HomeMy WebLinkAboutDaycare Inspection 1720 Ellington Road ENVIRONMENTAL INSPECTION REPORT
(INSPECTION ❑ FOLLOW-UP INSPECTION ❑ COMPLAINT
Department of Public Health-Child Care Licensing Program Town
410 Capitol Ave.,MS#12 DAC,P.O.Box 340308,Hartford,Connecticut 06134-0308
1-7—
Date of IqApection
INSTRUCTIONS i
Check=Compliance; Circle=Non-Compliance; 3=Not Observed; 4=Not Applicable Dab of Llipiration
Licensed Capacity Under 3 Endorsement C_ #Children Present '31 #Staff Present g
G� Cw\ Ceram i 5 y 6y�-�s6�7
Program Name License# Telephone#
Address O e ntor
Licensed for: ❑Under 3 Yrs Pre-School(3-5 Years) School Age ❑Night Care
Physical Plant/Indoor Space 19a-79-7a Health and Safety 19a-79-6a
1 License premises clean/good repair [ 1 Refrigeration no more than 45' VS +r•b y1 v
Equipment clean,in good repair,safe/non-toxic �Z Food prep area clean/good repair tics
3 Free from observable hazards 0' 3 Food safely stored y',S rcc- -�y50
[— JA Food prep hand washing
R'JS Adequate dishwashing
4 Wate apply in compliance with all PHC requirements Kitchen separated
17 Ma�ICas appropriate:
4a Customer of a Water Comppan� �Snacks served ❑ Cold breakfast
Water Company Name: W�' ❑ Meals served ❑ Meals transported
Lead Water Test Date: Other �
VWithin Limits xce ds Limits
NkZ*'C W rv.Ar -0 � � �,� (IBu ing: Pre 1978 Construction(Lead Inspection Reguiredl
❑ 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. ❑ Intact Lead-Based Paint Identified
(If not,then private well)
❑ Private Well—Serves less than 25 adults&children (Management Plan on file with Local Health Department)
Review of Water Ounlity Test Results ❑ Building: Post 1978 Construction
I.Lead Water Test Date:
❑ Within Limits ❑ Exceeds Limits "REMARKS„
ii.Bacteriological Analysis Test Date:
❑ Within Limits ❑ Exceeds Limits
Ill.Chemical Analysis Test Date: RApproval
Approval recommended. No code violations identified.
❑ Within Limits ❑ Exceeds Limits recommended with conditions(see below).
❑ Approval not recommended due to existing serious code
Inspection of Well violations.
Well meets construction and separation distance
requirements of CT Public Health Code Sections
19-13-B51a-m.❑ Yes ❑ No
❑ 4c Other(Please speci Wolk� 1 I
5 Required toilets/sinks/supplies +5-,,)A—S�bc,.dvurl
Adequate ventilation in toilet room �p
Sewage disposal adequate �, * -,A
of-
Outdoor Space 19a-79-7a 'k y`` L rvv i*4,4',^A-tn&r rf`'`," e
❑ 8 Swimming pool complies with PHC 19-13-B33b
❑ 9 Playground free from observable hazards �b
❑ 10 Drinking water available,adequate,safe tj� lt
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Si d(Inspect Date Corrections Due Si a pbn in C g
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LOCAL HEALTA 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
3 Inspection: l IS ly
Address: Expiration D te: Licensed
b Capacity: b�
Town: Tel hone: Under Three
Sor' 76O-vto.—S�-O Endorsement:
Operator: #of S resent: #of Children Present:
>u
Licensed For: ❑Under Three(6wks-36m) Preschool(3y-5y) ESJ 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
1 License premises cEg
a air W1 Refrigeration no more than 45' 'y 4-e-�r�„�.
Equipment clean, 00d rep,' safe/non-toxic [s�12 Food prep area clean/good repair,n /3�s( �
Free from observa ar s [5�13 Food safely stored a`� 1
[t.J54 Food prep hand washing
21 Adequate dishwashing �c L�K aY-t-r�"'erc4Vs�r,
4 Wat Supply in compliance with all PHC requirements [� Kitchen separated ��-�$�,_Or
17 Mayk as appropriate:
4a Customer of a Water Company [- Snacks served ❑ Cold breakfast
Water Company Name: ❑ Meals served ❑ Meals transported
Lead Wate est Date: Other ( S_\3 i1�a y�-t
ithin Limits Exceeds Limits
-or- L1a Bu' tng: Pre 1978 Construction(Lead Inspection Required)
El4b On-Site Well I� 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.
El 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
iii.Chemical Analysis Test Date: Please check one of the following:
❑ Within Limits ❑ Exceeds Limits
❑ proval recommended. No code violations identified.
Inspection of Well pproval 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
❑ 4c Other(Please specify)
Comments:
5 Required toilets/sinks/supplies
6 Adequate ventilation in toilet room
Sewage disposal adequat �ri
Outdoor Space 19a-79-7a ``�
Ll ❑ 8 Swimming pool complies with PHC19-13-B33b
❑ 9 Playground free from observable hazards V
❑ 10 Drinking water available,adequate,safe 3`5 ' e'% S'^ h 7? / Hw S,'7-o
�i'�@r1r worlw i o n Oc d¢c
1; _bA' + �sa'r-�
❑ hec er a 1twnal mments attache
* kxA-c s1s S
Signad nspector) Nned(Verton in ar Date Corrections Due
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