HomeMy WebLinkAboutDaycare Inspection 1742 Ellington Road LOCAL HEALTIP'HILD 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
o A i Inspection:
Address: Expirati n D te: Licensed
\1�a C , Capacity: q%
Tow Telephone: Under Three
Endorsement: D
Operator: #of Staff Present: . #of Children Present:
/
Licensed For: ❑Under Three(6wks-36m) R(Preschool(3y-5y) R 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 premises clean/good repair L]' 1 Refrigeration no more than 45'
CJ,Z Equipment clean,in good repair,safe/non-toxic Food prep area clean/good repair — o
(�3 Free from observable hazards Lv1 13 Food safely stored
Food prep hand washing
L`�'IA- Adequate dishwashing
IG'4 Water Supply in compliance with all PHC requirements [ Kitchen separated
17 M�ar�as appropriate:
Vr'4*a Customer of a Water Company LVSnacks served ❑ Cold breakfast
Water Company Name: �L El Meals served ❑ Meals transported
Lead Water Test Date: Other
Within Limits El E ceeds Limits
-or-
❑ 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: g:
❑ Within Limits ❑ Exceeds Limits
Approval recommended. No code violations identified.
Inspection of Well ❑ Approval 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.
19-13-1151a-m.❑ Yes ❑ No
❑ 4c Other(Please specify)
Comments:
Required toilets/sinks/supplies
Adequate ventilation in toilet room a
7 Sewage disposal adequate 'Glk� �� ' � ��W�'�ik Te v_r 09
Outdoor Space 19a-79-7a
❑ 8 Swimming pool complies with PHC 19-13-B33b g�c."(__
AmL
El9Playground free from observable hazards t,arre,el�(.,50 10 Drinking water available,adequate,safe ` �--,& 10 n
❑ Check here if additional comments attached
Signe ( spector) Signed(Person in Ch a Date CIrrections Due
S:/DivisiordLicensur / rp&ctr/Field Fbrm#Ery Inspection Report 9/8/
ENVIRONMENTAL INSPECTION REPORT
6Q INSPECTION ❑ FOLLOW-UP INSPECTION ❑ COMPLAINT
50CA3)r1n i/O v
Department of Public Health-Child Care Licensing Program Tow
410 Capitol Ave.,MS#12 DAC,P.O.Box 340308,Hartford,Connecticut 06134-0308 1`oL 1 0012
Dat o Inspection
INSTRUCTIONS
Check=Compliance; Circle=Non-Compliance; 3=Not Observed; 4=Not Applicable Date of Expiration
Licensed Capacity—L12— Under 3 Endorsement C) _ #Children Present_ #Staff Present
1 Acyy'y c C-WSL- cln,,?\m*r s Ce.V'Are r 1 3C2Z %0-
Program Name License# Telephone#
Address perator
Licensed for: ❑Under 3 Yrs ef Pre-School(3-5 Years) 21 School Age ❑Night Care
Physical Plant/Indoor Space 19a-79-7a Health and Safety 19a-79-6a
1 License premises clean/good repair Refrigeration no more than 45'
Equipment clean,in good repair,safe/non-toxic Food prep area clean/good repair �, �� L,(o
3 Free from observable hazards Food safely stored
Food prep hand washing
Adequate dishwashing
4; bd'4,
Ma upply in compliance with all PHC requirements Kitchen separated
17 k as appropriate:
Customer of a Water Company Snacks served ❑ Cold breakfast
Water Company Name: Meals served ❑ Meals transported
Lead r Test Date: 11 14b I to Other
Within Limits IJ Esc eds Limits
�k Ne ee c.xwr LA ❑ 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 Ouality Test Results Building: Post 1978 Construction
i.Lead Water Test Date:
❑ Within Limits ❑ Exceeds Limits °°REMARKS"
ii.Bacteriological Analysis Test Date:
❑ Within Limits El Exceeds Limits iii.Chemical Analysis Test Date: ❑ pproval recommended. No code violations identified.
❑ Within Limits El Exceeds Limits Approval 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 ~; VA'k
❑ 4e Other(Please specify) ertd�s cx ,re.\h� vo sllsih
V
Required toilets/sinks/supplies O
Adequate ventilation in toilet room
Sewage disposal adequate Aj act' vbJ,,tr Arr-6V 4o �? �
�tt>.atadL�
Outdoor Space 19a-79-7a �� Q�i c,,,
❑ 8 Swimming pool complies with PHC 19-13-B33b v
Playground free from observable hazards
P10 Drinking water available,adequate,safe
Signel inspector) Date Corrections Due ed(Pe son in C r
2.
S;/Division/Licens Group&Center/Environmental Inspection RVyort 10/08/08 (website)