閲覧に供する書類",null,null,null,null,null,null,"チェック欄"]
[]
["事業報告書",null,null,null,null,null,null,"□"]
["財産目録",null,null,null,null,null,null,"□"]
["貸借対照表",null,null,null,null,null,null,"□"]
["事業活動計算書",null,null,null,null,null,null,"□"]
["資金収支計算書",null,null,null,null,null,null,"□"]
["監事監査報告書",null,null,null,null,null,null,"□"]
["最新の現況報告書（WAMNETよりプリントアウトしたもの）（R6.4.1現在のもの）",null,null,null,null,null,null,"□"]
[]
["最新の定款",null,null,null,null,null,null,"□"]
["役員等報酬等支給基準\n（定款に無報酬と記載がある場合は不要）",null,null,null,null,null,null,"□"]
[]
["事業計画書",null,null,null,null,null,null,"□"]
[]
["法人３　借入金の状況"]
["借入先",null,"借入\n年度","償還\n期間","償還完了予定年月",null,"借入金額\n（１）",null,"前年度までの\n償還額（２）",null,"前年度末時点\n償還残高\n（1-2）",null,"前年度中の\n償還額",null,"償還財源",null,"借入れ目的"]
[]
[null,null,null,"　年","　　　年\n　　　月",null,"　　　円",null,"　　　円",null,"　　　円",null,"（　　　　）\n\n　　　円"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　）\n\n"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　）\n\n"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　）\n\n"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　）\n\n"]
[]
["合計"]
[]
[]
["（注）１「借入先」欄は、「福祉医療機構」「○○銀行○○支店」等具体的に記載してください。       \n         ２「借入年度」欄は、借入れを行った年度を記載してください。           \n         ３「償還期間」欄は、借入れの際契約した償還期間を記載してください。             \n         ４「前年度までの償還額」欄及び「前年度末現在償還残額」欄は、それぞれ元金分を記載してください。                               \n         ５「前年度中の償還額」欄は、前年度内に返済を行った元金分の合計額を記載し、利息分の合計額を上段に（　）で別掲してください。   \n         ６「償還財源」欄は、「前年度中の償還額」欄の元金及び利息の合計額に見合う財源を「○○市社協補助金○○○円」「民間助成法人から  \n        　　の助成○○○円」「役員寄付○○○円」「後援会寄付金○○○円」「○○施設会計より繰入れ○○○円」等具体的に記載してください。         \n         ７「借入れ目的」欄は、「○○施設建設資金」「○○施設整備資金」「○○施設運営資金借入金」等具体的に記載してください。         \n   \n"]
[]
[]
[]
[]
[]
[]
["法人４　資産（土地・建物）等の状況   ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　年　　月　　日現在"]
["区分",null,"所在地",null,null,"地目、構造\n及び用途",null,null,"面積",null,"取得\n（建築）\n年月日",null,"担保提供の状況",null,null,null,null,"抵当権設定\n年月日"]
[null,null,null,null,null,null,null,null,"定款","登記簿",null,null,"提供の\n有無","提供先",null,null,"所轄庁の承認の有無"]
[]
["\n\n１基本財産\n　１土地\n　２建物\n\n\n\n２運用財産\n　１土地\n　２建物\n\n\n\n３公益事業用財産等\n　１土地\n　２建物\n\n\n\n４借地等\n　１土地\n　２建物"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"土地・建物借用に係る\n契約書・利用権の状況",null,null,null,null,null,"借地料\n年額","借地料支払\n会計区分"]
[]
[null,null,null,null,null,null,null,null,null,null,"契約書の\n有無",null,"相手方",null,"利用権の\n登記の有無",null,null,"本部","施設"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","有"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","無"]
[]
["（注）１　土地、建物はそれぞれ一筆、一棟ごとに記入してください。\n　　　２　借地等について、法人、施設で借用している全てを記入すること。福岡市からの借地の場合も記入してくださ\n　　　　　い。\n　　　３　土地、建物の配置状況がわかる図面を添付してください。\n　　　４　「借地料支払会計区分」欄については、本部又は施設の会計の区分別に該当欄に○印を記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"登記していない場合、その理由"]