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HomeMy WebLinkAboutPolaris Educational Program Temp Conditi TOWN OF SOUTH WINDSOR PLANNING& ZONING COMMISSION APPLICATION FORM Application No: RECEIVE® RkDSORPLAN Official Receipt Date: 3 Receipt No: JUN 3 2002 MA002 SOUTH WINDSOR PLANNING DEPT. SOUTH W ING DEPT.` APPLICANT: Capitol Region Education Council / Polaris en PROJECT NAME: Operate the Polaris Educational Program at a temporary loca ';ooi ADDRESS: 8 Nutmeg Road, South Windsor, CT 06074 �p� OWNER OF RECORD ON LAND RECORDS: ADDRESS: COMPLETE LOCATION OF PROPERTY: ASSESSOR'S MAP # PARCEL # ZONE T NAME, ADDRESS, TEL & FAX # OF PERSON TO WHOM INQUIRIES SHOULD BE DIRECTED: Donald C. Mercure, Capitol Region Education Council, 111 Charter Oak Ave-, Hartford CT 061 6 (860) 524-4094 Fax (860) 548-0236 THIS APPLICATION IS FOR: (Check all that apply): ❑ Zone Change to (Public Hearing required and Certified letter to abutters required) ❑ Subdivision/Resubdivision ❑ Open Space Subdivision (Public Hearing Required) ❑ Subdivision ❑ Minor ❑ Major ❑ Resubdivision (Public Hearing Required) ❑ Minor❑ Major ❑ Conditional Approval ❑ Special Exception to Article (Public Hearing, Certified letter to abutters required) ❑ Site Plan of Development ❑ General Plan of Development ❑ Earth Filling (Sec. 15) and/or Earth Removal (Sec. 14 - Public Hearing Required) ❑ Regulation Amendment ❑ Zoning ❑ Subdivision (Attach proposed amendment) (Public Hearing Required) © Temporary and Conditional Permit for (Public Hearing Required) Operate the Polaris Center Educational Program during the 18-24 month period of construction at the current facility on 474 School St. d, CT ❑ Major Home Occupation for (Public Hearing Required) ❑ Other (explain in detail) An Application Pending sign is required to be posted on the property for all applications ten (10) days prior to being heard by the Commission. Signature of Appli ant Signature of Property Owner sent oy: ce HICHAHU ELLIS u; e5 a rage 21z C8 Richard Ellis-N.E.Partner,LP CB ® Wichard glee 185 Asylum Street 27"'Floor Hartford, CT 06103 860 525-9171 Tel 860 987-4713 Direct 860 249-7916 Fax rdaglio n cbrichardellis-ne.com Robert J.Daglio,CPM.SIOR Senior Vice President Partner To: South Windsor Town Manager, South Windsor Planning&Zoning Commission From: Robert J. Daglio,Agent for 8 Nutmeg Road, South Windsor Subject: Temporary Change of Use Date: May 29, 2002 To Whom It May Concern: As the Owners represented for 8 Nutmeg Road South, South Windsor, we give Capital Region Education Council (CREC)perrnission to apply to the Town of South Windsor to change the use as a.Tenant in the building to Educational to run their Polaris Center. Thank you for your cooperation on this matter. Robert Y. Daglio Senior Vice President;Partner CR Richard Ellis 860.987.4713 RJD/gsb CnmunmmVudualWmbdp toMwoU281uwQj.ax Capitol Region Education Council Chief Financial Officer 111 Charter Oak Avenue Hartford, Connecticut 06106 (860)524-4066 Fax(860)247-1949 Internet: gsynodi@crec.org Web site: http://www.crec.org/ May 29, 2002 Mr. Robert J. Daglio Senior Vice President CB Richard Ellis 185 Asylum Street 27th Floor Hartford, CT 06103 Re: 8 Nutmeg Road South, South Windsor Dear Mr. Daglio: Please find enclosed executed letter of intent for the space referenced above. Please let me know next steps to move this to a formal lease agreement. I can be reached directly at 524-4087 or email at gsynodi(i�crec.or Sincer--ely; F �- GeorgegS. Synodi Assistant Executive Director/CFO Enclosure cc: P. Greco G. Penna. V. Morganthaler M. Smith, Cushman & Wakefield CB Richard His--N.E.1 ailnor,LF' ct . 11 185 Asy ur;t Street 27"rk>cr Hartford,G! 0'103 660 98 -44 713 Du ect - 860 249-79161 Fax t'tlzaglio;cc cbrich:r;'dc;lii5-nrz.r.,orn Rotmi J.tDaglio, CPM.SIOR Senior Vice President Parwer May 23, 2002 Mr. George Synodi Assistant Executive Director Capital Region Educational Council 111 Charter Oak Avenue Hartford, CT 06106 RE: 8 Nutmeg Road South,South Windsor, CT/Polaris Center Dear George: On behalf of the Owners of 8 Nutmeg Road South we are prepared to lease to CREC the 30,331 SF shown on Exhibit A under the following conditions: A. SPACE 1. Area: Approximately 30,331 SF in a 126,250 SF building known as 8 Nutmeg Road South, South Windsor, CT. B. RENT 1. Rental Rate: Fears Annual Monthly 1-2 $75,000.00 $6,250.00 2. Tenant Additional Costs: Tenant shall pay for the cost of all utilities,janitorial, maintenance to their demised premises, and shall pay for their proportionate share of real estate taxes,building insurance, and common area maintenance. All structural repairs to be the responsibility of Landlord. We have calculated the current Real Estate taxes at$0.75 PSF, Building Insurance is running approximately$0.10 PSF Mr. George Synodi May 23, 2002 Page 2 and CAM(Common Area Maintenance) charges are estimated at $0.40 PSF. We feel the $1.25 PSF is a valid number on the NNN charges. C. LEASE TERM & OPTION 1. Lease Term: Two (2)year two (2)month term, commencing July 1, 2002 or upon lease signing,whichever is earlier. 2. Possession: Tenant shall have access to their space upon lease signing to install equipment and do improvements. Landlord shall remain harmless during the move. Tenant to provide Landlord with a Certificate of Insurance in the amount of $1 million per occurrence and $3 million for the annual general aggregate umbrella to cover Tenant's employees, equipment, deliveries, etc. Tenant shall be responsible for the NNN's and utilities to their space during the two month free rent period. 3. Lease Payments: Lease payments shall begin September 1,2002. D. TENANT IMPROVEMENTS 1. Tenant Improvements By Tenant: In lieu of Tenant Improvements by Landlord, Landlord agrees to give Tenant two (2) months free rent to do improvements. 2. Tenant Improvements Deliver all electric,plumbing and HVAC in good working By Landlord: order. 3. Architectural Tenant to be responsible for any drawings required by the Services: Town of South Windsor. E. OTHER PROVISIONS 1. Subleasing & Assignment: Tenant shall have subleasing and assignment rights under the lease. Subleasing to affiliate companies will be allowed without Landlord's approval. Subleasing to third parties will be subject to Landlord's approval, which shall not be unreasonably witl-iield or delayed. Any net profits as a result of subletting shall be paid to Landlord. G:V,-Ad.g1W,.F200216Nut q.d- - - Mr. George Synodi May 23, 2002 Page 3 2. Non-Disturbance Agreement: Landlord agrees to make its best efforts to obtain a non- disturbance agreement when and if there is any mortgage on the property. 3. Building Access: 7 days per week, 24 hours per day access shall be granted. 4. Signage: Tenant shall have the right to install standard signage at the entry of its premises. Tenant also will be allowed to install monument signage at its own expense. All signage shall be subject to Owners' and Town of South Windsor's approval. 5. Ownership: Dynamic Realty, LLC is the Owner which is represented 75% by the estate of Thomas Farkas, and 25%by Peter and Richard Roth. Peter Roth is the managing director of the Ownership. 6. Property Management: CB Richard Ellis manages the property on behalf of the Landlord and make schedule visits to the property and are on call 24 hours a day, 7 days a week for emergencies. 7. Financials: This Offer to Lease is subject to Landlord's satisfactory review of CREC's statements showing where funding for the CREC Polaris project is funded. 8. Brokerage: Landlord and Tenant represent Cushman & Wakefield and CB Richard Ellis are the only real estate brokers who introduced them to the premises, and Owner shall be solely responsible for the total payment of a 5% real estate commission to the above reference brokers in conjunction with the lease of the premises to Tenant. 9. Other Conditions: a) The parties acknowledge that this offer and its acceptance may be transmitted by facsimile machines, and the parties intend that a faxed offer containing either the original and/or copies of the parties signature shall constitute a binding offer(subject to the execution of a Lease Agreement by all parties.) - G:\ustrsWduglioll'rnp2W?1(tNuimeg.duc Mr. George Synodi May 23, 2002 Page 4 b) This letter is neither a Lease, nor an Agreement to agree. The parties hereto shall not be bound by the terms of this letter, nor shall any liabilities or obligations arise pursuant hereto. It is intended that only a subsequent formal Lease Agreement, if made, and executed by both parties will bind the parties on any matters herein described.. c) This offer is subject to CREC obtaining all the necessary permits, use variances, and/or approvals from the Town of South Windsor to operate a school at this location. This letter is submitted with the understanding that the terms hereof will be maintained by you on a confidential basis and that you will not disclose the terms hereof to any other party. If you are in agreement with the foregoing, please have a copy of this letter signed by an authorized party in the place provided and return the same to me. Sincerely, Robert J.Daglio,SIOR Senior Vice President, Partner CB Richard Ellis cc: Jim Thomas/Peter Roth RJD/gsb AGREED AND ACCEPTED BY: Tenant:—C—apitil Region Ed cation Council Landlord: Dynamic Realty, LLC {., Bi lC 'y i r,zc .. s;,_; ri By: Its: t-r- f~, ,;} Its: Date: ,,. y. Date: G:WscrsWduplioV'roF'-iK12`KNuuneg.doc . a EXHIBIT A 8 Nutmeg Road South, South Windsor, CT Proposed CREC Space 30,331 SF First Floor 1 1R�IX wr:n - tLu7➢� M= IN-r R L4lrfi //. jl .gap ; ., ean � .TrTo� f _ =sn _ l ■n K GU Ilu7 rMROSAFEA YlYf ._ n arA Ail g— hSf L-rl . dYfl �� FM lr.M R ITYS 1$B . Uwr P IN -� lBIaTI LWrJ�I �T IBT .A.REcrnn•• � ;i�f Z Si1Lli lf7f61C17IW - MI01 - II■n �lL���111 3S r FT ✓�S� OIiR - AC OP ZM r n Tr Y F: '—�1P[�I.Air. tx•v �,,ff aawu[Ts NA p n 'SC■FT SrE AYSY. TAL Tamp. G�� ZM■n TILII01 xw6a Am . t.iYTTn �wrn �r MOA aKw ME CX'eiGt �- _I 1 t LM - IfILITTPttN � �pn f'� � � PLANNING DEPARTMENT TRANSMITTAL DATE: ��— TO: I 4 WE ARE SENDING YOU: PZC initial plans O Drainage computations O PZC revised plans 13 . Bond estimate request O PZC Final plans for review O Bond reduction request O PZC Final plans for filing O Correspondence O TWA/CC plans O Other NO. OF COPIES APPLICATION NUMBER PROJECT/APPLICANT -3 A �e� � TBESE ITEMS ARE TRANSMITTED: -P For review and comment - O For your files O For your use O As requested O Other PLEASE RETURN/CON VIEENT BY: �� /_ �-r, ( juw- COW=& U r 1's b- �tdA e W L . Copy to: From: Planning Department - 10/98 Capitol Region Education Council Bruce E. Douglas, Ph.D., Executive Director 111 Charter Oak Avenue Hartford, Connecticut 06106 (860)524-4063 June 14, 2002 Fax(860)548-9924 E-mail: bdouglas @crec.org Web site: http://www.crec...org/ Planning and Zoning Commission Town of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074 RE: Polaris Center Temporary and Conditional Permit Application for 8 Nutmeg Road Dear Commission Members: The Polaris Center is located on School Street in East Hartford, Connecticut. The school is currently housed in a 1955 building constructed for factory use and was renovated in 1976 for this current use. The State of Connecticut approved CREC's school construction grant application in the amount of$9.5 million for an addition/renovation to the existing facility. It is anticipated construction will start in mid summer 2002 and completed in June 2004. CREC is therefore interested in leasing 30,331 square feet of space at 8 Nutmeg Road to operate the Polaris educational program during the period of construction. Attached to our application was an executed letter of intent to enter into a formal lease agreement subject to approvals from the Town of South Windsor to operate the school at this location. Fletcher.Thompson, the architects for the addition/renovation project, prepared the drawings indicating the use of the 30,331 square feet. CREC staff and the architects met with the Town of South Windsor Fire Marshall and Building Official and confirmed the applicable code requirements related to the use of the space. Since the Nutmeg Road facility is fully sprinkled and CREC would be using the majority of the available rooms for its programs, the build out costs are anticipated not to exceed $25,000. Enclosed is a packet with information about CREC, its programs, and specific information on the Polaris program. Sincerely, Bruce E. Douglas, Ph.D. Executive Director CREC Central Offices: 111 Charter Oak Avenue Hartford,Connecticut 06106 Marcia Banach Re: CREC/Polaris School a plication "Paoe 1 From: Sgt.Tom Field To: Marcia Banach Date: 6/19/02 4:36PM Subject: Re: CREC/Polaris School application I talked to Don mercure at the Council meeting Monday night and he called and get me some more information. do not have any problem with the traffic issues. Tom y PLANNING DEPARTMENT IN-HOUSE REFERRAL FORM TO: Matt Galligan, Fred Shaw, Michael Gantick,Thomas Field,Bill Lanning,Kris Lindstrom, Ray Favreau,Karl Reichle,Mel Stead,John Collins,Bob Deptula,J40,peoliMe FROM: Marcia A. Banach,AICP,Director of Planning The Planning&Engineering Departments have receivedplans for the following project: boa.-�►P. C R �c. l P�-C �-� Location: Site Plan O Subdivision No. Acres Zone-_ O Industrial O Commercial O Residential No. Lots/Units Water: .O Public O Private Well Sewerage: O Public O Septic system(s) Project Description: /3-Wkt,,-,4-h 7 i C -JD d¢u1 aA PO a-,'s 6,,,4e, Future Town-owned property involved? esY ,�No 6�2 P O new street(s) O new detention area O new open space/recreation area O active O passive Planning Department notes: Please comment by 1� and return to the Planning Department. - , 5~ off P (-/Lt A'..i a, e3 is.-cfi p µ v--. 2., 0u(ss) fie. P t� /MeH Cc) 2.� .A Ar'o `J,4),h:ti "=d' � IJ.fie, 9 4cL, awl., PLANNING DEPARTMENT IN-HOUSE REFERRAL FORM TO: Matt Galligan,Fred Shaw,Michael Gantick,Thomas Field,Bill Lanning,Kris Lindstrom, Ray Favreau,Karl Reichle,Mel Stead,John Collins BebDepkda,Jeff Doolittle FROM: Marcia A. Banach,AICP,Director of Planning The Planning&Engineering Departments have receivedplans for the following project: Location: r �r Site Plan O Subdivision No. Acres Zone T O Industrial O Commercial 0 Residential No. Lots/Units Water: .0 Public 0 Private Well Sewerage: 0 Public 0 Septic system(s) Project Description: J��wa►�,, t� 7 i C 40 ca l OL'k Pit a"'S 6,.,4e-1 Future Town-owned property involved? 0 Yes)p No O new street(s) 0 new detention area 0 new open space/recreation area 0 active 0 passive Planning Department notes: Please comment by �¢�,�� and return to the Planning Department. Appl #02-31P, CREC/Polaris School Public Hearing, 6-25-02 Planning Department Report 1. s r\tempa &/ndlional �rmit,toroperate,te Poli-is C�nter ed ca al facili i the former-D--�anuc Controls buil ing at 8 Nut i g� Ro�a , I zone, while the Center's permanent facility in East Hartford is undergoing renovations. There are no external modifications to the building or site needed by the applicant. The applicant proposes to operate the facility for about 60 students Monday-Friday from 7:45 a.m. to 4:00 p.m., with occasional weekend use. 2. A Temporary and Conditional permits may be granted by the Commission for a use which is not specified elsewhere in the regulations for a period not to exceed two years. Such approval may be given if, in the judgment of the Commission, the public convenience and welfare will be substantially served, and the appropriate use of neighboring property will not be substantially or permanently injured, and traffic and other hazards will not result from such use. 3. The site is well able to handle the parking and student drop-off and pick-up needs for the temporary school facility. 4. The site is currently serviced by public water and sewer. Ap�t JW�ee4, w,{IZ-'� G(6 f, kJ Gil ot&taA J- '`" I!'{d.�rke_L' 5. South indsor Policed•4 epartmehl ias reviewed this application and does not have any traffic issues. 6. If approved, the Planning Dept has no requested approval modifications. <O*N 8f4 ti * ~ /low, , Ole slotavG O 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 soR.co TELEPHONE (860) 644 2511 CERTIFIED MAIL July 3, 2002 Mr. Donald Mercure Capitol Region Education Council 111 Charter Oak Avenue Hartford, CT 06106 Re: Appi#02-31P, CREC/Polaris Center, Temporary& Conditional Permit Dear Mr. Mercure: Please be advised that the Planning and Zoning Commission at its June 25, 2002, meeting approved the above-referenced request for a temporary and conditional permit to allow operation of the Polaris Center School on property at 8 Nutmeg Road, I Zone. Sincerely, A�c Kevin McCann, Chairman Planning and Zoning Commission KMcC/kah cc: Zoning/Wetlands Enforcement Officer Chief Building Official Assessor SpW N aF� ey ~ Tou"On V/ SotdA ?d&U&Ot � 9 R, 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 Soe•co�'�� TELEPHONE(860) 644-2511 February 26,2003 Antoinette Towle,APRN CREC/Polaris Center 474 School Street East Hartford, CT 06108 Dear Antoinette: RE:PSYCFHATRIC CLINIC AT POLARIS CENTER I received your letter dated February 24, regarding a licensed psychiatric clinic for children at Polaris Center on Sullivan Avenue. Under the conditions outlined in your letter, please be advised that the clinic is in compliance with the Temporary&Conditional Permit that was issued to operate the Polaris Center. If you have any further questions,please do not hesitate to contact me. Sincerely, Marcia A.Banach,AICP Director of Planning MB/sf M � C[>tpttol.Region Eton Council Polaris Center Marcia A Banach, ACP 474 School Street Director of Planning East Hartford, CT 00108 Town of South Windsor Fax(860)28"380 1540 Sullivan Avenue h4;#www,crec.orgf South Windsor, CT. 06074 February 24, 2003 Dear Marcia, We are presently applying for a licensure from the State of Connecticut's, Department of Children and Families as a licensed psychiatric clinic for children. The application process includes health and sanitation approval by the local board of health, approval for fire safety by the state or local fire marshal, a certificate of occupancy, and compliance with local zoning. The purpose of this letter is to request a letter from the Town of South Windsor stating that the licensing of this clinic would be in compliance with local zoning requirements and/or the terms of our temporary and conditional permit. I realize that we are presently operating in a temporary location, and I by no means want to jeopardize this in any way. l would like to briefly discus the reason for application for licensure and the impact this will have to our program. We operate a therapeutic educational program for children between the ages of 12 to 18, who have emotional and psychiatric problems. A major factor in the ability of these children to learn and live healthy lives is to have the psychiatric services they need easily accessible to them. This is the same basic concept as having school based health centers located in schools to provide immediate access to health care. At the present time, we provide these services to our students order for us to be reimbursed for these services, we need to have an outpatient psychiatric clinic license. By obtaining this license, we would be able to be reimbursed from both the Department of Children and Families and from insurance carriers. The psychiatric clinic for children will be located within our present building. The licensing of the clinic will not require: any structural or physical changes, additional parking spaces, or changes to the present building capacity. The hours of operation will conform to our present hours, 7:30 AM to 4PM, Monday thru Friday, and will be open 10 hours per week. All Patients will be seen by appointments only. Them will be no "walk ins" or open to the public hours. The clinic will be providing services to children only. We will not be dispensing medication, or providing drug and alcohol abuse treatment services. Our patients will consist of children presently enrolled in our program, children within our CREC programs, schools, and school districts, and DCF referrals. I hope this clarifies any questions you may have. I welcome the opportunity to talk with you further on this matter and greatly appreciate your support. Thank you Sincerely Antoinette Towle APRN Director of Operations FAX TRANSMISSIO Poraris cerit� To-. 474 School St:e Gi ! R n. �a;rrc.�]V— task Hanford, Connee`.icut O61" ���} l•✓n/ri?l.+ AQ)289-813 rC7oa: Fax(860)2SS-838 Date: Fax: -- C) Number of Pages Including Cover Sheet: 3 URGENT For Your Review Please Reply Message: — /-,l�� !�� �r��p��..-�•dam �� �'� t'4' s 4N.TiA".!! 'f Yoe Notice: This transmission and anp a,ec`OmPauying documents may contain, confidential Materials or Privileged information, They are intended only for use by the individual or entity tamed on this transmission sheet. If you axe toot the xnteuded >lecipient, you are aot authorized to disclose, ccPV, distribt;te, or use ba anp me.;ttmer the,contentz of this informati-on. If ynu have received this transmission is errors please notify us by telephone immediately so thet e csu arromge" retrieval of the f3X'Dd docuxnent(s)- CREC Central Offices: 111 Charter C k Avenue f HFwar9, Connectirul 0 I M F-A&I 0&Rev.IMIM INSPECTION REPORT STATE OF CONNECTICUT 0-R&TINE iNsPEc-noN 0 REINSPECTION FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH (3 PREOPERATIONAL a OTHER 410 Capillol Avenue,MS#BIFDP,Hartford,CT 06134 NAME OF ESTABLISHMENT ESTABLISHMENT CLASS STREET TOWN ADDRESS OWNER or INSPECTION OPERATOR DATE and TIME Based on an Inspection this day,the items marked below ldentlfy the violations In operation or facilities which must be corrected by the date specified below. SOURCES OF FOOD EQUIPMENT&UTENSILS:CLEANLINESS VERMIN CONTROL 1 Approved source,wholesome, 4 21 Praflushed,scraped,waked and racked 42 Presence of inseds/rodents 2 nonadultemted 22 Wash water dean,proper temperature 1 43 Outer openings protected against entrance of 1 2 1 Original container,properly labeled 23 Amilk thermornelets provided,dish Wsket,if used Insects/rodents 24 So n1lization rinse(hot"fer-chemical) 2 FOOD PROTECTION 25 Clean wiping cloths 1 FLOORS,WALLS&CEILINGS 3 Potentially hazardous food meets 4 26 Food-contact surfaces of utensils& r'2' 44 Floors.,floor covering Installed. temperature requirements during storage, equipment dean constructed as requited,good repair,clean preparation,display,service,and transportation 27 Nonfood-contact surfaces of utensils& 1 45 Floors,graded,drained as required equipmentclean 46 Floor,wall)unctura covered 4 Adequate foollities to maintain pridur.t .7, 28 Equipmentfutengils,storage,handling 1 47 Malt removable,good repair,clean $ Potentially hazardous food pro parly thawed 2 1 48 Exterior walking,driving surfaces, 6 Unwrapped or potentially hazardous food 4 WATER SUPPLY good repair,clean not reserved 29 Water source adequate,s* 4 49 Wells,oallingrattaChad,equipment properly 30 Hot and cold water under pressure, 2 constructed,good repair,clean. Wall&calling -iv 9 p:i surfaces is required, provided as required nf'.'foo: 50 Dustless cloning methods used, I SEWAGE E)ISPO$AI_ cleaning equipment properly stored 9 Handliric u�fool,:mirir."JzF,.J 31 Sewage disposal approved 4 10 Food dispensing utensils property stored 1 32 Proper disposal of waste water 1 LIGHTING&VENTILATION 11 Toxic items properly stored;labeled,used 4 -51 Adequate lighting provided as required PLUMBING 52 Room free of Morn.smoke odors PERSONNEL 33 Location,Installation,maintenance 1 53 Room&equipment hxA-jq,ducts,vented W required 34 No cross connection,back slPhormP,1xicl(flif 4 DRESSING ROOMS&LOCKERS CLEAT LINEss OF PERSONNEL TOILET FACILITIES ;,)4 Rooms adequate,clean.adequate lon-kers I 35 Adequate,convenient,accessible,designed,. 4 provided,fadlilig$Clean installed 14 Clean outer clothes;effective hair reAlralrits .1 36 Toilet rooms enclosed with self-dosing door I o`:vr:!!-,,i:,r!%: : .' *. .37 Proper fixtures provided,good repair,clean HOUSEKEEPING 55 Establishment and premises free of litter,no 1 EQUIPMENT&UTENSILS.DESIGN, HIANDWASHING FACILITIES irisoot/rodant harborage,no unnecessary 2r[irles--- CONSTRUCTION&INSTALLATION 38 I;iiKshiPh;ind cleaner and r-in4ary towels or 1 66 Complete separation from living/sleapfrig quarters 1 16 Food-mconted surfaceis designed,constructed, 2 approved hand drying devices provided, and laundry maintained,installed,located tissue waste receptacles provided 57 Clean/soiled linens stored properly 1 11 Nonfood-contact surfaces designed, 1 58 No live birds,turtles,or other animals 1 constructed,Maintained,Installed,located GARBAGEIRUBSISH STORAGE&DISPOSAL 1(except guide dogs) 18 Single service Articles,storage,dispensing 2 39 1 Approved containers,adequate number, 19 No rouse of single Service Ginlic'10 covered,rodent proof,clean NONSMOKING AREAS 20 Dishwashing faicillities approved design,adequately J 40 Storage areatrooms,enclosures 59 Seats 75 or more;Nonsmoking area provided, constructed,maintained,installed,located properly constructed,clean sign(s)posted at antrance(a),smoking area � 'indicated by sign(s) 41 Garbage disposed of in an approved manner, at approved frequency QUALIFIED FOOD OPERATOR IDEMERIT SCORE 60 Qualified Food Operator 3 4� 3 FACTOR VIOLATIONS FACTO VIOLATIONS 1N.RED 61 Designated alternate 2 62 Written documentation of training program Signature of Person in charge'. TOTAL RATING Date Corrections Due SIGNED(Inspector)_ DESCRIBE DEFICIENCIES ONICONTINUATION SHEETS FIRE MARSHAUS STATE OF CONNECTICUT NON-RESIDENTIAL CERTIFICATION DEPARTMENT OF CHILDREN AND FAMILIES DAY FACILITIES DCF-424A DIVISION OF QUALITY ASSURANCE Rev.4/95 505 Hudson Street,Hartford,Connecticut 06106 (203)550-6431 OR 1-800-942-6346 This will certify that on_ -a��A Xy ,an inspection was made of d"a 44 5 (f CA/-7 yL, SY�-�-.� Yam-V _ (Name and address of facility) by �-S f},q l /�J.M�/fi►_ to meet the requirements for licensure by the Depanment of Children and Families as a )5_0 -for / _ children. (number) ( )New Facility ( ) Facility in use since Oe-1— '2 (Date) ACCORDING TO THE CONNECTICUT FIRE SAFETY CODE ( Section 21-1 General Requirements PLEASE IDENTIFY OTHER CODES USED FOR THIS INSPECTION The number of children being cared for in this facility at time of inspection 1/ Are smoke detectors located in all required areas? Yes No And are they in good working order? Yes 4'" No� Are all fire extinguishers fully charged and inspected within the past year? Yes 6 No Are all means of egress well lighted, marked,and free from obstruction? Yes` No -.---- Does this facility have regular,scheduled fire drills? Yes No ` Does this facility have an internal fibre alarm system? Yes No_ Is the system connected to the local fire department? Yes----'No _ Is the basement area approved for recreational purposes? �//�L Yes No The maximum number of PERSONS wbo may be in this facility is Within_^ days,a plan of correction must be submitted to the Fire Marshal's office and the Department of Children and Families indicating priorities,type of corrective action and estimated date of completion of said corrections. AS A RESULT OF THIS INSPECTION,THIS F CILIVEC,CUT S( )WAS NOT FOUND TO BE IN COMPLIANCE WITH THE FIRE SAFETY CODE OF THE STAVE OF `r SIGNATURE 0 /I�OCAl1 FIRE ARSHAL ADD>tESS PRONE DATE