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Home My WebLink AboutDaycare Inspection 1724 Ellington Road ENVIRONMENTAL INSPECTION REPORT INSPECTION ❑ FOLLOW-UP INSPECTION ❑ COMPLAINT Samar, Department of Public Health-Child Care Licensing Program Town 410 Capitol Ave.,MS#12 DAC,P.O.Box 340308,Hartford,Connecticut 06134-0308 1 e.' -1 - Date In pection INSTRUCTIONS I ®, k3 Check=Compliance, Circle=Non-Compliance; 3=Not Observed; 4=Not Applicable Date of Ex iration Licensed Capacity Under 3 Endorsements #Children Present 3� #Staff Present s Pr ram Nam License# Telephone# V.1�r�S Address OperafQT Licensed for: Under 3 Yrs 2 Yre-School(3-5 Years) ❑School Age ❑Night Care Physical Plant/Indoor Space 19a-79-7a Health and Safety 19a-79-6a License premises clean/good repair �� Refrigeration no more than 45' C�SEquipment clean,in good repair,safe/non-toxic Ld�,2, Food prep area clean/good repair �3; Free from observable hazards (� Food safely stored S\-Ul � S� r�—r 14io [ A Food prep hand washing c Adequate dishwashing 's�^ ' " " y3 rX17 Kitchen separated p (P° kk, �1° 4;4a ater pply in compliance with all PHC requirements M rk as appropriate: C-hs��oS ht Fc' Customer of a Water Comp��Y, �1 Snacks served ❑ Cold breakfast Water Company Name: v"` c El Meals � Meals served ❑ Meals transported m ' Lead Waler Test Date: p Other Within Limits ❑ Exceeds Limits * - n � * N "11- .fir \4o - �V-Qly/ Building: Pre 1978 Construction(Lead Inspection Required) ❑ 4b On-Site Well ❑ No Lead-Based Paint Identified Classification of Well—Check One: ❑ Lead Hazards Identified and Eliminated ❑ Public Well-Well supplies 25 or more adults and (Plan of Correction on file with Local Health Department) Children,daily at least 60 days per year. ❑(If not,then private well) Intact Lead-Based Paint Identified ❑ Private Well—Serves less than 25 adults&children ,.,/ (Management Plan on file with Local Health Department) Review of Water Ounlity Test Results L� Building: Post 1978 Construction I.Lead Water Test Date: ❑ Within Limits ❑ Exceeds Limits fOREMARKS" ii.Bacteriological Analysis Test Date: ❑ Within Limits ❑ Exceeds Limits III.Chemical Analysis Test Date: [.] F�roval recommended. No code violations identified. ❑ Within Limits ❑ Exceeds Limits NJ Approval recommended with conditions(see below). ❑ Approval not recommended due to existing serious code Inspection of Well violations. Well meets construction and separation distance Cvdd�t�p�gs Sr�n1�L v,p�- Q,2° requirements of CT Public Health Code Sections 19-13-B51a-m.❑ Yes ❑ No So✓S �, 1 Ogo ❑ 4c Other(Please specify) ` �n � mfwf t� o OR Required toilets/sinks/supplies fco- Adequate ventilation in toilet room 7 Sewage disposal adequate C: �S �` (moo *r� ou' JV�` c ��`` �n.o.I'krr Outdoor Space 19a-79-7a 14 ❑ 8 Swimming pool complies with PHC 19-13-B33b ❑ 9 Playground free from observable hazards A-OK—OkY\ C'Ai kAw i ❑ 10 Drinking water available,adequate,safe .P-0�� / �--�a Si a (Inspector) Date Corrections Due Signed(Person in C r e S;/Division/Licens /Group&Center/Environmental Inspection Reft 10/08/08 (website) k"' @ � , ` i aga �...r,. ci -k LOCAL HEAL H CHILD CARE FACILITY ENVIRONMENTAL INSPECTION REPORT INSPECTION ❑ FOLLOW-UP INSPECTION ❑ COMPLAINT Department of Public Health--Child Care Licensing Program 410 Capitol Avenue.,MS#12 DAC,P.O.Box 340308,Hartford,CT 06134-0308 Program Name: License Number: Date of Qc\o\ �S 1370 Inspection: fS l51 Address: Expira ion Date: Licensed W 10 3� Capacity: y Town- Telephone: Under Three yo-fo,44-cxaq Endorsement: Operator: #of Staffresent: #of Children Present: Licensed For: 97Under Three(6wks-36m) reschool(3y-5y) School Age(5y&up) ❑Night Care(6wks&up) Instructions: Check=Compliance Circle=Non-Compliance 3=Not Observed 4=Not Applicable Physical Plant/Indoor Space 19a-79-7a Health and Safety 19a-79-6a License prem' s clean a air Refrigeration no more than 45° yb Equipment clean 'n ood repai safe/non-toxic I�/12 Food prep area clean/good repair yp° Free from o servable Q�3 Food safely stored �'"`1° Food prep hand washing � o(c, s� /' Adequate dishwashing u 30P ( g) &'4 Water Supply in compliance with all PHC requirements 6 Kitchen separated �/' 17 k as appropriate: �` y3 C3, M4a Customer of a M Water Company Snacks served ❑ Cold breakfast e fq' j( ; V'l.'11 Water Company Name: _ ElMeals served ❑ Meals transported 1sor .-e ,.pss Lead WaSeY Test Date: i 1 Other \s �' EY Within Limits ❑ Execids Limits -or- El Building: Pre 1978 Construction(Lead Inspection Required) ❑ 4b On-Site Well ❑ No Lead-Based Paint Identified Classification of Well-Check One: ❑ Lead Hazards Identified and Corrected Public Well-Well supplies 25 or more adults and (Plan of correction on file with Local Health Dept.(LHD)) Children,daily at least 60 days per year. ❑ Intact Lead-Based Paint Identified (If not,then private well) ❑ Private Well-Serves less than 25 adults&children _,/ (Management Plan on file with LHD) Review of Water Ouality Test Results & Building: Post 1978 Construction i.Lead Water Test Date: ❑ Within Limits ❑ Exceeds Limits ii.Bacteriological Analysis Test Date: ❑ Within Limits ❑ Exceeds Limits Please check one of the following: iii.Chemical Analysis Test Date: ❑ Within Limits ❑ Exceeds Limits roval recommended. No code violations identified. BAp'proval Inspection of Well recommended with conditions(see below). Well meets construction and separation distance ❑ Approval not recommended due to existing serious code requirements of CT Public Health Code Sections violations. 19-13-B51a-m.❑ Yes ❑ No 'a`S - OW S,`�Iti`Zcw��S 71 6 1030,/00n ❑ 4e Other(Please specify) CommentAr-V` c kck 001k%""A-da '"eb wA-e�,Jl.r wOA, ( ��yowwe� � #s ne,�il,� o�• �uo+�..s�u1�vY.ov t�.soi' z,� Required ventilation in 60 6 6 Adequate ventilation in toilet room '— ° q .+, kr Zc`.r'`�165°I L4f"7 Sewage disposal adequate p��` 5�� -*Ce,,,,k, v P fac,�,^�re� Ff W s;✓A- Outdoor Space 19a-79-7a G g}W,,5 - .f� SAZou0+- 14W,A`nks"'�� 1U3a+ ❑ 8 Swimming pool complies with PHC 19-13-B33b mt*Q /a4V ❑ 9 Playground free from observable hazards (��, S R,k s g i"'a"b ;U it�-\t b`" ❑ 10 Drinking water available,adequate,safe (�o`(t Atr Cl t �--Ce,.� 4au{ ►�, �kC�x61-b.�.npi t e�.ie.,n*'!�¢-rto�•4.o�s}Zl ❑ Gi�ck here if additional co ments attached .p � c►,�d *L"\ `"cloa.�.s rcu-'cb[lk .r C01V Sign d Inspector) Si ned erson in Date Corrections Due rux. -..�.ee-k� S:/Division/Lice a/Grp&ctr/Field Forms/Env Inspection Re art 710