Loading...
HomeMy WebLinkAboutDaycare Correspondence 0000 (2) 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD ❑ 1/32 t PRINCIPAL CONNECTICUT GENERAL STATUTES RELATED TO LEAD POISONING PREVENTION (Current Through January 1, 2009) Version 8.2 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD 2/32 This document has been prepared by the Connecticut Department of Public Health in an effort to compile those principal Connecticut General Statutes that are related to lead poisoning prevention. However,these are not reproductions of the original documents and may contain typographical or other errors in transcription. Please refer to the original official documents (The General Statutes of the State of Connecticut and the State of Connecticut Public and Special Acts,as prepared by the Legislative Commissioners' Office)to verify the exact content of any legislation. 2 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 3/32 TABLE OF CONTENTS Lead Poisoning Prevention and Treatment CHAPTER 368a--Department of Public Health--Public Health and Well-Being. Sec. 19a-110. (Formerly Sec. 19-65e). Report of lead poisoning. Availability of information regarding lead poisoning................................................................................7 Sec. 19a-110a. Regional lead poisoning treatment centers.............................................8 Sec. 19a-111. (Formerly Sec. 19-651). Investigation. Preventive measures. Relocation of families. Reports. Regulations...................................................................8 Sec. 19a-llla. Lead poisoning prevention program.......................................................9 Sec. 19a-ilib. Educational and publicity program. Early diagnosis program. Program for detection of sources of lead poisoning..........................................................9 Sec. 19a-111c. Abatement of lead in dwellings. List of encapsulant products. Regulations.................. ...................................................................................................10 Sea 19a-ll le. Federal funds for lead poisoning prevention programs........................11 Sea 19a-llIf. Environmentally safe housing for children and families program.........11 Sea 19a-lllg. Pediatric screening and risk assessment for lead poisoning. Duties of primarycare provider. Exemption...................................................................................11 Sec. 19a-111h. Review of lead poisoning data. Regulations............................................12 Sec. 19a-1111. Report re lead poisoning prevention efforts..............................................12 Sec. 19a-IIIJ. Financial assistance to local health departments for lead poisoning prevention efforts. Regulations..........................................................................................12 Sec. 19a-111 k.Applicability of OSHA standards to abatement and remediation of leadhazards....................................................................................................................12 Lead Contractors, Consultants, and Workers. 3 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 4/32 CHAPTER 400c--Lead Abatement Consultants. Contractors and Workers. Sea20-474. Definitions......................................................................................................13 Sec. 20-475. Lead abatement contractors or lead consultant contractors. Licenses; fee; renewal...........................................................................................................................15 Sec. 20-476. Lead consultants,lead abatement supervisors or lead abatement workers. Licenses; fee; renewal.........................................................................................15 Sec. 20-477. Training courses............................................................................................16 See. 20-478. Regulations.....................................................................................................18 Sec. 20-479. Limited exemption for code enforcement offlcials. ...................................18 Sec. 20-480. Exemption for certain state and federal employees performing duties under occupational safety and health laws........................................................................18 Sec. 20-481. Disciplinary action........................................................................................18 Sec. 20-482. Penalty. ..........................................................................................................19 CHAPTER 135-- Department of Housing: Uniform Relocation Assistance Act. Sec. 8-266. Short title: Uniform Relocation Assistance Act. Purpose. Policy..............19 Sec. 8-267. Definitions........................................................................................................19 Sec. 8-268. Payment for displacement expenses and losses. Moving expenses and dislocation allowances. Fixed payments. Landlord's responsibility in certain cases......................................................................................................................................20 Sec. 8-270. Additional payment for persons displaced from dwelling,Landlord's responsibility in certain cases. ............................................................................................20 Sec. 8-270a. Actions against landlords by towns, cities and boroughs and the state....21 CHAPTER 830--Rielits and Responsibilities of Landlord and Tenant. Sea 47a-4a. Effect of failure to comply with section 47a-7.............................................21 Sea 47a-7. Landlord's responsibilities.............................................................................21 4 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 5/32 Sec. 47a-11. Tenant's responsibilities...............................................................................22 CHAPTER 833a--Public Enforcement of Health and Safety Standards in Tenement and Boarding Houses, and in Rented Dwellines. Sec. 47a-50. DeBnitions.......................................................................................................23 Sec. 47a-51. (Formerly Sec. 19-343). Sanitary regulations............................................23 Sec. 47a-52. (Formerly Sec. 19-88). Abatement of conditions in rented dwelling other than tenement house constituting danger to life or health.....................................24 Sea 47a-53. (Formerly Sec. 19-344). Order of enforcement agency...........................24 Sec. 47a-54. (Formerly Sec. 19-345). Communicable diseases; unfit for habitation; orderto vacate......................................................................................................................25 Sea47a-54f. Paint...............................................................................................................25 Sea 47a-55. (Formerly Sec. 19-347). Enforcement. Penalties.......................................26 CHAPTER 133 --Housing. Redevelonment and Urban Renewal and Human Resource Development Programs. Sea 8-219e. Financial assistance for the abatement of lead-based paint and asbestos. Regulations..........................................................................................................26 CHAPTER 169-- School Health and Sanitation. Sea 10-206. Health Assessments........................................................................................27 Sea 10-206b. Tests for lead levels in Head Start Programs............................................27 CHAPTER 319uu-- Housing Assistance. Sec. 17b-808. Special needs bene©t for emergency housing(of AFDC families with children undergoing lead chelation treatment). Limitation. ..........................................28 CHAPTER 700c—Health Insurance. Sec. 38a-490d. Mandatory coverage for blood lead screening and risk assessment. ....29 5 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 6/32 Sec. 38a-535. Mandatory coverage for preventive pediatric care and blood lead screening and risk assessment............................................................................................29 Special Public Act No. 93-321. An Act Concernine Recommendations of the Lead Poisoning Prevention Task Force. Sec. 4.*...................................................................................................................................29 6 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 7/32 Lead Poisoning Prevention and Treatment CHAPTER 368a-- Department of Public Health--Public Health and Well-Being. Sec. 19a-110. (Formerly Sec. 19-65e). Report of lead poisoning. Availability of information regarding lead poisoning. (a)Not later than forty-eight hours after receiving or completing a report of a person found to have a level of lead in the blood equal to or greater than ten micrograms per deciliter of blood or any other abnormal body burden of lead, each institution licensed under sections 19a-490 to 19a-503, inclusive, and each clinical laboratory licensed under section 19a-30 shall report to(1)the Commissioner of Public Health, and to the director of health of the town, city or borough in which the person resides: (A) The name,full residence address, date of birth, gender,race and ethnicity of each person found to have a level of lead in the blood equal to or greater than ten micrograms per deciliter of blood or any other abnormal body burden of lead; (B)the name, address and telephone number of the health care provider who ordered the test; (C)the sample collection date,analysis date,type and blood lead analysis result; and(D)such other information as the commissioner may require, and(2)the health care provider who ordered the test,the results of the test. With respect to a child under three years of age, not later than seventy-two hours after the provider receives such results,the provider shall make reasonable efforts to notify the parent or guardian of the child of the blood lead analysis results. Any institution or laboratory making an accurate report in good faith shall not be liable for the act of disclosing said report to the commissioner or to the director of health. The commissioner, after consultation with the Chief Information Officer of the Department of Information Technology, shall determine the method and format of transmission of data contained in said report. (b) Each institution or laboratory that conducts lead testing pursuant to subsection(a)of this section shall, at least monthly,submit to the Commissioner of Public Health a comprehensive report that includes: (1)the name,full residence address, date of birth, gender,race and ethnicity of each person tested pursuant to subsection(a) of this section regardless of the level of lead in the blood; (2)the name, address and telephone number of the health care provider who ordered the test; (3)the sample collection date, analysis date,type and blood lead analysis result; (4)laboratory identifiers;and(5)such other information as the commissioner may require. Any institution or laboratory making an accurate report in good faith shall not be liable for the act of disclosing said report to the commissioner. The commissioner, after consultation with the Chief Information Officer, shall determine the method and format of transmission of data contained in said report. (c) Whenever an institutional laboratory or private clinical laboratory conducting blood lead tests pursuant to this section refers a blood lead sample to another laboratory for analysis,the laboratories may agree on which laboratory will report in compliance with subsections (a) and(b)of this section,but both laboratories shall be accountable to insure that reports are made. The referring laboratory shall insure that the requisition slip includes all of the information that is required in subsection(a)and(b)of this section and 7 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 8/32 that this information is transmitted with the blood specimen to the laboratory performing the analysis. (d)The director of health of the town, city or borough.shall provide or cause to be provided,to the parent or guardian of a child reported, pursuant to subsection(a)of this section, with information describing the dangers of lead poisoning,precautions to reduce the risk of lead poisoning, information about potential eligibility for services for children from birth to three years of age pursuant to sections 17a-248 to 17a-248g, inclusive,and laws and regulations concerning lead abatement. Said information shall be developed by the Department of Public Health and provided to each local and district director of health. With respect to the child reported,the director shall conduct an on-site inspection to identify the source of the lead causing a confirmed venous blood lead level equal to or greater than fifteen micrograms per deciliter but less than twenty micrograms per deciliter in two tests taken at least three months apart and order remediation of such sources by the appropriate persons responsible for the conditions at such source. On and after January 1, 2012, if one per cent or more of children in this state under the age of six report blood lead levels equal to or greater than ten micrograms per deciliter,the director shall conduct such on-site inspection and order such remediation for any child having a confirmed venous blood lead level equal to or greater than ten micrograms per deciliter in two tests taken at least three months apart. Sec. 19a-110a. Regional lead poisoning treatment centers. The commissioner of public health may, within available appropriations, establish two regional lead poisoning treatment centers in different areas of the state by providing grants in aid to two hospitals, each with a demonstrated expertise in lead poisoning prevention as determined by the commissioner. Each center shall serve a designated area of the state to provide services including, but not limited to, consultation services for physicians regarding proper treatment of lead poisoning. No grant may be provided pursuant to this section until the task force report required under section 4 of public act 92-192* has been submitted. "Note: Section 4 of public act 92-192 was special in nature and therefore was not codified but remained in full force and effect according to its term. See also section 4 of public act 93-321 which replaced section 4 of public act 92-192;page 26 of this document. Sec. 19a-111. (Formerly See. 19-651). Investigation. Preventive measures. Relocation of families. Reports. Regulations. Upon receipt of each report of confirmed venous blood lead level equal to or greater than twenty micrograms per deciliter of blood,the local director of health shall make or cause to be made an epidemiological investigation of the source of the lead causing the increased lead level or abnormal body burden and shall order action to be taken by the appropriate person or persons responsible for the condition or conditions which brought about such lead poisoning as may be necessary to prevent further exposure of persons to such poisoning. In the case of any residential unit where such action will not result in removal of the hazard within a reasonable time,the local director of health shall utilize such community resources as are available to effect relocation of any family occupying such unit. The local director of health may permit occupancy in said residential unit during abatement if, in his judgment, occupancy would not threaten the health and well being of the occupants. The local director of health shall,within thirty(30) days of the conclusion of 8 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 9/32 his investigation, report to the commissioner of public health the result of such investigation and the action taken to insure against further lead poisoning from the same source, including any measures taken to effect relocation of families. Such report shall include information relevant to the identification and location of the source of lead poisoning and such other information as the commissioner may require pursuant to regulations adopted in accordance with the provisions of chapter 54. The commissioner shall maintain comprehensive records of all reports submitted pursuant to this section and section 19a-110. Such records shall be geographically indexed in order to determine the location of areas of relatively high incidence of lead poisoning. The commissioner shall prepare a quarterly summary of such records which he shall keep on file and release upon request. The commissioner shall establish,in conjunction with recognized professional medical groups, guidelines consistent with the National Centers for Disease Control for assessment of the risk of lead poisoning, screening for lead poisoning and treatment and follow-up care of individuals including children with lead poisoning,women who are pregnant and women who are planning pregnancy. Nothing in this section shall be construed to prohibit a local building official from requiring abatement of sources of lead. Sec. 19a-111a. Lead poisoning prevention program. (a)The Department of Public Health shall be the lead state agency for lead poisoning prevention in this state. The Commissioner of Public Health shall (1)identify the state and local agencies in this state with responsibilities related to lead poisoning prevention, and(2) schedule a meeting of such state agencies and representative local agencies at least once annually in order to coordinate lead poisoning prevention efforts in this state. (b)The commissioner shall establish a lead poisoning prevention program to provide screening, diagnosis,consultation, inspection and treatment services, including, but not limited to,the prevention and elimination of lead poisoning through research, abatement, education and epidemiological and clinical activities. Such program shall include,but need not be limited to,the screening services provided pursuant to section l9a-ll lg. (c) Within available appropriations,the commissioner may contract with individuals,groups or agencies for the provision of necessary services and enter into assistance agreements with municipalities, cities, boroughs or district departments of health or special service districts for the development and implementation of comprehensive lead poisoning prevention programs consistent with the provisions of sections l 9a-110 to 19a-111 c, inclusive. Sec. 19a-111b. Educational and publicity program. Early diagnosis program. Program for detection of sources of lead poisoning. Within the lead poisoning prevention program established pursuant to section 19a-11 la: (1) The commissioner shall institute an educational and publicity program in order to inform the general public,teachers, social workers and other human services personnel; owners of residential property, and in particular, buildings constructed prior to 1950; and 9 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 10/32 health services personnel of the danger, frequency and sources of lead poisoning and methods of preventing such poisoning; (2) The commissioner shall establish an early diagnosis program to detect cases of lead poisoning. Such program shall include, but not be limited to,the routine examination of children under the age of six in accordance with protocols promulgated by the National Centers for Disease Control. Results equal to or greater than the levels specified in section 19a-110 from any examination pursuant to sections 19a-110 to 19a-11 ld, inclusive, shall be provided to the child's parent or legal guardian,the local director of health and the commissioner;and (3) The commissioner shall establish a program for the detection of sources of lead poisoning. Within available appropriations, such program shall include the identification of dwellings in which paint,plaster or other accessible substances contain toxic levels of lead and the inspection of areas surrounding such dwellings for lead-containing materials. Any person who detects a toxic level of lead, as defined by the commissioner,shall report such findings to the commissioner. The commissioner shall inform all interested parties, including but not limited to,the owner of the building,the occupants of the building, enforcement officials and other necessary parties. Sec. 19a-111c. Abatement of lead in dwellings. List of encapsulant products. Regulations. (a) The owner of any dwelling in which the paint, plaster or other material is found to contain toxic levels of lead and in which children under the age of six reside, shall abate, remediate or manage such dangerous materials consistent with regulations adopted pursuant to this section. The Commissioner of Public Health shall adopt regulations,in accordance with chapter 54,to establish requirements and procedures for testing, remediation, abatement and management of materials containing toxic levels of lead. For the purposes of this section, "remediation"means the use of interim controls, including,but not limited to, paint stabilization, spot paint repair, dust control, specialized cleaning and covering of soil with mulch. (b) The commissioner shall authorize the use of any liquid, cementitious or flexible lead encapsulant product which complies with an appropriate standard for such products developed by the American Society for Testing and Materials or similar testing organization acceptable to the commissioner for the abatement and remediation of lead hazards. The commissioner shall maintain a list of all such approved lead encapsulant products that may be used in this state for the abatement and remediation of lead hazards. (c) (1)The Commissioner of Public Health may adopt regulations, in accordance with chapter 54,to regulate paint removal from the exterior of any building or structure where the paint removal project may present a health hazard to neighboring premises. The regulations may establish: (A)Definitions, (B) applicability and exemption criteria, (C) procedures for submission of notifications, (D)appropriate work practices, and(E) penalties for noncompliance. (2) The Commissioner of Public Health may adopt regulations, in accordance with chapter 54,to regulate the standards and procedures for testing,remediation, as defined 10 12/11/2008 13:01 (060) 610-0857 To: South Windsor HD p 11/32 in this section, abatement and management of materials containing toxic levels of lead in any premises. Sec. 19a-111e. Federal funds for lead poisoning prevention programs. The department of public health shall apply for, qualify for and accept any federal funds made available or allotted under any federal act for state lead poisoning prevention programs including lead abatement certification programs pursuant to the federal Residential Lead- Based Paint Hazard Reduction Act of 1992. Sec. 19a-11If. Environmentally safe housing for children and families program. (a) For purposes of this section: (1) "Commissioner" means the Commissioner of Public Health; (2) "Eligible families"means any household which(A) is eligible for the federal Medicaid program, (B)includes a child who is six years of age or younger as of July 1, 2000, and(C)is residing in a building built prior to 1978; and (3) "The program" or "this program"means the program established by this section. (b) The Commissioner of Public Health may establish a program to promote environmentally safe housing for children and families through education,medical screening and appropriate and cost-effective repairs. Such program may(A)identify eligible families and,through voluntary home visits,provide education about the problems caused by exposure to lead and how to avoid or lessen the effects of such exposure, (B)provide blood lead screening for children who are six years of age or younger, (C)identify measures to be taken to lessen the effects from the presence of lead, including window repair or replacement, (D)apply to federal programs and to other funding sources which will pay for some of the costs of this program, and(E)continue to evaluate the program's progress in order to plan for a phase-out in three to five years. The commissioner may contract with a nonprofit entity to operate the program. (c) Eligible costs by a nonprofit entity operating this program shall include costs and expenses incurred in providing lead-safety education, interim measures and window repair or replacement or other remediation for dwelling units, administrative and management expenses,planning and start-up costs, and any other costs and expenses found by the commissioner to be necessary and reasonable and in accordance with existing state regulations. Sec 19a-111g. Pediatric screening and risk assessment for lead poisoning. Duties of primary care provider. Exemption. (a) Each primary care provider giving pediatric care in this state, excluding a hospital emergency department and its staff. (1)Shall conduct lead screening at least annually for each child nine to thirty-five months of age, inclusive,in accordance with the Childhood Lead Poisoning Prevention Screening Advisory Committee Recommendations for Childhood Lead Screening in Connecticut; (2)shall conduct lead screening for any child thirty-six to seventy-two months of age, inclusive, who has not been previously screened or for any child under seventy-two months of age, if clinically indicated as determined by the primary care provider in accordance with the Childhood Lead Poisoning Prevention Screening Advisory Committee Recommendations for 11 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 12/32 Childhood Lead Screening in Connecticut; (3)shall conduct a medical risk assessment at least annually for each child thirty-six to seventy-one months of age, inclusive, in accordance with the Childhood Lead Poisoning Prevention Screening Advisory Committee Recommendations for Childhood Lead Screening in Connecticut; (4)may conduct a medical risk assessment at any time for any child thirty-six months of age or younger who is determined by the primary care provider to be in need of such risk assessment in accordance with the Childhood Lead Poisoning Prevention Screening Advisory Committee Recommendations for Childhood Lead Screening in Connecticut. (b) The requirements of this section do not apply to any child whose parents or guardians object to blood testing as being in conflict with their religious tenets and practice. Sea 19a-lllh. Review of lead poisoning data. Regulations. Not later than January 1, 2008,the Commissioner of Public Health shall review the data collected by the Department of Public Health regarding lead poisoning to determine if the data is recorded in a format that is compatible with the information reported by institutions and laboratories pursuant to section 19a-110. If the commissioner finds that such data should be reported in a different manner,the commissioner shall adopt regulations, in accordance with chapter 54,to establish the manner for reporting such data. Sec. 19a-lili. Report re lead poisoning prevention efforts. (a)On or before January 1, 2009, and annually thereafter,the Commissioner of Public Health shall report, in accordance with section 11-4a,to the joint standing committees of the General Assembly having cognizance of matters relating to public health and human services on the status of lead poisoning prevention efforts in the state. Such report shall include, but not be limited to, (1)the number of children screened for lead poisoning during the preceding calendar year, (2)the number of children diagnosed with elevated blood levels during the preceding calendar year, and(3)the amount of testing, remediation, abatement and management of materials containing toxic levels of lead in all premises during the preceding calendar year. (b) On or before January 1, 2011,the Commissioner of Public Health shall (1) evaluate the lead screening and risk assessment conducted pursuant to sections 19a-110 and 19a-11 lg, and(2)report, in accordance with section 11-4a,to the joint standing committees of the General Assembly having cognizance of matters relating to public health and human services on the effectiveness of such screening and assessment, including a recommendation as to whether such screening and assessment should be continued as specified in said sections 19a-110 and 19a-111g. Sec. 19a-llij. Financial assistance to local health departments for lead poisoning prevention efforts. Regulations. The Department of Public Health shall, within available appropriations, establish and administer a program of financial assistance to local health departments for expenses incurred in complying with applicable provisions of sections 19a-110, 19a-11 la, 19a-206, 47a-52 and 47a-54f. The Commissioner of Public Health may adopt, in accordance with chapter 54, such regulations as the commissioner deems necessary to carry out the purposes of this section. 12 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 13/32 Sec. 19a-1111L Applicability of OSHA standards to abatement and remediation of lead hazards. All standards adopted by the federal Occupational Safety and Health Administration, including, but not limited to, standards listed in 29 CFR 1910. 1025 and 1926. 62, as adopted pursuant to chapter 571, or 29 USC 651 et seq., as from time to time amended,as appropriate, and only as those standards apply to employers and employees, shall apply to the provisions of sections 19a-11 lc, 19a-206, 47a-52 and 47a-54f. Lead Contractors, Consultants, and Workers CHAPTER 400c--Lead Abatement Consultants, Contractors and Workers. Sec. 20-474. DeSnitions. As used in sections 20-474 to 20-482,inclusive, subsections (e)and(f)of section 19a-88 and section 19a-111: (1) "Abatement" means any set of measures designed to eliminate lead hazards in accordance with standards established pursuant to sections 20-474 to 20-482, inclusive, and subsections (e) and(f) of section 19a-88 and regulations adopted thereunder, including,but not limited to,the encapsulation,replacement, removal, enclosure or covering of paint, plaster, soil or other material containing toxic levels of lead and all preparation, clean-up, disposal and reoccupancy clearance testing; (2) "Certificate" means a document issued by the department indicating successful completion of an approved training course; (3) "Code enforcement official" means the director of health or a person authorized by him to act on his behalf,the local housing code official or a person authorized by him to act on his behalf, or an agent of the commissioner; (4) "Commissioner"means the commissioner of public health; (5) "Department" means the department of public health; (6) "Director of health"means a municipal health director or a district director of health as defined in chapters 386e and 386f; (7) "Dwelling" means every building or shelter used or intended for human habitation, including exterior surfaces and all common areas thereof, and the exterior of any other structure located within the same lot, even if not used for human habitation; (8) "Dwelling unit" means a room or group of rooms within a dwelling arranged for use as a single household by one or more individuals living together who share living and sleeping facilities; (9) "Entity" means any person, partnership,firm, association, corporation,sole proprietorship or any other business concern, state or local government agency or political subdivision or authority thereof, or any religious, social or union organization, whether operated for profit or otherwise; 13 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 14/32 (10) "Inspection" means an investigation to determine the presence of lead in paint, lead in other surface coverings, lead in dust, lead in soil or lead in drinking water, and the provision of a report explaining the results of the investigation; (11) "Inspector" means an individual who performs inspections solely for the purpose of determining the presence of lead-based paint and surface coverings and lead in soil, dust and drinking water through the use of on-site testing including, but not limited to, x-ray fluorescence (XRF)analysis with portable analytical instruments, and the collection of samples for laboratory analysis and who collects information designed to assess the level of risk; (12) "Lead abatement contractor"means any entity which contracts to perform lead hazard reduction by means of abatement including,but not limited to,the encapsulation, replacement,removal, enclosure or covering of paint, plaster, soil or other material containing toxic levels of lead; (13) "Lead abatement supervisor"means an individual who oversees lead abatement activities; (14)"Lead abatement worker" means an individual who performs lead abatement activities; (15)"Lead consultant" means any person who performs lead detection, risk assessment, abatement design or related services in disciplines including inspector and planner-project designer; (16) "Lead consultant contractor"means any entity which contracts to perform lead hazard reduction consultation work utilizing an inspector or planner-project designer; (17)"License"means the whole or part of any department permit, approval or similar form of permission required by the general statutes and which further requires: (A) Practice of the profession by licensed persons or entities only; (B) that a person or entity demonstrate competence to practice through an examination or other means and meet certain minimum standards; and(C)enforcement of standards by the department; (18) "Planner-project designer" means an individual who designs lead abatement and management activities; (19) "Premises"means the area immediately surrounding a dwelling; (20) "Refresher training course" means an annual, supplemental training course for personnel engaged in lead abatement or lead consultation services; (21) "Training course" means an approved training course offered by atraining provider for persons seeking instruction in lead abatement or lead consultation services; and 14 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 15/32 (22) "Training provider" means an entity which offers an approved training course or refresher training course in lead abatement or lead consultation services. Sec. 20-475. Lead abatement contractors or lead consultant contractors. Licenses; Fee; renewal. (a) On and after the effective date of regulations adopted pursuant to section 20- 478, no entity shall hold itself out as a lead abatement contractor or lead consultant contractor,or to principally engage in such work in this state without a'license issued by the commissioner of public health. Applications for such license shall be made to the department on forms provided by it, and shall be accompanied by a fee of five hundred dollars, and shall contain such information regarding the applicant's qualifications as the department may require in regulations adopted pursuant to said section 20-478 including, but not limited to, demonstrating that all employees of any applicant who require certification pursuant to subsections (e)and(f) of section 19a-88 and sections 20-474 to 20-482, inclusive, are certified by the department. The department shall review the technical, equipment and personnel resources of each applicant. No person shall be issued a license to act as a lead abatement contractor or lead consultant contractor unless he obtains such approval. The commissioner may issue a license under this section to any person who is licensed in another state under a law which provides standards which are equal to or higher than those of Connecticut and is not subject to any unresolved complaints or pending disciplinary actions. Licenses issued pursuant to this section shall be renewed annually in accordance with the provisions of section 19a-88 upon payment of a fee of five hundred dollars. (b) The commissioner shall issue a temporary license as a lead abatement contractor or lead consultant contractor to any contractor who, as of July lst, 1994, is performing such work,which license shall be valid for a period of one year from said date and which shall expire no later than June 30, 1995. During the period such temporary license is in effect,the contractor shall make application to the department for licensure pursuant to subsection(a)of this section. If an application is pending for licensure pursuant to said subsection(a),the temporary license may be renewed for an additional six-month period. No temporary license shall be issued to any applicant against whom disciplinary action is pending or who is the subject of unresolved complaint under chapter 393c or 400. The fee for a temporary license and renewal shall be the same as those provided in said subsection(a). Sec. 20-476. Lead consultants,lead abatement supervisors or lead abatement workers. Licenses; fee; renewal. (a) On and after the effective date of regulations adopted pursuant to section 20- 478, no person shall hold himself out as a lead consultant, lead abatement supervisor or a lead abatement worker as defined in regulations adopted pursuant to section 20-478, in this state without a certificate issued by the commissioner of public health. Applications for such certificate shall be made to the department on forms provided by it, and shall be accompanied by a fee of twenty-five dollars, and shall contain such information regarding the applicant's qualifications as the department may require in regulations adopted pursuant to said section 20-478. No person shall be issued a certificate to act as a lead consultant, lead abatement supervisor or lead abatement worker unless he obtains 15 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 16/32 such approval. The commissioner may issue a certificate under this section to any person who is licensed or certified in another state under a law which provides standards which are equal to or higher than those of Connecticut and is not subject to any unresolved complaints or pending disciplinary actions. Certificates issued pursuant to this section shall be renewed annually in accordance with the provisions of section 19a-88 upon payment of a fee of twenty-five dollars. (b) The commissioner shall issue a temporary certificate as a lead consultant, lead abatement supervisor or lead abatement worker to any person who, as of July 1, 1994, is performing such work,which certificate shall be valid for a period of one year from said date and which shall expire no later than June 30, 1995. During the period such temporary certificate is in effect,the lead consultant, lead abatement supervisor or lead abatement worker shall make application to the department for certification pursuant to subsection(a)of this section. If an application is pending for certification pursuant to said subsection(a),the temporary certificate may be renewed for an additional six-month period. The fee for a temporary license and renewal shall be the same as those provided in said subsection(a). Sec. 20-477. Training courses. (a) On and after July 1 st, 1994,all training courses and refresher training courses offered by training providers for persons seeking instruction as a lead consultant, including inspector or planner-project designer, lead abatement supervisor and lead abatement worker, shall be approved by the department and shall be conducted in accordance with the requirements of this section. Each application for approval of each training course offered by a training provider shall be accompanied by a fee of one thousand dollars. Each application for approval of each refresher training course offered by a training provider shall be accompanied by a fee of two hundred fifty dollars. Each training course shall be reapproved by the department every three years. Each training provider shall pay a fee of one thousand dollars for application for reapproval of each training course in accordance with this section. Each refresher training course shall be reapproved by the department every three years. Each refresher training provider shall pay a fee of two hundred fifty dollars for application for reapproval of each refresher training course in accordance with this section. No fee shall be imposed upon training courses or refresher training courses operated and provided by the state, municipalities or nonprofit agencies. In order to facilitate uniformity among states in regulatory programs for lead abatement and lead consultant personnel and reciprocity of lieensure and certification programs,the commissioner may establish liaisons with other states having state certification or licensure programs. (b) (1) A training provider seeking approval of a training course or a refresher training course shall submit to the department completed application forms provided by the department and other associated material and such information as the department shall require to establish compliance with the requirements of this section. (2) A training provider may offer any training course or refresher training course as desired, provided each course is approved by the department. Only training providers who have already received approval for a training course in a particular 16 12/11/2008 13:.01 C860) 610-0857 To: South Windsor HD D 17/32 discipline, or are concurrently seeking such approval, may seek approval for a refresher training course in that discipline. (3) Training course curricula shall encompass topics and materials as established by the commissioner. These curricula shall conform to standards or guidance for such course as established by the federal Environmental Protection Agency or such other federal agencies as may have jurisdiction. (4) Training courses and refresher training courses shall utilize staff and faculty who comply with educational and experience standards as established by the commissioner. These standards shall conform to standards or guidance for such personnel qualifications as established by the federal Environmental Protection Agency or such other federal agencies as may have jurisdiction. (c) Refresher training courses for each training course shall include the following: (1) An overview of key safety practices; (2) an update on new federal, state and local laws and regulations; and(3) an update on new technologies. Each refresher course shall consist of a minimum of seven training hours. (d) Each training provider shall administer a closed book objective examination at the completion of each training or refresher training course. Such examination shall be an evaluation of the knowledge and skills acquired by each student. The course examination shall cover the course curriculum taught in each course. Training providers shall establish a passing standard for each course examination, provided such standard shall not be lower than seventy percent correct. (e) The department may conduct an audit of any training course or refresher training course prior to reapproval. The training provider shall submit an application for reapproval not earlier than one hundred eighty days nor later than ninety days before the current course approval expires. In the event an audit is performed,the following elements may be examined: (1) Course materials; (2) instructor competency; (3) validity and security of the course examination; (4) the conduct of hands-on skills assessments; (5) adequacy of the facility and equipment; and (6) the training course quality control plan. (f) Each training provider shall retain the following information: (1) Records of staff and faculty qualifications; (2) curriculum and course materials; (3) course examination or pool of examination questions; (4) information on how hands-on skills assessments were conducted; and (5) student files grouped alphabetically by class and year. Each student file shall contain results of the hands-on skills assessment and the examination and copies of any course completion certificate issued. The training provider shall retain these records at the location specified on the training provider's approved application for a minimum of three years. (g) The department may, after opportunity for hearing, suspend,revoke or withdraw approval of a training or refresher training course upon a finding that a training course provider has committed any of the following acts: (1) Misrepresentation or concealment of a material fact in the obtaining of approval or reapproval of a training or 17 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 18/32 a refresher training course; (2) failure to submit required information or notifications in a timely manner; (3) failure to maintain requisite records; (4) falsification of records, instructor qualifications or other approval information; (5) failure to adhere to the training standards and requirements of this section; (6) failure on the part of the training manager or other person with supervisory authority over the delivery of training to comply with federal, state or local lead statutes or regulations; or (7) fraudulent issuance of a course completion document to a person who has failed to successfully complete the course or course examination. Notice of any contemplated action under this subsection, the cause of action and the date of a hearing on the action shall be given and an opportunity for hearing afforded in accordance with the provisions of chapter 54. The commissioner may petition the superior court for the judicial district of Hartford to enforce any order or action taken pursuant to this subsection. The provisions of this subsection shall not apply to applications for approval or reapproval filed pursuant to this section. (h) The commissioner may adopt regulations, in accordance with the provisions of chapter 54, requiring that applicants successfully complete an examination prescribed by the department, for certification in the following professions: Lead consultant,lead abatement supervisor and lead abatement worker. Sec. 20-478, Regulations. The commissioner shall adopt regulations in accordance with the provisions of chapter 54 to administer the provisions of sections 20- 475 and 20-476. Such regulations shall include,but not be limited to,the following: (1) Standards for licensure of lead abatement contractors and lead consultant contractors; (2) passing scores for licensure examination of lead abatement contractors and lead consultant contractor and(3) standards for certification of lead consultants, lead abatement supervisors and lead abatement workers. Sec. 20-479. Limited exemption for code enforcement officials. The provisions of section 20-476 shall not apply to a code enforcement official acting within the scope of his duties,provided, within one year of July 1st, 1994, no code enforcement official shall perform the duties of a lead consultant unless he has successfully completed an appropriate approved training course and an annual refresher training as specified in section 20-477 or complies with the standards established in regulations adopted pursuant to section 20-478. Sec. 20-480. Exemption for certain state and federal employees performing duties under occupational safety and health laws. The provisions of sections 20-475 to 20-477, inclusive, shall not apply to an employee of the labor department performing his duties in accordance with chapter 571 nor to a federal employee of the Occupational Safety and Health Administration performing his duties, in accordance with the federal Occupational Safety and Health Act. Sea 20-481. Disciplinary action. The department may take any action set forth in section 19a-17 against a person or entity issued a license or certificate pursuant to sections 20-474 to 20-482, inclusive, and subsections (e)and(f)of section 19a-88 for reasons including, but not limited to,the following: Conviction of a felony; fraud or deceit in the practice of his profession;negligent, incompetent or wrongful conduct in 18 12/11/2008 13:01. (860) 610-0857 To: South Windsor HD p 19/32 professional activities;misrepresentation or concealment of a material fact in the obtaining,reinstatement or renewal of a license; or violation of any provision of sections 20-474 to 20-482, inclusive, and subsections (e)and(f)of section 19a-88 or any regulation adopted thereunder. The commissioner may petition the superior court for the judicial district of Hartford to enforce such order or any action taken pursuant to said section 19a-17. Notice of any contemplated action under said section 19a-17,the cause of action and the date of a hearing on the action shall be given and an opportunity for hearing afforded in accordance with the provisions of chapter 54. Sec. 20-482. Penalty. Any person or entity who knowingly violates any provision of sections 20-474 to 20-481,inclusive, and subsections (e)and(f), of section 19a-88 or any regulation adopted thereunder, shall be fined not more than one thousand dollars per violation. CHAPTER 135--Department of Housine: Uniform Relocation Assistance Act. *Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 8-266. Short title: Uniform Relocation Assistance Act. Purpose. Policy. This chapter shall be known as the "Uniform Relocation Assistance Act". The purpose of this chapter is to establish a uniform policy for the fair and equitable treatment of persons displaced by the acquisition of real property by state and local land acquisition programs, by building code enforcement activities, or by a program of voluntary rehabilitation of buildings or other improvements conducted pursuant to governmental supervision. Such policy shall be uniform as to(1)relocation payments, (2)advisory assistance, (3) assurance of availability of standard housing, and(4) state reimbursement for local relocation payments under state assisted and local programs. Sec. 8-267. Definitions. As used in this chapter: (1) "State agency"means any department, agency or instrumentality of the state or of a political subdivision of the state, or local housing authorities, or any department,agency or instrumentality of two or more political subdivisions of the state, but shall not include community housing development corporations authorized under section 8-217; (3) "Displaced person"means (a)any person who, on or after July 6, 1971, moves from real property, or moves his personal property from real property, as a result of the acquisition of such real property, in whole or in part, or as the result of the written order of the acquiring agency to vacate real property,for a program or project undertaken by or supervised by a state agency or unit of local government and solely for the purposes of subsections (a)and(b) of section 8-268 and section 8-271 as a result of the acquisition of or as a result of the written order of the acquiring agency to vacate other real property, on which such person conducts a business or farm operation,for such program or project; or (b) any person who so moves as the direct result of code enforcement activities or a 19 12/11/2008 13:01 C860) 610-0857 To: South Windsor HD D 20/32 program of rehabilitation of buildings pursuant to such governmental program or under such governmental supervision; Sec. 8-268. Payment for displacement expenses and losses. Moving expenses and dislocation allowances. Fixed payments. Landlord's responsibility in certain cases. (a) Whenever a program or project undertaken by a state agency or under the supervision of a state agency will result in the displacement of any person on or after July 6, 1971,the head of such state agency shall make payment to any displaced person, upon proper application as approved by such agency head,for(1) actual reasonable expenses in moving himself,his family,business, farm operation or other personal property; (2) actual direct losses of tangible personal property as a result of moving or discontinuing a business or farm operation, but not to exceed an amount equal to the reasonable expenses that would have been required to relocate such property, as determined by the state agency, and(3)actual reasonable expenses in searching for a replacement business or farm, provided, whenever any tenant in any dwelling unit is displaced as a result of the enforcement of any code to which this section is applicable by any town, city, or borough or agency thereof,the landlord of such dwelling unit shall be liable for any payments made by such town, city or borough pursuant to this section or by the state pursuant to subsection(b)of section 8-280, and the town, city or borough or the state may place a lien on any real property owned by such landlord to secure repayment to the town, city or borough or the state of such payments, which lien shall have the same priority as and shall be filed, enforced and discharged in the same manner as a lien for municipal taxes under chapter 205. (b) Any displaced person eligible for payments under subsection(a)of this section who is displaced from a dwelling and who elects to accept the payments authorized by this subsection in lieu of the payments authorized by subsection(a)of this section may receive a moving expense allowance, determined according to a schedule established by the state agency,not to exceed three hundred dollars and a dislocation allowance of two hundred dollars. Sec. 8-270. Additional payment for persons displaced from dwelling, Landlord's responsibility in certain cases. In addition to amounts otherwise authorized by this chapter, a state agency shall make a payment to or for any displaced person displaced from any dwelling not eligible to receive a payment under section 8-269 which dwelling was actually and lawfully occupied by such displaced person for not less than ninety days prior to the initiation of negotiations for acquisition of such dwelling under the program or project which results in such person being displaced. Such payment shall be,either(1)the amount necessary to enable such displaced person to lease or rent for a period not to exceed four years,a decent, safe, and sanitary dwelling of standards adequate to accommodate such person in areas not generally less desirable in regard to public utilities and public and commercial facilities, and reasonably accessible to his place of employment,but not to exceed four thousand dollars, or(2)the amount necessary to enable such person to make a down payment, including reasonable expenses incurred by such displaced person for evidence of title, recording fees, and other closing costs incident to the purchase of a decent, safe, and sanitary dwelling of standards adequate to accommodate such person in areas not generally less desirable in regard to 20 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 21/32 public utilities and public and commercial facilities, but not to exceed four thousand dollars, except that if such amount exceeds two thousand dollars, such person must equally match any such amount in excess of two thousand dollars in making the down payment, and provided, whenever any tenant in any dwelling unit is displaced as the result of the enforcement of any code to which this section is applicable by any town, city or borough or agency thereof,the landlord of such dwelling unit shall be liable for any payments made by such town, city or borough pursuant to this section or by the state pursuant to subsection(b)of section 8-280, and the town, city or borough or the state may place a lien on any real property owned by such landlord to secure repayment to the town, city or borough or the state of such payments, which lien shall have the same priority as and shall be filed, enforced and discharged in the same manner as a lien for municipal taxes under chapter 205. Sea 8-270a. Actions against landlords by towns, cities and boroughs and the state. If any landlord fails to reimburse any town,city or borough for any payments which the town, city or borough has made to any displaced tenant and for which the landlord is liable pursuant to section 8-268 or 8-270, such town, city or borough or the state pursuant to subsection-(b)of section 8-280 may bring a civil action against such landlord in the superior court for the judicial district in which the town, city or borough is located or for the judicial district in which such landlord resides for the recovery of such payments, and for the costs,together with reasonable attorney's fees, of the town, city or borough or the state in bringing such action. In any such action, it shall be an affirmative defense for the landlord that the displacement was not the result of the landlord's violation of section 47a-7. CHAPTER 830--Riahts and Responsibilities of Landlord and Tenant. *Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 47a-4a. Effect of failure to comply with section 47a-7. A rental agreement shall not permit the receipt of rent for any period during which the landlord has failed to comply with subsection(a)of section 47a-7. Sec. 47a-7. Landlord's responsibilities. (a) A landlord shall: (1) Comply with the requirements of chapter 368o and all applicable building and housing codes materially affecting health and safety of both the state or any political subdivision thereof (2)make all repairs and do whatever is necessary to put and keep the premises in a fit and habitable condition, except where the premises are intentionally rendered unfit or uninhabitable by the tenant, a member of his family or other person on the premises with his consent, in which case such duty shall be the responsibility of the tenant; (3)keep all common areas of the premises in a clean and safe condition; (4)maintain in good and safe working order and condition all electrical, plumbing, sanitary,heating,ventilating and other facilities and appliances and elevators, supplied or required to be supplied by him; (5)provide and maintain appropriate receptacles for the removal of ashes, garbage,rubbish and other waste incidental to the 21 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD 6 22/32 occupancy of the dwelling unit and arrange for their removal; and(6) supply running water and reasonable amounts of hot water at all times and reasonable heat except if the building which includes the dwelling unit is not required by law to be equipped for that purpose or if the dwelling unit is so constructed that heat or hot water is generated by an installation within the exclusive control of the tenant or supplied by a direct public utility connection. (b)If any provision of any municipal ordinance, building code or fire code requires a greater duty of the landlord than is imposed under subsection(a) of this section,then such provision of such ordinance or code shall take precedence over the provision requiring such lesser duty in said subsection. (c) The landlord and tenant of a single-family residence may agree in writing that the tenant perform the landlord's duties specified in subdivisions(5) and(6)of subsection (a) and also specified repairs,maintenance tasks, alterations,or remodeling, provided the transaction is entered into in good faith and not for the purpose of evading the obligations of the landlord. (d) The landlord and tenant of a dwelling unit other than a single-family residence may agree that the tenant is to perform specified repairs,maintenance tasks, alterations or remodeling if(1)the agreement of the parties is entered into in good faith; (2)the agreement is in writing; (3)the work is not necessary to cure noncompliance with subdivisions (1) and(2) of subsection(a) of this section; and(4)the agreement does not diminish or affect the obligation of the landlord to other tenants in the premises. Sec. 47a-11. Tenant's responsibilities. A tenant shall: (a) Comply with all obligations primarily imposed upon tenants by applicable provisions of any building, housing or fire code materially affecting health and safety; (b) keep such part of the premises that he occupies and uses as clean and safe as condition of the premises permit; (c)remove from his dwelling unit all ashes, garbage, rubbish and other waste in a clean and safe manner to the place provided by the landlord pursuant to subdivision(5)of subsection(a)of section 47a 7; (d)keep all plumbing fixtures and appliances in the dwelling unit or used by the tenant as clean as the condition of each such fixture or appliance permits; (e)use all electrical, plumbing, sanitary, heating, ventilating, air conditioning and other facilities and appliances, including elevators, in the premises in a reasonable manner; (f)not willfully or negligently destroy, deface, damage, impair or remove any part of the premises or permit any other person to do so; (g) conduct himself and require other persons on the premises with his consent to conduct themselves in a manner that will not disturb his neighbors'peaceful enjoyment of the premises or constitute a nuisance as defined in section 47a-32, or a serious nuisance, as defined in section 47a-15; and(h) if judgment has entered against a member of the tenant's household pursuant to subsection(c)of section 47a-26h for serious nuisance by using the premises for the illegal sale of drugs,not permit such person to resume occupancy of the dwelling unit, except with the consent of the landlord. 22 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 23/32 CHAPTER 833a--Public Enforcement of Health and Safety Standards in Tenement and Boardine Houses, and in Rented Dwellings. 'Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sea 47a-50. Deflnitions. This following terms, when used in this chapter, are defined as follows: (1)A"tenement house"means any house or building, or portion thereof,which is rented, leased or hired out to be occupied, or is arranged or designed to be occupied, or is occupied, as the home or residence of three or more families, living independently of each other, and doing their cooking upon the premises, and having a common right in the halls, stairways or yards; (2) A"lodging house"or"boarding house"means any house or building or portion thereof, in which six or more persons are harbored,received or lodged for hire, or any building or part thereof,which is used as a sleeping place or lodging for six or more persons not members of the family residing therein; (3) A"dwelling unit"or an"apartment"means any house or building, or portion thereof, which is rented,leased or hired out to be occupied, or is occupied as a home or residence of one or more persons; (11)"Enforcing agency"means the board of health or other authority designated to enforce the provisions of this chapter of a local housing code. Sea 47a-51. (Formerly Seca 19-343). Sanitary regulations. (a) Each tenement, lodging or boarding house, and each part thereof, shall be kept clean and free from any accumulation of dirt,filth, garbage or other matter, in or on the house or part thereof, or in the yards, courts, passages, areas or alleys connected with or belonging to the same. The owner,tenant, lessee or occupant of each tenement, lodging or boarding house, or part of such house, shall cleanse thoroughly all rooms, passages, stairs,floors, windows, doors,walls, ceilings, privies,water closets, cesspools, drains, halls, cellars and roofs and all other parts of such house, or the part of such house of which he is owner,tenant, lessee or occupant,to the approval of the board of health or enforcing agency, and shall keep the same in a clean condition at all times. (b) The owner of each tenement house shall provide, for such building, suitable receptacles for, or conveniences for the disposal of, garbage, ashes and rubbish. (c) Each building used as a tenement, lodging or boarding house and all parts thereof shall be kept in good repair. 23 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 24/32 (d)The roof of each tenement, lodging or boarding house shall be so kept as not to leak, and all rain water shall be so drained and conveyed from the roof as to prevent its dripping onto the ground or causing dampness in the walls, ceiling, yards or areas. See. 47a-52. (Formerly See. 19-88). Abatement of conditions in rented dwelling other than tenement house constituting danger to life or health. (a)As used in this section, "rented dwelling"means any structure or portion thereof which is rented, leased, or hired out to be occupied as the home or residence of one or two families and any mobile manufactured home in a mobile manufactured home park which,although owned by its resident, sits upon a space or lot which is rented, leased or hired out, but shall not include a tenement house as defined in section 19a-355 or in section 47a-1. (b) "Department of health" means the health authority of each city,borough or town, by whatever name such health authority may be known. (c�When any defect in the plumbing, sewerage, water supply, drainage, lighting, ventilation, or sanitary condition of a rented dwelling, or of the premises on which it is situated, in the opinion of the department of health of the municipality where such dwelling is located, constitutes a danger to life or health,the department may order the responsible party to correct the same in such manner as it specifies. If the order is not complied with within the time limit set by the department,the person in charge of the department may institute a civil action for injunctive relief, in accordance with chapter 916,to require the abatement of such danger. (d) Paint on the exposed surfaces of the interior of a rented dwelling shall not be cracked, chipped,blistered, flaking, loose or peeling so as to constitute a health hazard. Testing,remediation, abatement and management of lead-based paint at a rented dwelling or its premises shall be as defined in, and in accordance with,the regulations, if any, adopted pursuant to section 19a-11 lc. (e)When the department of health certifies that any such rented dwelling or premises are unfit for human habitation, by reason of defects which may cause sickness or endanger the health of the occupants,the department may issue an order requiring the rented dwelling, premises or any portion thereof to be vacated within not less than twenty-four hours or more than ten days. (f)Any person who violates or assists in violating, or fails to comply with, any provision of this section or any legal order of a department of health made under any such provision shall be fined not more than two hundred dollars or imprisoned not more than sixty days or both. (g) Any person aggrieved by an order issued under this section may appeal, pursuant to section 19a-229,to the Commissioner of Public Health. Sec. 47a-53. (Formerly Sec. 19-344). Order of enforcement agency. (a)Whenever any tenement, lodging or boarding house or any building, structure, excavation, business pursuit, matter or thing in or about such house or the lot on which it 24 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 25/32 is situated, or the plumbing,sewerage, drainage, lighting,paint or ventilation of such house, is, in the opinion of the board of health or other enforcement agency, in a condition which is or in its effect is dangerous or detrimental to life or health, or whenever any tenement, lodging or boarding house in the opinion of the board or enforcing agency, is in violation of the provisions of section 19a-109,the board or other enforcing agency may declare that the same,to the extent specified by the board or other enforcing agency, is a public nuisance to be removed, abated, suspended, altered or otherwise remedied, improved or purified. The board of health or other enforcing agency may also order or cause any tenement house or part thereof, or any excavation,building, structure, sewer,plumbing pipe, paint,passage, premises, ground, matter or thing in or about a tenement, lodging or boarding house or the lot on which such house is situated,to be purified, cleansed, disinfected,removed, altered, repaired or improved. (b) If any order of the board of health or other enforcing agency is not complied with, or not so far complied with as the board or other enforcing agency regards as reasonable, within five days after the service thereof,or within such shorter time as the board or other enforcing agency designates, such order may be executed by the board or other enforcing agency,through its officers, agents, employees or contractors. The expense of executing such order, including an amount not to exceed five per cent of the expense thereof as a service charge and ten per cent of the expense thereof as a penalty shall be collected from the owner by an action in the name of the city, borough or town. Sec. 47a-54. (Formerly Sec. 19-345). Communicable diseases; unfit for habitation; order to vacate. (a) Whenever it is certified by the board of health or other enforcing agency,that a tenement, lodging or boarding house, or any part thereof, is infected with communicable disease, or that it is unfit for human habitation or dangerous to life or health by reason of want of repair or of defects in the drainage, plumbing, ventilation or construction of the same, or by reason of the existence on the premises of a nuisance liable to cause sickness among the occupants of such house,the board of health or other enforcing agency may issue an order requiring all persons therein to vacate such house, or part thereof, within not less than twenty-four hours nor more than ten days. The board of health or other enforcing agency shall state in the order the reason for the issuance of the order. (b) If such order is not complied with within the time so specified,the board of health or other enforcing agency may cause such house, or part thereof,to be vacated. (c) The board of health or other enforcing agency,whenever satisfied that the danger from such house, or part thereof, has ceased to exist, or that such house is fit for human habitation, may revoke such order or may extend the time within which the order may be complied with. See. 47a-54f. Paint. (a) In each tenement, lodging or boarding house the walls of any court, shaft,hall or room shall be whitewashed or painted a light color whenever, in the opinion of the board of health or enforcing agency, such whitewashing or painting is needed for the better lighting of any room, hall or water closet compartment. 25 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD p 26/32 (b)Paint on the exposed surfaces of the interior of a tenement house shall not be cracked, chipped,blistered, flaking,loose, or peeling so as to constitute a health hazard. Testing, remediation, abatement and management of lead-based paint at a tenement house or its premises shall be as defined in, and in accordance with,the regulations, if any, adopted pursuant to section 19a-11 lc. Sec. 47a-55. (Formerly Sec. 19-347). Enforcement. Penalties (a)The board of health of each town, city or borough shall enforce the provisions of this part, and the board of health is given authority for such purpose. Any such town, city or borough may by ordinance duly adopted by its legislative body designate another authority or authorities to exercise concurrent or exclusive jurisdiction in the enforcement of this part. All duties imposed and powers conferred by this part upon boards of health shall devolve upon the health authority or such other designated authority or authorities of each city, borough or town by whatever name such health or other authority or authorities may be known. Nothing in this part shall be construed to abrogate or impair the powers of a local board of health,or of the courts, or any such other lawful authority, to enforce any provision of any city or borough charter or health ordinances and regulations not inconsistent with this part, or to prevent or punish for violations thereof. (b) Each person who violates or assists in violating, or fails to comply with, any of said provisions or any legal order of a board of health or such other authority made under any of said provisions,for which no other penalty is provided, shall be fined not more than one thousand dollars or imprisoned not more than six months or both. (c) Each person who continues to violate or assist in violating, or who continues to fail or refuse to comply with, any of said provisions after having been convicted of violating or assisting in violating any said provisions or of failing to comply therewith, for which no other penalty is provided, shall,upon a subsequent conviction, be imprisoned not more than one year. CHAPTER 133 --Housine.Redevelopment and Urban Renewal and Human Resource Develonment Programs. *Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 8-219e. Financial assistance for the abatement of lead-based paint and asbestos. Regulations. (a) The state, acting by and in the discretion of the Commissioner of Economic and Community Development,may enter into a contract with an eligible developer, as defined in section 8-39, a community housing development corporation, as defined in section 8-217, or any other person approved by the commissioner for state financial assistance in the form of a grant-in-aid,loan or deferred loan for technical assistance, and the abatement of lead-based paint, asbestos and asbestos-containing material from a residential dwelling unit. In the case of a deferred loan,the contract shall require that 26 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 27/32 payments on interest are due and payable but that payments on principal may be deferred to a time certain. Such grant-in-aid, loan or deferred loan or combination thereof shall not exceed the cost of such abatement, including expenses incurred in obtaining technical assistance for such abatement, and shall be awarded upon such terms and conditions as the commissioner may prescribe by regulations adopted pursuant to subsection(b). (b) The Commissioner of Economic and Community Development may adopt regulations, in accordance with the provisions of chapter 54,to carry out the purposes of this section. Such regulations shall provide the terms and conditions of grants-in-aid, loans or deferred loans made pursuant to subsection(a) of this section and the eligibility and application requirements for such financial assistance. In determining such eligibility requirements,the commissioner shall consider establishing priorities for low and moderate income families and households having a child suffering from lead-paint poisoning. CHAPTER 169--School Health and Sanitation. *Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 10-206. Health assessments. (b) Each local or regional board of education shall require each child to have a health assessment prior to public school enrollment. The assessment shall include: (1)A physical examination which shall include hematocrit or hemoglobin tests, height,weight and blood pressure; (2) an updating of immunizations as required under sections 10-204 and 10-204a,provided a registered nurse may only update said immunizations pursuant to a written order by a physician or physician assistant, licensed pursuant to chapter 370, or an advanced practice registered nurse, licensed pursuant to chapter 378; (3)vision, hearing, speech and gross dental screenings;and(4)such other information, including health and developmental history, as the physician feels is necessary and appropriate. The assessment shall also include tests for tuberculosis, sickle cell anemia or Cooley's anemia and tests for lead levels in the blood where the local or regional board of education determines after consultation with the school medical adviser and the local health department, or in the case of a regional board of education, each local health department,that such tests are necessary,provided a registered nurse may only perform said tests pursuant to a written order by a physician or physician assistant, licensed pursuant to chapter 370, or an advanced practice registered nurse, licensed pursuant to chapter 378. Sea 10-206b. Tests for lead levels in Head Start Programs. Each director of a Head Start program shall require each child attending such program to be tested for lead levels in his blood after consultation with the school medical adviser and the local health department or in the case of a regional board of education, each local health department, that such tests are necessary. 27 12/11/200e 13:01 M60) 610-0857 To: South Windsor HD D 28/32 CHAPTER 319au--Housing Assistance. *Sections of this chapter have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 17b-808. Special needs benefit for emergency housing(of AFDC families with children undergoing lead chelation treatment). Limitation. (a) The commissioner of social services shall provide a special needs benefit for emergency housing to any recipient of payments under the program of aid to families with dependent children and the optional state supplementation program under this chapter who cannot remain in permanent housing because (1) a judgment has been entered against the recipient in a foreclosure action pursuant to chapter 846 and the time limited for redemption has passed; (2)the recipient has left to escape domestic violence; (3) a catastrophic event,such as fire or flood,has made the permanent housing uninhabitable or the recipient has been ordered to vacate the housing by a local code enforcement official; (4)the recipient shares an apartment with a primary tenant who is being evicted or is engaged in criminal activity; (5)the recipient was illegally locked out by a landlord and has filed a police complaint concerning such lockout; (6)the recipient has been living with a tenant who received a preliminary notice under section 47a-15 or a notice to quit because of termination of a rental agreement for lapse of time or(7)the family has relocated because a child in the family has been found to have a level of lead in the blood equal to or greater than twenty micrograms per deciliter of blood or any other abnormal body burden of lead and the local director of health has determined, after an epidemiological investigation pursuant to section 19a-111,that the source of the lead poisoning was the residential unit in which the family resided. A person shall be eligible for the benefit under this section provided application is made to the commissioner within forty-five days of the loss of permanent housing by the recipient. On and after September 4, 1991,the benefit shall be limited to not more than one occurrence per calendar year and not more than sixty days per occurrence, except that any family receiving the benefit under this section pursuant to subdivision(7)with a child undergoing chelation treatment may receive the benefit for more than one occurrence provided the total number of days that benefit is received by the family for all occurrences is not more than eighty days in any calendar year. Any person receiving a benefit under this section shall agree to reside in any housing which was constructed, renovated or rehabilitated with state or federal financial assistance. Notwithstanding the provisions of this section, any family receiving the benefit under this section pursuant to subdivision(7) shall not be required to reside in any housing in which the paint contains a toxic level of lead as defined by the commissioner of public health in regulations adopted pursuant to section 19a-111. Under the program of aid to families with dependent children, any person not eligible for the benefit under this section shall be referred to the department of social services'program for emergency shelter services. 28 12/11/2008 13:01 (e60) 610-0857 To: South Windsor HD D 29/32 CHAPTER 700c—Health Insurance. Sec. 38a-490d. Mandatory coverage for blood lead screening and risk assessment. Each individual health insurance policy providing coverage of the type specified in subdivisions (1),(2), (4), (11)and(12) of section 38a-469 delivered, issued for delivery, amended,renewed or continued in this state on or after January 1, 2009, shall provide coverage for blood lead screening and risk assessments ordered by a primary care provider pursuant to section 19a-111g. Sec. 38a-535. Mandatory coverage for preventive pediatric care and blood lead screening and risk assessment. (a)For purposes of this section, "preventive pediatric care"means the periodic review of a child's physical and emotional health from birth through six years of age by or under the supervision of a physician. Such review shall include a medical history, complete physical examination, developmental assessment, anticipatory guidance, appropriate immunizations and laboratory tests in keeping with prevailing medical standards. (b)Each group health insurance policy providing coverage of the type specified in subdivisions (1),(2), (4), (6), (11)and(12)of section 38a-469 delivered, issued for delivery or renewed on or after October 1, 1989,or continued as defined in section 38a- 531, on or after October 1, 1990, shall provide benefits for preventive pediatric care for any child covered by the policy or contract at approximately the following age intervals: Every two months from birth to six months of age,every three months from pine to eighteen months of age and annually from two through six years of age. Any such policy may provide that services rendered during a periodic review shall be covered to the extent that such services are provided by or under the supervision of a single physician during the course of one visit. On and after January 1, 2009, each such policy shall also provide coverage for blood lead screening and risk assessments ordered by a primary care provider pursuant to section 19a-11 lg. Such benefits shall be subject to any policy provisions which apply to other services covered by such policy. Special Public Act No. 93-321. An Act Concerning Recommendations of the Lead Poisonine Prevention Task Force. *Sections of this Public Act have been selected for inclusion in this packet due to their applicability to lead issues. Please refer to the original documents for complete citations. Sec. 4.* (a) There is established a lead poisoning prevention task force. The task force shall be composed of the following members: The chairpersons of the joint standing committees of the general assembly having cognizance of matters relating to public health and planning and development or their designees;the ranking members of the joint standing committee of the general assembly having cognizance of matters relating to 29 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 30/32 public health or their designees,the commissioners of health services, housing and labor or their designees; a representative of the Connecticut housing finance authority; a representative of the commission on children; a representative of the Connecticut Chapter of the American Academy of Pediatrics to be appointed by the president pro tempore of the senate;two medical professionals with experience in the treatment of lead poisoning, one to be appointed by the majority leader of the senate and one to be appointed by the speaker of the house of representatives;three public members, one to be appointed by the minority leader of the senate and one to be appointed by the majority leader of the house of representatives;and one who is the owner of rental housing to be appointed by the minority leader of the house of representatives. The chairperson and vice chairperson of the task force shall be elected by the full membership of the task force. (b) The task force shall: (1) Conduct an analysis comparing the relative cost of lead poisoning prevention programs versus costs associated with screening,treatment and long-term educational and other relevant expenses caused by lead poisoning; (2) recommend optimum treatment facilities and potential sites for special centers, as necessary; (3) identify cost effective methods of abatement and potential funding sources including federal funds; (4) consult with the labor department to determine the potential of job creation to carry out lead abatement activities; (5) recommend a plan to provide lead safe housing to all the residents of the state by a certain date;and(6) study such other subjects as the task force deems appropriate. (c) The task force shall report its findings and recommendations to the general assembly, in accordance with the provisions of section 11-4a of the general statutes,on or before February 9, 1994. *Note:Formerly section 4 of Public Act No. 92-192. Wang 2391F 10/12/94 Lcdlcgv3.doc 11/30/95 corroction p.7 4/1/96 princgs,doc 9/23/97 princrgs.doc 6/1V98 Princgs.doc 12/01/98 Principal CGS Version 6 08.11.04 Principal CGS Version 710.01.07 Principal CGS Version 8 01.01.09 Principal CGS Version 8.1 01.01.09.doc Principal CGS Version 8.2 01.01.09.doc 30 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD 0 31/32 STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH SECTION rAeNBR r EHS Circular Letter 92008-83 TO: Directors of Health Chief Sanitarians Lead Program Coordinators FROM: Alan J. Buzzetti, Supervising Environmental Analyst Lead Poisoning Prevention and Control Program SUBJECT: Public Act 07-2 "An Act Concerning the Prevention of Childhood Lead Poisoning" DATE: December 8, 2008 This letter is a reminder concerning how you will be impacted by 2007 Lead Legislation and new requirements that take effect on January 1, 2009. Enclosed are a copy of the legislation and a summary of the changes. Effective dates of the various sections of the legislation are listed and a brief section-by- section description of the changes is provided. In addition to the summary of changes we have also enclosed Version 8.2 of the "Principle CT General Statutes Related to Lead Poisoning" which is an updated compilation of the major lead-related statutes that includes codified changes as enacted in the 2007 Legislation that take effect on January 1, 2009. Among the changes that will take effect on January 1, 2009 are the following: 1. CGS §19a-11lg(Sec. 48 of the Legislation): Primary Care Providers and Blood Lead ScreeniaL Children: Requires primary care providers (1)to conduct annual blood lead screening of every child age 9 months through 35 months and(2)to conduct blood lead screening of any child age 36 through 72 months who has not been previously screened or if clinically indicated as determined by the provider in accordance with established recommendations for childhood lead screening in Connecticut. Additionally, primary care providers are to conduct a medical risk assessment of each child age 36 through 71 months in accordance with the established recommendations. 2. CGS §19a-110(d) (Sec. 50 of the Legislation): Inspections by Local Health Departments at Lower Blood Lead Levels: Amends Subsection(d)of CGS Section 19a-110 and requires that local health departments conduct inspections to identify sources of lead exposure for children with confirmed blood lead levels that are greater than or equal to 15 micrograms per deciliter but less than 20 micrograms per deciliter in 2 tests taken 3 or more months apart. The local director of health is to order remediation of any sources of lead exposure that are identified during these inspections. 410 CAPITOL AVENUE, M8#51LED PO BOX 340308, HARTFORD, CT 06134 Bus; 860.509.7299 1Fax; 860,509.7295 Affirmative Aotion/Squad Employment Opportunity Employer 12/11/2008 13:01 (860) 610-0857 To: South Windsor HD D 32/32 Public Act 07-2 December 8,2008,page 2 Also,the director of health is to include information on Birth to Three Services in the standard package of information that is provided to parents and guardians of children who have been identified with blood lead levels greater than or equal to 10 micrograms per deciliter. The Birth to Three document can be found on the LPPCP webpage under the heading"Laws and Regulations"at: li-ftn://www.ct.gov/dpli-/cwv/view.a-,P?a=3140&q=387550&dpl]Nav QID=1$28&dphPNavCtr=1#4 7067 The Lead Poisoning Prevention and Control Program (LPPCP) is in the process of having this document translated into Spanish. Once the Spanish document is finalized, the LPPCP will mail copies of both the English and Spanish documents to all Local Health Departments and both versions will be posted at the aforementioned link. The Department, the CT Association of Directors of Health, and the CT Environmental Health Association had on-going discussions and meetings throughout the legislative and implementation process. In the near future funding will be provided to local health departments to assist in implementation of these new requirements. These changes will be reviewed during upcoming Lead Inspector and Lead Inspector Risk Assessor refresher training courses that are offered to Code Enforcement Officials by the Department. Please contact LPPCP staff at (860) 509-7299 if you have any specific questions with regard to these changes. cc; Suzanne Blancaflor,Chief;Environmental Health Section Ellen Blaschinsld,Chief,Regulatory Services Branch Jennifer Kertanis,Executive Director,CT Association of Directors of Health Cameron Walden,President;CT Environmental Health Association �.P STATE OF CONNECTICUT �` jsu DEPARTMENT OF PUBLIC HEA � >/ - 1pk E. QV/ SSINeS Q+. ADOW DEH Circular Letter#2005-08 *' Date: May 4, 2005 To: Directors of Health Chief Sanitarians Lead Program Coordinators Regional Lead Treatment Centers / From: Ellen Blaschinski,MBA,RS, Chieo-r Regulatory Services Branch Pamela Kilbey-Fox, MPH, Chief Local Health Administration Branch Re: Modified Local Health Department Response Protocol to Confirmed Elevated Blood ea eve Analyses Reports On January 25,2005 the Department of Public Health(DPH) issued Circular Letter #2005-03 that described"the response protocol for local health departments regarding reported confirmed Elevated Blood Lead Levels in children 15 years of age and less. The protocol were developed to promote the use of standard methods and procedures by all local health departments during the investigations of reported cases of confirmed elevated blood lead levels>20µg/& and to assure compliance with Connecticut General Statute §19a-111 and the Lead Poisoning Prevention and Control regulations. Enclosed are two documents dated April 29, 2005 that contain the updated protocol. The major modification from the original protocol is the elimination of the requirement for local health departments to submit lead inspection reports to DPH as part of the 30'day reporting package described in Step 6 of each document. The lead inspection reports will continue to be submitted earlier in the process(see Step 3 in each document). With the implementation of a new surveillance system at DPH the department is able to more effectively monitor the submission of lead inspection reports and eliminate the duplicative reporting. Commissioner Galvin has also implemented a new organizational structure within the Department of Public Health. As part of his new direction, the Commissioner has consolidated the Lead Management Unit and Childhood Lead Poisoning Prevention Program into one program within the Regulatory Services Branch under the leadership of Ellen Blaschinski. The consolidated programs' new name is the CT Lead Poisoning Phone: 1810) 501-1213 j� Telephone Device for the Deaf: (860) 509-7191 410 Capitol Avenue -MS# 51EHS P.O. Box 340308 Hartford, CT 06134 Affirmative Action/An Equal Opportunity Employer T. Prevention and Control Program. All lead activities will be performed through this program. All written reports and notifications that are to be provided to the Department of Public Health by local health departments as described in the protocol are to submitted to Ms. Rhonda Pales at the address or facsimile number noted on page 5 of each document. Should you have any questions regarding the protocol,please feel free to contact Suzanne Blancaflor at (860) 509-7293 or Alan Buzzetti at (860) 509-7299. The Department, through the Office of Local Health Administration will be coordinating a follow-up meeting with representatives from the Connecticut Association of Directors of Health to further discuss these requirements. The Department appreciates your efforts to prevent lead poisoning and we look forward to working together to eliminate this condition. cc Suzanne Blancaflor Richard Edmonds Renee Coleman-Michell e 5 (� `_D ffC Devon Conover 0 t William Gerrish Karen Buckley-Bates Cir2005-08 Modified LED Response Protocol EBLLs 04.29.05 2 Local Health Department Regulatory Response and Reporting Protocol Lead Poisoning Prevention and Control Children 0 through 5 Years of Age December 2,2004 Modified: May 3,2005 Terms and Abbreviations 1 CGS =Connecticut General Statutes 2 DPH=Connecticut Department of Public Health . 3 EBLL=a confirmed(venous)blood lead level equal to or greater than twenty micrograms per deciliter(µg/dl) of blood 4 LHD=Local Health Department 5 LPPCP=Connecticut Department of Public Health Lead Poisoning Prevention and Control Program = egu a ions of ConnecticutState Agencies Background Upon receipt of each report of a confirmed venous blood lead level equal to or greater than twenty micrograms per deciliter(µL/dl) of blood (i.e.,an EBLL),the Director of Health shall make or cause to be made an epidemiological investigation of the source of the lead causing the increased lead level or abnormal body burden and shall order action to be taken by the appropriate person or persons responsible for the condition or conditions which brought about such lead poisoning as may be necessary to prevent further exposure of persons to such poisoning(reference CGS §19a-111). 1 All clinical laboratories must report EBLLs to the LHD within forty-eight(48) hours of analysis [reference CGS §19a-110(a)]. (Note: The attending physician must also report an EBLL to the LHD using form#PD-23 per CGS §19a-2a(9), CGS §19a-215, and RCSA §19a-36-A1 through §19a-36-A4 [see attached form].) 2 Notification may be provided in writing,by facsimile,or verbally(with subsequent written confirmation) and must include all required data elements. The following LHD response steps are required for every new EBLL of children age 0 through 5 years that has been reported to the director of health. Step 1. The LHD reviews the date of analysis of the EBLL and the date of receipt of the EBLL report by the LHD to assess whether the laboratory has reported in a timely manner. The initial date of receipt of the confirmatory sample results by the LHD must be clearly indicated on the laboratory report form and a copy of the laboratory report must be included in the LHD case file. If the LHD identifies that a clinical laboratory has not reported an EBLL within the required timeframe(i.e.,within 48 hours of analysis), it is requested that the LHD notify the LPPCP at(860) 509-7745 of this deficiency. Step 2. The LHD initiates an epidemiological investigation that will include,but not be limited to, a comprehensive lead inspection of the child's residence (or residences if multiple residences are involved)when such residence is pre-1978 vintage [reference CGS §19a- 111 and RCSA §19a-111-3(c)(1)]. Simultaneously, it is recommended that the LHD contact the Primary Care Physician to discuss medical case management and specifics of the case. 1 The LHD must initiate the investigation within five(5)working days of receipt of notification of the EBLL by the LHD [reference RCSA §19a-111-3(c)(1)]. (Note: "initiate"means active follow up has been started by the LHD; e.g.,the LHD has contacted or made diligent attempts to contact the child's parent[s] or guardian[s]to schedule the epidemiological interview and lead inspection.) 2 The date on which the LHD initially contacted the child's parent(s) or guardian(s) must be clearly indicated in the LHD case file. Additionally, all unsuccessful attempts to contact the child's parent(s) or guardian(s)must be clearly documented in the LHD case file. Attempts to contact and initiate an investigation must be persistent. Deliberate avoidance of LHD contact and scheduling efforts by the parent 5 or gttaxdian(s)must be followed-up by a Report of Child Neglect from the LHD to the State of Connecticut Department of Children and Families(1-800-842-2288). Please note that per CGS §17a-101 certain Directors of Health are mandated reporters. Additionally,DPH has a policy of zero tolerance for abuse or neglect of children. 3 The LHD must provide lead educational materials to the parent(s)or guardian(s) [reference CGS §19a-110(d)] and the date that these materials were provided must be clearly indicated in the LHD case file. 4 A comprehensive epidemiological investigation must be conducted by the LHD (reference CGS §19a-111). The Epidemiological Investigation form(see attached form)must be completed, signed, dated, and filed in the LHD case file. Step 3. As part of the epidemiological investigation the LHD conducts a comprehensive lead inspection of the child's residence if the home is pre-1978 vintage(reference RCSA §19a-111-3). 1. The LHD prepares a lead inspection report(see attached DPH prescribed form) within two (2)working days of completion of the lead inspection. 2. The lead inspection report is filed in the LHD case file. 3. Copies of the lead inspection report are forwarded to the owner(s) of the property and the LPPCP within two (2)working days of completion of the lead inspection' [reference RCSA §19a-111-3(d)]. i A completed lead inspection includes:(1)comprehensive testing of painted surfaces, (2)sampling dust, bare soil areas,and potable water,and(3)receipt of all laboratory analysis results. 2 Step 4. If the LHD has identified lead-based paint hazards and/or lead in soil hazards during the lead inspection, a lead abatement order is issued by the Director of Health[reference CGS §l9a-111 and RCSA §19a-I11-3(f)]. 1 The lead abatement order is sent to the property owner(s)by certified mail with return receipt. 2 A copy of the lead abatement order is filed in the LHD case file. 3 Documentation of receipt of the lead abatement order by the property owner(s)is filed in the LHD case file(e.g., green card/return receipt,verified hand delivery). Step 5. The epidemiological investigation and the comprehensive lead inspection should be completed and the lead abatement order prepared within twenty(20)working days of the receipt of the EBLL laboratory report. Within thirty(30) days of the conclusion of this investigation,the Director of Health shall report to the Commissioner of Public Health(LPPCP)the result of such investigation and the action taken to insure against further lead poisoning from the same source,including any measures taken to effect relocation of families in accordance with CGS §19a-111. Extenuating circumstances that may affect compliance with the thirty-day reporting period must be documented and reported to the LPPCP in writing, as soon as such circumstances are identified. A timeline for completion must be submitted with the non-compliance report. Step 6. The following items must be submitted to the LPPCP-within thirty(30) days of the conclusion of the health director's investigation,in accordance with CGS §19a-111: 1 Completed Epidemiological Investigation form. 2 Lead abatement order. 3 Completed Interim Measures Form (see APPENDIX A)to identify the immediate actions taken to prevent further lead exposure to all family members including, but not limited to,relocation of the family or specific family members. Step 7. A written lead abatement plan is to be submitted by the property owner to the Director of. Health within fifteen(15)business days of receipt of the lead abatement order [reference RCSA §19a-111-5(a)]2 Within ten(10)business days of receipt of the plan the LHD will review the lead abatement plan and notify the property owner that the plan is acceptable as submitted or that specific revisions or additional material are required. If revisions or additional material are required the LHD shall establish a timetable for submission of an acceptable plan. Step 8. Abatement shall commence within forty-five(45)business days of receipt of the lead abatement order and the owner is responsible to proceed to completion of abatement in a 2 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 3 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 3 diligent manner [reference RCSA §19a-111-5(a)].4 Step 9. Upon completion of abatement and prior to reoccupancy a lead inspectors shall reinspect the abated area(s) to ensure that the lead abatement plan has been followed. Dust wipe samples shall be collected [reference RCSA §19a-111-4(e)]. The lead inspector shall issue a Letter of Compliance[reference RCSA §19a-111-4(f)],within five(5)business days of verification that the abatement area(s)is/are in compliance with clearance standards. Step 10. Within ten(10)business days of notification that abatement has been completed the LHD shall reinspect the abated area(s). Within two (2)business days of completion of the reinspection and verification that abatement has been properly completed the LHD shall issue a post abatement inspection report [reference RCSA §19a-111-3(h)(1)]. Delinquent is defined as: ➢ The epidemiological investigation and/or the comprehensive lead inspection have not been completed or the lead abatement order has not been prepared within twenty(20)working days of the receipt of the laboratory report and reasonable extenuating circumstances are not present. ➢ The lead inspection report has not been submitted to the LPPCP within two (2)working days of completion of the lead inspection. ➢ A report of the investigation and the action taken to insure against further lead poisoning from the same source has not been submitted to the LPPCP within thirty. (30) days of the conclusion of the investigation or a report documenting extenuating circumstances that will delay compliance beyond thirty days has not been submitted to the LPPCP prior to the thirty day required response. ➢ Failure to make a report of child neglect to the Department of Children and Families when parent(s)or guardian(s) deliberately avoid LHD contact and scheduling efforts. ➢ Failure to refer noncompliant cases to the Housing Court Prosecutor for enforcement in a prompt and diligent manner. The LPPCP will forward cases where an LHD is found to be delinquent in reporting to the Chief of the DPH Office of Local Health Administration for follow-up. If the required report regarding the LHD investigation pursuant to an identified EBLL and the action taken to insure against further lead poisoning(or a report documenting extenuating circumstances that will delay compliance)is not received within 50 working days of the initial laboratory notification to DPH,the LPPCP case manager will contact the Director of Health to assess the situation. ➢ If there are reasonable mitigating circumstances, the LPPCP case manager will establish a revised reporting schedule for that case. 4 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 5 The lead inspector may be a trained code enforcement official or a certified private sector lead inspector. 4 ➢ If there are no mitigating circumstances the Director of Health will be provided an additional five (5)working days to submit the report to the LPPCP. ➢ Failure to report to the LPPCP within the additional five(5)working day period will result in referral of the LHD to the DPH Office of Local Health .Administration. The LPPCP will refer all cases to the DPH Office of Local Health Administration where a Director of Health has failed to take appropriate,timely action to enforce a lead abatement order. Mail or fax all written reports and notifications to: Rhonda Pales,Health Services Worker CT DPH Lead Poisoning Prevention and Control Program State of Connecticut Department of Public Health 410 Capital Avenue,MS# 11 LDS P.O.Box 340308 Hartford, CT 06134-0308 Phone: (860) 509-7745 Fax: (860) 509-8071 mandatory 0 to 5 eb111hd response 04.29.05 5/2/2005 5 Local Health Department Regulatory Response and Reporting Protocol Lead Poisoning Prevention and Control Children 6 through 15 'dears of Age December 2,2004 Modified:May 3, 2005 Terms and Abbreviations 1 CGS =Connecticut General Statutes 2 DPH=Connecticut Department of Public Health 3 EBLL=a confirmed(venous)blood lead level equal to or greater than twenty micrograms per deciliter(µg/dl) of blood 4 LHD=Local Health Department 5 LPPCP=Connecticut Department of Public Health Lead Poisoning Prevention and Control Program 6 RCSA=Regulations of Connecticut State Agencies Background Upon receipt of each report of a confirmed venous blood lead level equal to or greater than twenty micrograms per deciliter(µg/dl) of blood (i.e., an EBLL),the Director of Health shall make or cause to be made an epidemiological investigation of the source of the lead causing the increased lead level or abnormal body burden and shall order action to be taken by the appropriate person or persons responsible for the condition or conditions which brought about such lead poisoning as may be necessary to prevent. further exposure of persons to such poisoning(reference CGS §19a-111). 1 All clinical laboratories must report EBLLs to the LHD within forty-eight(48) hours of analysis [reference CGS §19a-110(a)]. (Note: The attending physician must also report an EBLL to the LHD using form#PD-23 per CGS §19a-2a(9), CGS §19a-215, and RCSA §19a-36-A1 through §19a-36-A4 [see attached form].) 2 Notification may be provided in writing,by facsimile, or verbally(with subsequent written confirmation) and must include all required data elements. The following LHD response steps are required for every new EBLL of children age 6 through 15 years that has been reported to the director of health. Step 1. The LHD reviews the date of analysis of the EBLL and the date of receipt of the EBLL report by the LHD to assess whether the laboratory has reported iri a timely manner. The initial date of receipt of the confirmatory sample results by the LHD must be clearly indicated on the laboratory report form and a copy of the laboratory report must be included in the LHD case file. If the LHD identifies that a clinical laboratory has not reported an EBLL within the required timeframe(i.e.,within 48 hours of analysis), it is requested that the LHD notify the LPPCP at(860) 509-7745 of this deficiency. Step 2. The LHD initiates an epidemiological investigation that will include,but not be limited to, a lead risk assessment or a comprehensive lead inspection of the child's residence(or residences if multiple residences are involved)when such residence is pre-1978 vintage [reference CGS §19a-111]. Simultaneously,it is recommended that the LHD contact the Primary Care Physician to discuss medical case management and specifics of the case. 1 The LHD must initiate the investigation within five (5)working days of receipt of notification of the EBLL by the LHD [reference RCSA §19a-111-3(c)(1)]. (Note: "initiate"means active follow up has been started by the LHD; e.g.,the LHD has contacted or made diligent attempts to contact the child's parent[s] or guardian[s] to schedule the epidemiological interview, lead risk assessment, and/or lead inspection.) 2 The date on which the LHD initially contacted the child's parent(s) or guardiali(s) must be clearly indicated in the LHD case file. Additionally, all unsuccessful attempts to contact the child's parent(s) or guardian(s)must be clearly documented in the LHD case file. Attempts to contact and initiate an investigation must be persistent. Deliberate avoidance of LHD contact and scheduling efforts by the parent(s)or guardian(s)must be followed-up by a Report of Child Neglect from the LHD to the State of Connecticut Department of Children and Families(1-800-842-22 88). Please note that per CGS §17a-101 certain Directors of Health are mandated reporters. Additionally,DPH has a policy of zero tolerance for abuse or neglect of children. 3 The LHD must provide lead educational materials to the parent(s) or guardian(s) [reference CGS §19a-110(d)] and the date that these materials were provided must be clearly indicated in the LHD case file. 4 A comprehensive epidemiological investigation must be conducted by the LHD (reference CGS §19a-111). The Epidemiological Investigation form(see attached form)must be completed, signed, dated, and filed in the LHD case file. Step 3. As part of the epidemiological investigation the LHD will conduct a risk assessment to identify potential lead-based paint hazards in the child's residence. Alternatively,the LHD may decide to conduct a comprehensive lead inspection of the child's residence if the home is pre-1978 vintage. 1. The LHD prepares a lead risk assessment report or a lead inspection report(see attached DPH prescribed lead inspection form)within two (2)working days of completion of the lead risk assessment1 or lead inspectioW. 2. The lead risk assessment report or lead inspection report is filed in the LHD case file. 1 A completed lead risk assessment includes:(1)identification and testing of all painted surfaces that may constitute lead-based paint hazards,(2)sampling dust,bare soil areas,and potable water,and(3)receipt of all laboratory analysis results. 2 A completed lead inspection includes:(1)comprehensive testing of painted surfaces,(2)sampling dust, bare soil areas,and potable water,and(3)receipt of all laboratory analysis results. 2 3. Copies of the lead risk assessment report or lead inspection report are forwarded to the owner(s) of the property and the LPPCP within two (2)working days of completion of the lead risk assessment or the lead inspection [reference RCSA §19a-111-3(d)]. Step 4. If the LHD has identified lead-based paint hazards and/or lead in soil hazards during the lead risk assessment or lead inspection, a lead hazard remediation order or lead abatement order is issued by the Director of Health [reference CGS §19a-111 and RCSA §19a-111- 3(fl] 1 The lead hazard remediation order or lead abatement order is sent to the property owner(s)by certified mail with return receipt. 2 A copy of the lead hazard remediation order or the lead abatement order is filed in the LHD case file. 3 Documentation of receipt of the lead hazard remediation order or the lead abatement order by the property owner(s)is filed in the LHD case file (e.g., green card/return receipt,verified hand delivery). Step 5. The epidemiological investigation and the lead risk assessment(or alternatively,the comprehensive lead inspection)should be completed and the lead hazard remediation order(or lead abatement order)prepared within twenty(20)working days of the receipt of the EBLL laboratory report. Within thirty (30) days of the conclusion of this investigation,the Director of Health shall report to the Commissioner of Public Health (LPPCP)the result of such investigation and the action taken to insure against further lead poisoning from the same source,including any measures taken to effect relocation of families in accordance with CGS §19a-111. Extenuating circumstances that may affect compliance with the thirty-day reporting period must be documented and reported to the LPPCP in writing, as soon as such circumstances are identified. A timeline for completion must be submitted with the non-compliance report. Step 6. The following items must be submitted to the LPPCP within thirty(30) days of the conclusion of the health director's investigation, in accordance with CGS §19a-111: 1 Completed Epidemiological Investigation form. 2 Lead hazard remediation or lead abatement order. 3 Completed Interim Measures Form(see APPENDIX A)to identify the immediate actions taken to prevent further lead exposure to all family members including, but not limited to,relocation of the family or specific family members. Step 7. A written lead hazard remediation or lead abatement plan is to be submitted by the property owner to the Director of Health within fifteen(15)business days of receipt of the lead hazard remediation order or lead abatement order.3 Within ten(10)business days of receipt of the plan the LHD will review the plan and notify the property owner 3 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 3 that the plan is acceptable as submitted or that specific revisions or additional material are required. If revisions or additional material are required the LHD shall establish a timetable for submission of an acceptable plan.4 Step 8. Lead hazard remediation or lead abatement shall commence within forty-five(45) business days of receipt of the lead hazard remediation or lead abatement order and the owner is responsible to proceed to completion of lead hazard remediation or lead abatement in a diligent manner.5 Step 9. Upon completion of lead hazard remediation or lead abatement and prior to reoccupancy a lead inspecto? shall reinspect the remediated or abated area(s)to ensure that the lead hazard remediation or lead abatement plan has been followed. Dust wipe samples shall be collected [reference RCSA §19a-111-4(e)]. The lead inspector shall issue a Letter of Compliance [reference RCSA §19a-11 1-4(f)]within five(5)business days of verification that the abatement area(s)is/are in compliance with clearance standards. Step 10. Within ten(10)business days of notification that lead hazard remediation or lead abatement has been completed the LHD shall reinspect the remediated or abated area(s). Within two(2)business days of completion of the reinspection and verification that abatement has been properly completed the LHD shall issue a post abatement inspection report [reference RCSA §19a-111-3(h)(1)].7 Delinquent is defined as: ➢ The epidemiological investigation,the lead risk assessment, and/or the comprehensive lead inspection have/has not been completed or the lead hazard remediation.order or lead abatement order has not been prepared within twenty(20)working days of the receipt of the laboratory report and reasonable extenuating circumstances are not present. ➢ The lead risk assessment report or lead inspection report has not been submitted to the LPPCP within two (2)working days of completion of the lead risk assessment or lead inspection. ➢ A report of the investigation and the action taken to insure against further lead poisoning from the same source has not been submitted to the LPPCP within thirty(30) days of the conclusion of the investigation or a report documenting extenuating circumstances that will delay compliance beyond thirty days has not been submitted to the LPPCP prior to the thirty day required response. ➢ Failure to make a report of child neglect to the Department of Children and Families when parent(s) or guardian(s)deliberately avoid LHD contact and scheduling efforts. 4 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 5 Failure to comply warrants referral of the case for enforcement to the Housing Court Prosecutor. 6 The lead inspector may be a_trained code enforcement official or a certified private sector lead inspector. 7 Steps 9 and 10 may be accomplished simultaneously when all clearance activities are conducted by the LHD. 4 ➢ Failure to refer noncompliant cases to the Housing Court Prosecutor for enforcement in a prompt and diligent manner. The LPPCP will forward cases where an LHD is found to be delinquent in reporting to the Director of the DPH Office of Local Health Administration for follow-up. If the required report regarding the LHD investigation pursuant to an identified EBLL and the action taken to insure against further lead poisoning(or a report documenting extenuating circumstances that will delay compliance) is not received within 50 working days of the initial laboratory notification to DPH,the LPPCP case manager will contact the Director of Health to assess the situation. ➢ If there are reasonable mitigating circumstances,the LPPCP case manager will establish a revised reporting schedule for that case. ➢ If there are no mitigating circumstances the Director of Health will be provided an additional five(5)working days to submit the report to the LPPCP. ➢ Failure to report to the LPPCP within the additional five (5)working day period will result in referral of the LHD to the DPH Office of Local Health Administration. The LPPCP will refer all cases to the DPH Office of Local Health Administration where a Director of Health has failed to take appropriate,timely action to enforce a lead hazard remediation order or a lead abatement order. Mail or fax all written reports and notifications to: Rhonda Pales,Health Services Worker CT DPH Lead Poisoning Prevention and Control Program State of Connecticut Department of Public Health 410 Capital Avenue,MS # 11 LDS P.O.Box 340308 Hartford, CT. 06134-0308 Phone: (860) 509-7745 Fax: (860) 509-8071 mandatory 6 to 15 ebll 1hd response 04.29.05 5/2/2005 5 State of Connecticut Department of Public Health Reportable Disease Bureau of Community Health P Infectious Diseases Division Confidential Case Report Form 410 Capitol ,avenue, MS#11 FDS (PD-23 REV,1/99) P.O. Box 340308 Hartford, Connecticut 06134-0308 This is a three part form for reporting diseases as required under Sections 19 36-A3-4 of the Public Health Code and Sections 19a-5 and 19a-215 of the Connecticut General Statutes. The list of reportable diseases is revised annually. This forin should also be used to provide detailed information on cases of Lyme disease and viral hepatitis. Mail the white copy to the Connecticut Department of Public Health, Epidemiology Program. Mail the canary copy to the Director of Health of the patient's town of residence. Retain the pink copy in the patient's record. Mail reports in envelopes marked "Confidential". F11-T-4U*1j=r-2*M-P AIDS-AIDS Case Form Occupational Diseases-Physician's Repo4 Form Sexually Transmitted Disease-STD-23 Tuberculosis-TB-86 or call (860) 509-7900 or call.EEOH at(860) 509-7744 or call (860) 509-7920 or call (860) 509-7,722 Category I Diseases: REPORT IMMEDIATELY BY TELEPHONE on the day of recognition or strong suspicion of any of the diseases listed below. Also mail a reporthours. Cholera Rubella (including congenital) Diseases which are possible indicators of bioterrorism Diphtheria Staphylococcus our us disease, Foodborne outbreaks (involving >2 persons) reduced or resistant susceptibility Anthrax Smallpox Institutional outbreaks to vancomycin' Botulism Staphylococcal enterotoxin B Measles Staphylococcus epid rmidis disease, Brucellosis pulmonary poisoning Meningococcai disease reduced or resistar t susceptibility Plague Tularemia Pertussis to vancomycin' Q fever Venezuelan equine encephalitis Poliomyelitis Tuberculosis Ricin poisoning Viral hemorrhagic fever Rabies (human and animal) Yellow fever Category . • disease' Acquired immunodeficiency syndrome (1,2) Hemolytic-uremic syndrome Listeriosis Sexually transmitted disease(5) Babesiosis Hepatitis A Lyme disease Shigellosis Campylobacteriosis Hepatitis B Malaria Silicosis Carbon monoxide poisoning (3) acute infection Mercury poisoning Streptococcal infection, Chickenpox-related death HBsAg positive pregnant v omen Mumps invasive (6) Cryptosporidiosis Hepatitis C Occupational asthma Tetanus Cyclosporiasis Hepatitis, delta Pneumococcal disease, invasive Trichinosis Escherichia coli 0157:1-17 infection Hepatitis, Non A/Non B Reyes syndrome Typhoid fever Ehrlichiosis HIV-1 infection (4) Rheumatic fever Typhus Haemophilus influenza disease, invasive Lead toxicity (blood level>2 ug/dL) Rocky Mountain spotted fever Vibrio paraheemolyticus infection Hansen's disease (Leprosy) Legionellosis Salmonellosis Vibrio vulnificus infection (1)Reporting required to State only (2)CDC Case Definition (3)In ludes persons being treated in hyperbaric chambers as suspect CO poisoning (4)Children<13 years of age,persons with tuberculosis with a positive tuberculin skin test>5 m induration by Mantoux technique. (5)Included Chancroid,Chlamydia(C.trachomatis)infections(all sites),Gonorrhea,Neonatal erpes(<one month of age),and Syphilis. (6)Group A and B,(disease with isolates from normally sterile sites). • Information, weekday disease reporting (860) 509-7994; evenings, we kends, and holidays (860) 509-8000, Reportable Disease Department of Public Health Confidential Case Report Form Bureau of Community Health PD-23(rev 1l99) Infectious Diseases Division 410 Capitol Avenue, MS#11FDS YEAR ❑ NOTE: Check this box to request additional forms. P.O. BOX 340308 Hartford, Connecticut 06134-0308 Name of Patient (Last) (First) (MI) Age Birth Date Telephone Mo. Day Yr. Address (No.and Street) (City or Town) (State) (Zip Code) Sex: ❑ Male Race: ❑American Indian/Alaskan Native ❑White ispanic: 1 ❑Yes Is Patient 1. ❑Yes Did Patient 1 ❑Yes ❑ Female ❑Asian/Pacific Islander ❑ Other 2 ❑No Pregnant? 2 ❑No Die of this 2 ❑No ❑ Unknown ❑ Black ❑ Unknown 9 ❑Unknown 9 ❑Unknown Illness? 9 ❑Unknown Name and address of workplace,school or day care Is patient a ? (please check) ❑Health Care Worker ❑Student/Day Care Attendee ❑Day Care Worker ❑Foodhandler Name of disease Onset Date Diagnosis Date Viral Hepatitis Mo. Day Yr. Mo. Day Yr. gM anti-HAV? ❑Positive ❑Negative ❑Not Done BsAg?,and if positive, ❑Positive ❑Negative ❑Not done Is this condition work related? ❑Y ❑N ❑Unknown chronic HBs Ag carrier? ❑Yes ❑No ❑Unknown gM anti-HBc? , ❑Positive ❑Negative ❑Not Done If yes,occupation: istory of IV drug use? ❑Yes ❑No ❑Unknown Confirmatory laboratory data, immunization status,dates and comments(be specific): Dregnant sexual partner? ❑Yes ❑No ❑Unknown Lyme Disease ERYTHEMA MIGRANS: hysician diagnosed EM>5cm(2 in)? ❑Yes ❑No ❑Unknown Physician's name and address Telephone If yes,indicate: ❑Single lesion ❑Multiple lesions ( ) HEUMATOLOGIC: rthritis(objective joint swelling)? ❑Yes ❑No ❑Unknown If hospitalized,date admitted Hospital(Name,City,State) Patient ID# Mo. Day Yr. EUROLOGIC: ell's palsy or other cranial neuritis? ❑Yes ❑No ❑Unknown adiculoneuropathy? ❑Yes ❑No ❑UnknowM For Local Health Department Use Case Status: ymphocytic meningits? ❑Yes ❑No ❑Unknown 1 ❑ Confirmed ncephalitis/Encephalomyelitis? ❑Yes ❑No ❑Unknown Will follow-up be conducted? ❑Y ❑N 2❑ Probable Antibody to B.burgdorferi higher 3❑ Suspect in CSF than serum?❑Not done ❑Yes ❑No ❑Unknown 9❑ Unknown ARDIOLOGIC: nd or 3rd degree AV block? ❑Yes ❑No ❑Unknown ther clinical: ABORATORY RESULTS: LISA ❑Positive ❑Negative ❑Equivocal ❑Not Done FA ❑Positive ❑Negative ❑Equivocal ❑Not Done BLOT ❑Positive ❑Negative ❑ Equivocal ❑Not Done ther: ❑Positive ❑Negative ❑Equivocal ❑Not Done Name of Person Completing Report(Please Print) Address Telephone Report Date Mo. Day Yr. ( ) STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH LEAD INSPECTION REPORT FORM This lead inspection report form must be completed and sent to the property owner,local director of health and the commissioner of the Department of Public Health in accordance with Section 19a-111-3(d)of the regulations of Connecticut State Agencies concerning Lead Poisoning Prevention and Control. PROPERTY INSPECTED Street Address: Apt.# Floor: City/Town: Zip Code: Telephone: If Apartment,Number of Units: Year Property Built: PROPERTY OWNER Name: Street Address: City: State: Zip Code: Telephone: INSPECTING ENTITY A. If Consultant Contractor: Name: Street Address: City: State: Zip Code: Consultant License Number: Inspector's Name: Telephone: Inspector's Certification Number: B. If Code Enforcement Agency: Department Name: Street Address: Town/City Department: Telephone: Inspector's Name: Telephone: Date of Inspector's Initial Training: / / Date of Latest Refresher Training: Phone: (860)509-7299,Fax: (860)509-7295 j Telephone Device for the Deaf (860)509-7191 410 Capitol Avenue-MS#51LED P.O.Box 340308 Hartford, CT 06134 An Equal Opportunity Employer INSPECTION INFORMATION Date(s)of Inspection: For each day the inspection was conducted consent was given by an adult occupant of the dwelling unit to enter and inspect all areas of the dwelling that are under the control of that individual or to which that individual has legitimate access. ❑Yes ❑No Name of person granting consent: Date: Name of person granting consent: Date: Name of person granting consent: Date: Were Lead-Based Surfaces Identified? (Please check) ❑Yes ❑No If yes,check appropriate box(es)below and attach"LEAD BASED PAINT DATA PAGES" ❑ Interior Defective Surfaces ❑Exterior Defective Surfaces Interior Intact Surfaces ❑Exterior Intact Surfaces Indicate Potential Sources of Lead Identified ❑Paint(exterior) ❑Soil ❑Water ❑Paint(interior) ❑Dust ❑Other: • Was drinking water exposure pathway investigated and the potential for lead poisoning to a child assessed?❑Yes ❑No If yes,list sampling locations: Was dust enesure pathway inve—gated and the potential for-lead poison—mg to ehiktassessed-9 El Yes El No If yes,list area(s)tested: • Was soil exposure pathway investigated and the potential for lead poisoning to child assessed? ❑Yes ❑No If soil samples were collected,document soil sampling methodology below: Is a lead abatement plan required for this property per section 19a-111-4(a)of the Connecticut State Regulations concerning Lead Poisoning Prevention and Control? (A lead management plan for this property may be required per Section 19a-111-2(e)of the Connecticut State Regulations concerning Lead Poisoning Prevention and Control). ❑Yes ❑No The federal Residential Lead-Based Paint Hazard Reduction Act,42 U.S.C.4852d,requires sellers and landlords of most residential housing built before 1978 to disclose all available records and reports concerning lead based paint and/or lead based paint hazards, including the test results contained or referenced in this notice,to purchasers and tenants at the time of sale or lease or upon lease renewal. This disclosure must occur even if hazard reduction or abatement has been completed. Failure to disclose these test results is a violation of the U.S.Department of Housing and Urban Development and the U.S.Environmental Protection Agency regulations at 24 CFR Part 35 and 40 CFR Part 745 and can result in a fine of up to$11,000 per violation. To find out more information about your obligations under federal lead-based paint requirements,call 1-800424-LEAD. Inspector's Signature: Dated: Mail To: State of Connecticut-Department of Public Health Division of Environmental Health P.O.Bog 340308, MS# 51LED Hartford,CT 06134-0308 03/03/03 Measures Taken to Prevent Further Lead Exposure to the Family and Child Address of Property: Date of Inspection: Immediate relocation.) r1 Relocation Date: Relocation address: Child r_1 List measures to ensure that relocation Entire Family address is lead-safe: Interim control measures implemented. r1 Date: List interim control measures: Relocation during abatement only.1 F1 Relocation Date: Date of Clearance and return to dwelling: Relocation address: List measures to ensure that relocation address is lead-safe: No relocation during abatement.) r1 List measures to ensure that abatement can be performed safely while occupancy continues and that access to required amenities will be maintained throughout the term of the abatement project: 1 Per CGS§19a-111: "The local director of health may permit occupancy in said residential unit during abatement if,in his judgment,occupancy would not threaten the health and well-being of the occupants." 2- 5-02; 2c38PM;Water Supplies ;727 8888 1i 16 x I STATE OF CO NNECTICUT DEPARTMENT OF PUBLIC HEALTH � I Division of Community Based Regulation .w n To: Directors of Health ` CC: Chief Sanitarians Lead Contacts a o Local Health Administration � � `� s Department of Public Health, Water Supplies Division 0 From: Richard Edmonds, Director Division of Community Based S)p Thomas Furgalack, irector W Division of E ironme a! Health ti W n Leonard McCain, Director x Office of Local Health Administration a Date: 11/2/01 RE: Required Lead Inspections at Child Day Care Centers and Group Day Care Homes at the Time of Initial Llcensure or Change in Ownership Test Results Summary Form for Child Day Care Centers and Group-Day Care Homes Please note: This cover letter does not pertain to family day care homes. This letter is a clarification of the March 22, 2000 circular letter DEH#2000-4. Endased are the following documents: • The revised Environmental Health Inspection Form — this revised form includes a lead inspection requirement that applies to inspections for initial licensure and changes of ownership. • The revised Child Day Care Licensing Packet—For initial iieensure. • The March 22, 2000 Circular letter DEH #2000-4 with attached flow charts that explain lead inspection requirements of local health departments. The flow charts outline the responsibilities of child day care operators and local health departments. Section 19a-111-3c(3) of the Connecticut Lead Poisoning Prevention and Control Regulations establishes child day care services as the third inspection priority for local code enforcement agencies (a.k.a. — local health departments). A trained lead inspector must conduct the comprehensive lead inspection. Prior to issuance of an Initial child day ,care license (including change in ownership), it is required that a comprehensive lead inspection be conducted at a child day care center or group day care home if the entire facility or any part of the facility was constructed before 1979. If the entire facility was bulk after 1978, no lead Inspection is required. A comprehensive lead Phone: (860)509-8045, Fax: (860)509_7541 Telephone Device far the Deaf(860)509-7191 410 Capitol Avenue-M8 412CBR P.O. Box 340308 Kartfon4 Cr 06134 An Equal Opportunity Employer 2- 5-02; 2:3ePM;Water Supplies ;727 GSSS 2 96 Page 2 inspection entails testing of representative components of each type of painted surface (typically with an X-ray Fluorescence machine) throughout the facility, dust wipe sampling of select window wells, window sills and floors, testing of bare soil areas in the child play areas, and water sampling. If your department is unable to conduct the required lead inspections of these facilities you should require that the child day care operators hire Connecticut licensed lead consultant i contractors to perform the inspection. The licensed contractors must utilize a Connecticut certified lead inspector or lead inspector/risk assessor to conduct the inspection. For a current list of licensed lead consultants or to verify licensing or certification credentials, contact the lead Environmental Management Unit at(860)509-7299. If lead hazards (deteriorated lead-based paint, lead contaminated soils, lead contaminated water or dust wipes) are identified at the child day care centertgroup day care home, a plan of correction must be developed by the child daycare operator. It is recommended that the child day care operator and the building owner contact your department for advice in deciding what lead safe work methods are most appropriate for their facility and situation. The child day care operator is then required to submit the lead inspection report (if it has not been conducted by i your department) and the plan of correction to your department Rnor to initiatin any corrective work: The plan of correction must be reviewed and approved by your department. Once the plan is approved, a copy must be provided to the Child Day Care licensing Unit. A follow up inspection by your department or your department's designee is required to assure that the plait was rollowed and the hazards have been removed. A letter of approval from your department must be sent to the Child Day Care Licensing Unit verifying that the condition has been corrected satisfactorily. Additionally, a lead management plan must be prepared by the child day care operator and building owner to address any intact lead-based painted surfaces that have been identified and will remain at the facility. Any building components that are listed in the management plan must be periodically inspected by the day care operator to ensure that they remain in good condition. If at any time an area on the management plan starts to deteriorate, the area must be corrected immediately in a lead safe manner. It is recommended that the child day care operator and building owner contact your department prior to initiating any corrective work to ensure that the work is done in a lead safe manner. Any corrections, including the date and type of correction should be noted on the lead management plan by the child day care operator and building owner. It is important that the lead inspection Is scheduled (local health department, certified lead inspector or certified lead inspector/risk assessor) well in advance of the anticipated opening date to allow time for corrections (if needed) prior to the intended opening date. The child day care license will not be Issued until this Inspection is conducted any identified lead hazards are corrected, and your department confirms that the corrections have h2en done properly. This pre-licensure lead inspection need be conducted only once if the inspection is complete and .thorough. During that inspection, all lead hazards should be identified and corrected. Surfaces that contain intact lead-based paint will also be identified and placed in a lead management plan. Your department and. the Child Day Care licensing Unit will have the inspection report, plan of correction, and management plan (provided by the child day care 4 2- 5-02; 2:38PM;W9ter Supplies ;727 8888 3i i6 Page 3 operator) to refer to during subsequent inspections. It is required that the child day care operator keep a copy of the inspection report, plan of correction, management plan, and records of any additional work that has been performed on file at the facility for reference during any subsequent inspections. If a comprehensive lead inspection has previously been conducted at a facility, anew inspection is not required as long as the previous inspection was complete and thorough. Documentation of the lead inspection results, any corrective plan of action, and any lead management plan, with any subsequent corrective measures, are required to be submitted to the Child Day Care Licensing Unit. If you have any questions regarding this required lead inspection, feel free to contact the Department of Public Health Lead Environmental Management Unit at(860) 509-7299. A template letter titled, "Test Results Summary Form for Child Day Care CenterslGroup Day Care Homes", was developed for guidance with existing facilities (sample attached). The letter explains the process that the child day care operator is required to follow in correcting any lead hazards that have been Identified at an existing facility. If deteriorated paint is observed by the child care licensing specialist, a sample(s) will be collected and tested. Should the test results be positive for lead, this letter and the test results will be sent to the child day care operator and the local health department by the DPH child care licensing specialist. The letter explains that when lead paint that is in a hazardous condition has been identified at an existing licensed child day care center or group day care home, it is required that an appropriate correction plan be developed.and submitted to the local health department for review and approval prior to initiating any corrective work. The DPH Child Day Care Licensing Unit must be notified in writing that the local health department has approved a plan of correction, the plan was implemented correctly, and the corrections are complete. If you have any questions regarding the test results letter, feel free to contact the Department of Public Health Child Day Care Licensing Program at(860) 509-8045. 2cover letter to local health departments? 1 D/28/o1 2- 5-02; 2:38pM;water Supplies ;727 8888 .i.` 4i 16 i STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH IQ—np a DEH Circular Letter#2000-4 Date: March 22,.2000 To: Directors of Health Chief Sanitarian Lead Program Coordinators From: Thomas FurgaIac ,Diirreecctor Division of Environmental Health Richard Edmonds,Director Division of Community Based Regulation Re: Lead Hazard Identification and Reduction in Child Day Care Facilities This letter supersedes Circular Letter#97-2(dated 10/4196) and updates the clarification of the responsibilities of local health departments in lead hazard identification and reduction in child day care facilities. Additionally, it is hoped that this information will assist you in understanding the Department of Public Health's(DPH)role and responsibilities relative to the protection of , children from lead exposure in licensed child day care facilities. Currently,there are two distinct sets of regulations related to child day care facilities. One set of regulations encompasses child day care centers and group day care homes while the other set of regulations addresses family day care homes. A. Regulatory Overview of the Requirements for Child Day Care Centers and Groups Dad Care Homes: Definitions: "Child day care center" means a program of supplementary care for twelve or more children and "group day care home" means a program of supplementary care for seven to twelve children in accordance with §§19a-77(a)(1)and (2)respectively of the Connecticut General Statutes (CGS). CGS §19a-82 states that the Commissioner of Public Health shall utilize consultative services and assistance from local health departments in the licensure of child day care centers and group day care homes. Phone: '110, 509-11991501-5045 Telephone Device for the Deaf (860) 509-7191 410 Capitol Avenue -MS# 51LED P.O. Box 340308 Hartford, CT 06134 An Equal Opportunity Employer 2— 5-02; 2:38PM Water Supplies ;727 8888 ; fi% 1E §§19a-79-2a(b) and (c)of the Regulations of Connecticut State Agencies(RCSA) require that child day care centers and group day care homes meet local health codes for initial I licensure and license renewal. Written verification of compliance is required. The application for licensure must also contain all other documentation that the Commissioner deems necessary to establish that the licensee will meet the health needs of children Iikely to attend the facility. ' §l 9a-79-7a of the RCSA requires written approval by the local director of health of plans for new construction, expansion, renovation, or conversion of facilities. Toxic materials are prohibited in areas accessible to children and equipment must not be colored and/or covered f by any poisonous material. Paint used for equipment,toys, and art supplies used by children must be non-toxic. §§19a-I I1-1 through 19a-111-1 l of the RCSA(the Lead Poisoning Prevention and Control Regulations) establish day care facilities as the third priority for inspection by local code enforcement agencies (§I9a-111-3c) and establish methodology to conduct such inspections (§19a-111-3). §19a-I 11-2 provides standards for abatement and management of lead-based painted surfaces in residential units and§19a-111-4 establishes criteria for conducting such abatements. Please note that §19a-111-2 specifically references residential units with children under,six(6)years of age (i.e., homes where children under 6 years of age reside) and does not mention day care facilities. A child day care center or group day care home may be identified as having toxic levels of lead within the facility during an inspection that has been conducted by the local health department for licensure or relieensure, or by a DPH licensing specialist who observes and samples chipping or peeling paint that is accessible to children, during an inspection. When the DPH licensing specialist observes chipping or peeling paint,a sample of the paint is sent to the DPH laboratory for lead analysis. When a toxic level of lead is identified,DPH is responsible for citing the violation of the day care licensing regulation. The operator is referred to the local health department by the DPH licensing specialist to develop a plan of correction to ensure that the hazard is remedied. Additionally, some facilities have been identified as being lead contaminated during an epidemiological investigation that has been conducted by the local health department when the blood lead level of a day care child is elevated. Local health departments should notify the DPH Day Care Licensing Section when such a situation occurs. Discussion: Normally when a lead-based paint hazard has been identified,the local health department will refer the operator to a qualified consultant for assistance or will review a plan that has been prepared by the operator and/or owner. A plan of correction may include a range of remedies from appropriate management through full-scale abatement as necessary to protect the health of children at the facility. Corrective actions should be protective of public health in methodology and results. Although day care facilities are not explicitly mentioned in 2 2- 5-02; 2:SepM;w3ter Supplies ;727 8288 §19a-111-4 of the Lead Poisoning Prevention and Control Regulations ("Abatement of toxic levels of lead")the protocol within this section provides appropriate guidance for any abatement activities. Paint stabilization may be an appropriate remediation in certain situations. Written verification that the plan has been carried out properly is obtained by the DPH licensing specialist from the local health department. Failure to follow the plan and remedy the situation may result in DPH taking a licensing action against the facility. Additionally,the local health department may take action pursuant to an epidemiological investigation of a reported elevated blood lead level(CGS§19a-111). B. Repulatyey Overview of the Requirements for Family Day Care Homes: Definition: "Family day care home" means'a program of supplementary care for six or less s children in accordance with §I9a-77(a)(3)of the CGS. Family Day Care Homes are also licensed by the Department of Public Health. CGS §19a- 87b requires that any inspection that is conducted by DPH include an inspection for evident sources of lead poisoning. DPH must provide for a chemical analysis of any paint chips that are found on the premises. Family day care homes are subject to all local codes and ordinances.that are applicable to single and multi-family dwellings. §19a-87b-9 of the RCSA requires that the facility and equipment shall be in good repair and reasonably free from anything that would be dangerous to children. The Commissioner,upon inspection,may require the provider to correct any condition that may put children at risk of injury. Poisonous substances must not be accessible to children enrolled at the facility. §§I9a-111-1 through I9a-1I 1-11 of the RCSA(the Lead Poisoning Prevention and Control Regulations) address dwellings with resident children under six(6)years of age. This regulation also deals with day care facilities in a more limited manner as noted above. Local health departments are not required to inspect family day care homes as part of the licensing process. However, local health departments will receive written notification from DPH when an initial application for a family day care home license has been received by the department and provided the opportunity to comment on the application(see Attachment). When a DPH licensing specialist observes chipping or peeling paint at a facility,a paint sample is collected and sent to the DPH laboratory for analysis. When a toxic level of lead is identified, the day care operator is referred to the local health department for assistance as described below. Some facilities have been identified as being lead contaminated during an epidemiological investigation that has been conducted by the local health department when the blood lead level of a resident and/or day care child is elevated. Local health departments should notify the DPH Day Care Licensing Section when such a situation occurs. 2— 5-02; 2c36PM;Water Suppli 0S ;727 SSHS # 7, Discussion: i 1. Family Day Care Homes That Have Resident Children Under Six (6) Years of Abe If there is a violation of the family day care licensing regulations in respect to lead-based paint hazards,the provider is cited and required to develop an appropriate and acceptable plan of correction. In family day care homes where children under six(6)years of age reside. the local health department is required to undertake direct enforcement action pursuant to the Lead Poisoning Prevention and Control(LPPC)regulations(§19a-I I I-1 et sec). It is required that the day care operator submits written verification that an appropriate lead abatement plan has been reviewed and accepted by the local health department. In these circumstances,abatement of lead-based paint hazards must be consistent with the LPPC regulations. After abatement,the department must be furnished a copy of the Letter of Compliance that verifies that the lead abatement project has been properly completed. 2. Family Day Care Homes That Do Not Have Resident Children Under Six (6)Years of Age But Are Located in Buildings That Contain Three or More Dwelling Units (i.e.,"Tenement Houses") If there is a violation of the family day care licensing regulations in respect to lead-based paint hazards,the provider is cited and required to develop an appropriate and acceptable plan of correction. In family day care homes where children under six (6)years of age do not reside that are located in buildings that contain thrcc or more dwelling units(i.e.,"tenement houses"),the local health department(or other appropriately designated local agency) is required to undertake direct enforcement action pursuant to subsection(b) of§47a-54f of the Connecticut General Statutes. It is required that the day care operator submits written verification that an appropriate correction playa has been reviewed and accepted by the local health department. After correction, the department must be furnished written documentation that verifies that the correction has been properly completed. 3. Family Day Care Homes That Do Not Have Resident Children Under Six (6)Years of Age and Are Not Located in Tenement Houses Facilities that fall in this category do not fall within the scope of the Lead Poisoning and Control Regulations(RCSA §19a-111-1 et sec.) or the tenement house statutes (CGS §47a- 50 et sec.). Paint stabilization may be an appropriate remediation in certain situations. If there is a violation of the family day care licensing regulations in respect to lead-based paint hazards,the provider is cited(RCSA §19a-87b-9)and required to develop an appropriate and acceptable plan of correction. In family day care homes where children under six(6)years of age do not reside and which are not located in tenement houses, the provider must submit an appropriate plan of correction to DPH,prior to beginning repair work. The plan must insure that: 4 2- 5-02; 2:SSP1V1;Water Supplies ;727 8888 # 8." 16 ' s • all children are not exposed to any hazards (including lead paint chips and dust) before and during repairs, and after the lead-based paint hazard has been removed; • all parents of enrolled children are given notice that lead-based paint hazards have been identified at the facility,and the conditions are being corrected; • time frames for completion of repairs are in place; • all work is performed in a lead safe manner. The provider will be given technical assistance materials from DPH. It will be stronal` recommended by DPH that the provider contact a consultant who has on staff a ccrtified lead inspector/risk assessor for assistance in developing an appropriate protection and repair plan. The local health department may be able to act as a resource to assist the provider in locating an appropriate consultant in the local area and by providing technical assistance, After the plan is approved,and the corrections are completed,the provider must notify DPH. A follow up inspection will be made by DPH staff to assure that no obvious hazards exist relative to lead-based paint. 4. Related Issues The local health department may also take action pursuant to an epidemiological investigation of a reported elevated blood lead level (CGS §19a-111). DPH as the licensing agency,is responsible for.issuing violation letters and taking licensing actions if the facility does not comply with the statutes and regulations for licensing family day care homes. DPH may summarily suspend and revoke day care licenses when children are in danger. C. Surnma : Please be advised that for child day care purposes in all three(3) levels of child day care facilities,the licensee is the entity that is ultimately responsible and held accountable by DPH to assure that children are not placed in danger by exposure to any toxic substance including deteriorated lead-based paint,lead-based paint chips,and/or lead dust. DPH will not issue an initial license to operate a child day care facility if DPH or a local health department has identified a hazardous condition. The condition must be appropriately remediated before DPH will issue the license. c: Leonard McCain Devon Conover Alan Buzzetti C420004 5 2- 5-02; 2=38PM;Water Supplies ;727 8888 # 9% 16 DATE: RE: Dear Director of Health: The CT Department of Public Health is required by state statute(CGS §19a-87b)to license family day care homes. A family day care home consists of a private family home where supplemental day care is provided for not more than six children, including the provider's own children who are not in school full time. The children are cared for not less than three nor more than twelve hours during a twenty-four hour period and the care is given on a regularly recurring basis. The above noted individual has applied to the Department:for a family day care home license. Approval is currently pending on that application. Family day care homes are not subject to any additional local requirements regarding the operation of the home beyond compliance with all local codes and ordinances that are applicable to single and multifamily dwellings. Local health departments are not required to inspect family day care homes as part of the licensing process However,DPH would like to inform you of any pending family day care applications in your area,and give you the opportunity to comment on the application. We encourage you to bring to our attention any public health issues that may need to be considered during the licensing process for this applicant. If you wish to comment,please call me at (860)509-8045,(800)282-6063 or(800)439-0437. You may send written comments to my attention at: CT Department of Public Health-Day Care 410 Capitol Avenue-MS912DAC P.O.Box 340308 Hartford,CT 06134 FAX(860)509-754I Your assistance is greatly appreciated. Sincerely, Child Care Licensing Supervisor s:devon/draRlettleadloc.doc 2- 6-02; 2^38PM;Water Su PPIIeH ;727 £8£8 1Ui y� - 2 s. DIRECTOR: Home Address: Home Phone: (�) Town/City/State: Zip Code: _. 6. HEAD TEACHER: (designated for site) 7. LOCAL APPROVALS: a. LOCAL FIRE approval (Attachment#5a) b. LOCAL BUILDING approval (Attachment 45b) C. ZONING approval (Attachment#5c) d. DATE you sent copy of application to LOCAL HEALTH DEPARTMENT e. LOCAL HEALTH Approval(Environmental Inspection Report) A lead inspection is required for buildings constructed before 1979. If a lead inspection is required the local health department/private licensed lead inspector's Lead Inspection Report must be submitted. if lead-based paint or lead hazards are not identified, no additional documents are required to be submitted. If lead-based paint or lead hazards are identified, any of the following documents that are generated based upon the inspection results must be submitted: (a) Plan of Abatement/Correction, (b) Letter of Compliance from local health department,(c)the Management Plan. 8. ENROLLMENT: Requested licensed capacity: Ages of children you will accept: SERVICES PROVIDED: ❑ Infant/Toddler 6 wccks-3 years ❑ Preschool 3-5 years ❑ Kindergarten 5-6 years ❑ School Age 5 years&over (Attending Kindergarten at your facility) (Attending Elementary School) ❑ Night Care 9. OPERATIONS OF CENTER/HOME! Indicate time open each day. Mon Tues Wed Thurs Fri satSun (i.e., Mon.9 A.M.12 P.M.;Tues. 10 A.M.I2 P.M.;Wed.24 P.M.) Months center/home operates: (i.e.,September to June) Days/Weeks program scheduled to be CLOSED: (i.e.,holidays,in-service,vacations). (Attachment#7) 2— 5-02; 2:S8PM;Wat9r SUPP1 195 .727 SS8S 9 11i 16 . *A Z*PP11 01- 111eZGfiUrvn S will 19e.+orfhco, it El INSPECTION ® REINSPECTION ❑ COMPLAINT v State of Connecticut Department of Public Health Town ENYIRONMENTAL Day Care Licensing Program INSPECTfON REPORT 410 Capitol Ave.,MS#12 DAC,P.O. Box 340308 Date of Inspection Hartford,Connecticut 06134-0308 Date of Expiration INSTRUCTIONS Check=Compliance; Circle=Non-Compliance; 3. =Not Observed; 4. =Not Applicable Program Name/License# Telephone# Licensed Capacity #Children Present Under 3 Endorsement #Staff Present Address: Licensed for: '❑Under3 Yrs ❑School Age ❑ Night Care Operator: ❑ Pre-School(3-5 Years) ❑On Site Kindergarten Physical Plant/indoor Space 19a-79-7a Health and Safety 19a-79-6a ❑ I License premises clean/good repair ❑ 37 Refrigeration no more than 45° ❑ 2 Equipment clean,in good repair,safe/non-toxic ❑ 38 Food prep area clean/good repair © 3 Free from observable hazards ❑ 39 Food safely stored ❑ 4 Drinking water available,adequate,safe ❑ 40 Food prep handwashing ❑ 4a Lead Water Test/Date ❑ 41 Adequate dishwashing ❑ Within Limits ❑ Exeecds Limits ❑ 42 Kitchen separated ❑ 4b Public Water Supply ❑ 43 First aid kit ❑ 4c On Site Well(in compliance with CT Public Health Code ❑ 44 Mark as appropriate: Sections 19-13451 and 19-13-BI02) ❑ Snacks served ❑ Cold breakfast ❑ Local Health verified with VPH Water Supplies Section for ❑ Meals served ❑ Meals transported facility licensed to serve 25 or more adults and children over ❑ Other 60 days per year ❑ 4d Private Well—Facility serves less than 25 children&adults [] Building; Post 1978 Construction ❑ 4e Other(Please specify) ❑ Building;. Pre 1979 Construction(Lead Inspection Required ❑ 5 Adult toilet/available/designated In centers Q ) ❑ 6 Windows for ventilation screened ❑ No Lead-Based Paint Identified ❑ 7 Glass protected to 36" ❑ bead Hazards Identified and Eliminated ❑ 8 Overhead doors equipped w1locking devices (Plan of correction on file with Local Health Dep&(LHD)) ❑ 9 Exits,hallways and stairs unobstructed ❑ Intact Lead-Based Paint Identified ❑ 10 Individual storage of bedding and clothing (Management Plata on file with LhfD) ❑ 11 Approved safety outleWcovers ❑ 12 Required toilets/sinks/supplies ❑ 13 Adequate ventilation in toilet room❑ 14 Air temp 68,thermometer affixed "REMARKS" ❑ 15 Hot water 1150 maximum ❑ 16 Walls,ceilings,floors,rugs clean/good repair ❑ Approval recommended. No code violations identified. ❑ 17 Working phone on each level/Emergency M posted ❑ Approval recommended with conditions(see below.) ❑ IS Safe adequate lightingA6 ft.candles/sq.f4. ❑ Approval not recommended due to existing serious code ❑ 19 Potentially hazardous substance locked violations. ❑ 20 Garbage,rubbish properly disposed ❑ 21 Stnira/good repsirlprotected,hand rails ❑ 22 Aniawts maintained ❑ 23 Radon test posted ❑ 24 35 sq.t1.per child/useable ❑ 25 Adequate cots stored/maintained ❑ 26 Sewage disposal adequate ❑ 27 No Smoking signs posted Outdoor Space 19a-79-7a 1328 Swimming pool comply with PHC 19-13-B33 ❑ 29 Walkways maintained ❑ 30 75 square feet per child useable D 31 Fenced/4 feet/protected ❑ 32 Playground free from observable hazards ❑ 33 Shock absorbing materials under equipment ❑ 34 Equipment anchored/appropriately placed ❑ 35 Lighting adequate ❑ 36 Drinking water available,adequate,safe Signed(Inspector) Date Corrections Due Signed(Person in Charge) s:/Division/Licensurc/Orp&cctr/Fieid FunwfEnv Inspection Report 3/13/01 2— 5-02; 2c38PM;1Nater- SUPPI IGS :727 8888 *A 12i ?6 DAY CARE CLASSIFICATIONS CHILD DAY CARE CENTERS FAMILY DAY CARE HOMES � GROUP DAY CARE HOMES 12 or more children 6 or less children 7 to 12 children CGS §19a-77(a)(1) CGS§19a-77(a)(3) CGS§19a-77(a)(2) l Family Day Care Homes / that do not have resident Family Day Care Homes Family Day Care Homes children under 6 years of that do not have resident that have resident children tage but are located in children under 6 years of under 6 years of age, ngs that contain three age and are not located in more dwelling units. Tenement Houses. Jenement Houses) / EBLL=Elevated Blood Lead Level=>20µg(dL CGS §19a-111 2— 5-02; 2=38PM;Water Supplies .727 8888 9 IS/ 16 ' F CHILD DAY CARE GROUP DAY CARE CENTERS HOMES 12 or more children 7 to 12 children CGS§19a-77(a)(1) CGS §19a-77(a)(2) i • i DPH Day Care Specialist Local Health Dept, licensing inspection or collects paint sample(s) epidemiological and submits to lab. investigation of EBLL, i j Paint is NOT identified Lead-based paint Deteriorated lead- as lead-based. intact. based paint identified. j No hazard exists. No hazard exists. Hazard exists. i I Local Health Department may I Operator is required to prepare a refer the operator to a qualified plan for abatement or hazard consultant for assistance. 4 remediation depending upon site Plan submitted to Local Health specific conditions. Dept. for review. Operator may be assisted by the Local Health Department. Local Health Department reviews rEnclosure plan.Approves plan czar when acceptable. Remediation� e.g., Paint Stabilization, Barriers, Restricted Access. Encapsulation/Enclosure& Intact LBP. Management Local Health Dept.sends written verification to DPH -.,.�Y.. Plan to Local Health Dept. licensing specialist that plan for review and has been properly implemented I approval. —_—_—— and corrections completed. _ b" nY+ 1)Management Plan a implemented (if required). 2)Llcense Is granted `�---- Submit Failure to remedy the assuming there are no other management plan situation may result in problems. to DPH Day Care DPH taking licensing 3)No action against Specialist action against the existing license. facility. I. 2- _--02; 2:38PM;Water Supplies =727 8888 # 14, ?6 1 ' I FAMILY DAY CARE HOMES Family Day Care Homes that 6 or less children have resident children under 6 i CGS §19a-77(a)(3) I years of age. j i DPH Day Care ? Local Health Dept. Specialist collects paint sample(s)and submits epidemiological investigation of to lab. EBLL. I Lead-based paint Paint is NOT identified Deteriorated lead- hazard must be abated as Lead-based paint bas ed paint identified. if child living in lead-based. intact. Hazard exists. residence is reported No hazard exists. No hazard exists. See not*1 as an EBLL See note 1 rtf�ar�.ts ,. ,... Operator is required to prepare ( ear , 'max.,...,;. - a lead abatement plan. has Ifec:to. Operator may be assisted by )recrVA merrnent e. the local Health Department. 1&Sue t tit° r'`i x See note 2 I Q13 h�`lead° Day Care Operator submits written Local Health I Local Health verification that the Department reviews j Department may refer Local Health Dept. abatement plan. .14--- - the operator to a reviewed and Approves plan when qualified consultant for accepted an abatement acceptable. assistance. plan. Management \ Abatement Failure to remedy the Plan e.g. situation may result in to Local Encapsulation/Enclosure, Removal DPH taking licensing Health Dept. Replacement I action against the for review and Encapsulation/ facility and direct approval. Enclosure_ enforcement of LPPC regulations by Local Health Dept. 1)Management Plan implemented (if required). Submit 2)License t granted management plan Local Health Dept. sends assuming there are no to DPH Day Care written verification to DPH other problems. Specialis licensing specialist that plan 3) No action against has been properly implemented existing license. and abatement completed. 2- 5-02; 2=38PM;W2ter Supplies ,727 8888 # 15: 16 IIlI I ' Family Day Care Homes that j FAMILY DAY CARE HOMES I i do not have resident children 6 or less children L --� under 6 years of age and are l I CGS§19a-77(a)(3) ( not located in Tenement j I I Houses i - DPH D ay Care Local Health Dept. i ,,ides� Uimyll�s••category Specialist collects paint epidemiological investigation of EBLL. m 9 I k �ay:care.,heensin do i sample(s)and submits tf�a�. ccpe €the j to lab. Refer to Child Day Care Centers&Group ,• per. isor#u'g;anci:�Controi Day Care Homes flowchart for Local HealthRecilations_'. Dept. procedures. H:. .,.,..... .. ;r t1 et sec.}or { use stataies y.; Paint is NOT identified Deteriorated lead- as lead-based. based paint identified. No hazard exists. Hazard exists. RSCA§19a-67b-9 Local Health Dept. may Provider is required to develop an be able to assist in The provider will be appropriate and acceptable plan finding a consultant given technical of correction. -� assistance material Paint stabilization may be and provide technical from DPH appropriate remediation in certain assistance. i - l situations. DPH strongly recommends provider contact a licensed consultant who j has on staff a certified lead inspector/ Plan must be submitted to { risk assessor for assistance in DPH prior to beginning developing appropriate protection and ' hazard remediation. hazard remediation plan. E: =must Measures that will be taken to j ensure children are not i I Documentation that all parents exposed to any hazards V -- � of enrolled children were given (including lead paint chips and - notice that lead-based paint dust airs Time frames for }Oefore, during repairs, Explanation of how work will be performed hazards have been identified at and after the lead-based paint completion of the facility, and the conditions hazard has been removed. repairs. in a lead safe manner. are being corrected. Plan is reviewed and en corrections are \ approved by DPH. completed provider must not DPH. . Follow up inspection 1} No action against will be made by DPH to Failure to remedy the assure no obvious l situation may result existing license. '2}License is granted hazards exist relative in DPH taking assuming there are no to lead-based paint. j licensing action other problems. against the facility. 2- 5-02; 2: 38PM;Water Supplies ;727 8888 i6i 46 ` f Family Day Care Homes that FAMILY DAY CARE HOMES ' do not have resident children 6 or less children ( under 6 years of age but are i CGS §19a-77(a)(3) located in buildings that contain I f three or more dwelling units. I (Tenement Houses) _ I DPH Day Care ; Local Health Dept. Specialist collects paint i Housing Inspection or sample(s)and submits ' epidemiological to lab. I investigation of EBLL. r-- Lead-based paint Paint is NOT intact. I Deteriorated lead- identified as No hazard exists. ) based paint identified. lead-based. I Hazard exists. No hazard exists. -- See note 1 &2 a+ um 1 Operator is required to _ Local Health ` � prepare a plan for abatement ° �V�: i Local Health Department or hazard remediationns;�'; Department may refer the . :a reviews plan, operator to a depending upon site Approves plan when qualified ' specific conditions. acceptable. consultant for Operator may be assisted by the Local Health Department. assistance. 5ee note 3 JI- -: - t. f};... d Day Care Operator submits written verification to DPH Day Carew Specialist that the Local Health Dept. reviewed and accepted a I plan of correction. Abatement Hazard Remedlation e.g., e.g., Paint Stabilization, Barriers, --- -� Replacement, Removal, Restricted Access --—� Encapsulation/Enclosure Encapsulation/ see not*g Enclosure Management Plan & Intact LBP. ( to Local Health Dept. for review and approval. Failure to remedy the 1) Management Plan Submit situation may result in Local Health Dept. DPH taking licensing implemented (if required). management plan sends written action against the 2) License is granted to DPH Day Care notification to DPH facility and direct assuming there are no Speciaiis licensing specialist that enforcement of other problem. plan has been carried CGS§47a-54f(b) by 3} No action against existing license. out. Local Health Dept. � 15374'MOTHER GOOSE CHILDREN'S CTR 1720 ELLINGTON m , SOUTH 8606449568 XX 09/08/2009" _._ ._ __ ._. _....__ _ t3 z c�el<L J 13677 CHILDREN'S CORNER NURSERY 1790 ELLINGTON RD SOUTH 8606481471 X : �02/01/2009 �'YI'1 qN y 12264 J INDERCARE„LEARNING CENTER 494 CHAPEL ROAD SOUTH 8602821379„. X X X 02/1,5/2009'._ ✓ �.�_._ .. . .09,, rha'DEuN�G©t�N 13022 MOTHER GOOSE CHILD REN'S CENTER 1742 ELLINGTON SOUTH 8606449568 X X 09/23/200' w� ".40 z.rr G- -A-VL-r 13705_MOTHER GOOSE CHILDREN'S CENTER_ 1724 ELLINGTON, _ SOUTH 8606440629.____wX X 10/01%2009 h'iMv e�R1� 6-4ATE(Z �. 12689 OUR SAVIOR PRESCHOOL.&CHILD 239 GRAHAM ROAD ' SOUTH 8606446458X X X 04/01/2009 13315 SOUTH WINDSOR CHILD _ 1333 SULLIVAN SOUTH 8606449172 'X X 'X 03/01/2008=- /iZ ucN�► 16514 RISING STARS CHILD CARE LLC I �'��'�' ""^"R^ SOUTH 8605287529 ':.X X X�02/20/20 0 'ST 14157 THE LEARNING CENTER, INC 120 FOSTER ROAD_ SOUTH_ 8602893818 X X ix 09/17/2008 �S� pv�4NN A2r',`0t 14419 IMAGINATION STATION 60 DEMING STREET SOUTH 8606482129 X X X.12/03/2008 e-64/- 4 b#Al �ee-m N 14523 THE„LEARNING CENTER......._. _._... ......... __. ._ _ _. ___ ,,,......_ __.. 1250 ELLINGTON SOUTH 8602828020 X X X 05/06/2008 �.!$ rhy�N N�4Z-U�RI O 15104 PIERCE ROAD LEARNING CENTER 80 PIERCE ROAD SOUTH 8606482068 X X �X108/10/2008 ,, ��