HomeMy WebLinkAboutDaycare Inspection 1720 Ellington Road (3) Post for 30 Connecticut Office of Early Childhood Operating 410 Capitol Ave,M Page 1gS#12 CBR,PO Box 340308
Days Hartford,CT 06134-0308
800-282-6063/(fax)860-509-7541
�/ CHILD CARE CENTER/GROUP INSPECTION FORM
❑ INITIAL lY OUNCED ❑ FOLLOW UP ❑ LOCATION ❑ OTHER
Program
`RTTA' CHANGE
Name Mi3 Gr12i' CsC�pS� Chi la ren'� Cer_VCr- License Number: / � Date of''''� Time of (]
1rJ3,3`I Inspectioii:IZ����Arrival: -1
Address: //��
(�2.v ����n RoadExpir ti4n Date- Licensed / _ G Under 3
1-5O1 Capacity: lY a Capacity-0
Town: Telephone: #of children �
Operator: erec #of staff
present: I present.
h-i r C�UO se C.h'l d r2n.S C-e n+ey- (rt c tor: 1 A nd s the I h
Email: a 1 , Head Teacher: Amv m Gn d s ch-e 1 n
r'1 CasoUm
Hours of Operation: M_F 7QM ._5=30 Pal Summer Care: opt
Ages Served: Instruction Codes:� =Compliance, O=Non-Compliance
d -Yea r� 3=Not Observed, 4=Not Applicable at this time
Endorsements: /
❑ Under Three(6wks-36m) 5( Preschool(3y-5y) it/ School Age(5y&up) ❑ Night Care(6wks&up)
Lice ure Procedures 19a-79-2a Record Kee in 19a-79-5a
❑ 1.Local Health Inspection Date: 32.Enrollment Information
Administration 19a-79-3a s Y 33.Emergency Medical Permission
Of 2. New Staff-Employee Orientation 34.Authorized Released Permission
7 3. Annual Staff Policy Training i( 35.Field Trip Permission
Lod 4. Documentation of Behavior M.Tech Discussed w/Parents N-El' 36.Transportation Permission
i( 5. Notification of Change U 37.Child Health Records/Immunizations/TB
t� 6. Policies:Discipline/Supervision/Child Protection/General 38.Individual Care Plan(Signed by Parent/Staff)
/ Operating Policies/Personnel Policies/Closing Time Policy 39.Injury/Illness/Accident Reports
[� 7. Daily Attendance Records:Children/Staff Health and Safe 19a-79-6a
Items tested:Conspicuous/Accessible Of 40. Nutritious Snacks/Meals(Required Food Groups)
8. License 41. Proper Refrigeration 45°
9. Current Fire Marshal Certificate Date: I 15 gV
42. Kitchen Separated
W'° 10.OEC Complaint Procedure 43. Hand Washing Before Eating/Food Handling
AIT 11.Food Service Certificate Date: 44. First Aid Kit(s):Indoor/Outdoor/Field Trip/Inventory
if 12.Menus PlIvskal Plant 19a-79-7a
13( 13.Emergency Plans Of 45. License Premise:Clean/Good Re r/Hazard Free
14.No Smoking Signs 6d 46.Peeling Paint:Sale Taken-YO
15.Radon Test Date.'��Results: Building Prg-7 (YET ad,Lead Test: N
Sta n 19a-79-4a Results: (V "�,�(, ••
14 16. Staff Health Records/TB Tests (,t-12" 47.Lead Management Plan
17. Professional Development io' 48.Sanitary Drinkin Fountains/Disposable Cups
q/ 18. Disciplinary Actions Water Supply able ell
)i! 19. Designated Head Teacher/60% W( 49. Lead Water Tes Date: 3)-ZSP5
I.Q( 20. Two Staff Present Bacterial/Chemical Test Dat
21. Ratio: 1 Staff to 10 Children On Bottled Water Yr
ff 22. Group Size:Maximum 20 Children / 50.Walkways Maintained
23. Designated Director/Training 51.Designated Staff Toilet/Sink
24. CPR Certified Staff 5r 52.All Openings for Ventilation Screened
❑ 25. First Aid Trained Staff 0' 53.Windows Protected to Prevent Falls
Cons tants V 54.Glass Protected to 36"
❑ 26. Agreements/Contracts (Complete/Signed Annually) 4-U 55.Overhead Doors:Locking Devices/Spring Protectors
Contracts Los U/ 56.Exits/Hallways and Stairs Unobstructed
Education V 57.Individual Storage of Clothing/Bedding
Health 58.Smoking Prohibited
Social Service 59.Matches/Lighters Inaccessible
Dental 60.Electrical Safety:Outlets/Cords
Dietitian nija 61.Toileting Needs Met
27. LogsNisits Documented ) 62.Required Toilets/Sinks/Supplies
l
Swimming: � 63.Potty Chairs:Nonporous/Emptied/Disinfected
28.Non-Swimmers Identified 64.Hand Washing After Toileting:Staff/Children
29.Staff/Child Ratios 65.Ventilation in Toilet Room
4 30.CPR Certified Staff(20 years of age) id 66.Air Temp 65°,Thermometer Affixed
31.Lifeguard Certified/Supervision 7 67.Water Temperature 60°-115°
Signature of Inspector: Written Corrective Action Plan Signature Perso n Chilge.
Due to OEC by: 13 i(�
Post for 30
Operating Page 2
Days
CHILD CARE CENTER/GROUP INSPECTION FORM
Program Name: License Number: Date of
Yl C Aher CTDCU S-e CIn I►dl ren'S C'en+eY I S 33-LI Inspections 712-0/1(D
Ph sic 1 Plant continued: Under Three Endorsement 19a-79-10
68.Portable Space Heaters Y 1) 109.Approved Endorsement
69.Walls/Ceilings/Floors/Rugs-Clean/Good Repair 110.Ratio:1 Staff to 4 Children
l� 70.Rugs Secure 111.Group Size no Larger than 8
f� 71.Hot Water/Steam Pipes Protected 112.Physical Barriers/Groups of 8(Indoors/Outdoors)
72.Working Phone on Each Level 113.Adequate Sinks in Program Space
73.Emergency Numbers Posted 114.Free Standing/Well-Constructed/Safe Cribs
74.Adequate Lighting:50/30 Candle Feet 115.Washable Cots
0 75.Light Fixtures Shielded/Shatter Proof 116.Chairs for Feeding/Stable/Safety Straps/Locking Tray
76.Potentially Hazardous Substances Locked 117.Dev.Appropriate Tables/Chairs/Equipment
77.Garbage/Rubbish Disposed Daily 118.Refrigerators and Food Prep Facilities
78.Stairs Protected/Good Repair/Handrails 119.Sturdy/Safety Rail/Nonporous/Exclusive Use
5( 79.Pets:Maintained/Care Plan 120.Washed/Disinfected
I!� 80.Operable CO Detector on Each Level u 121.Disposable Paper Sheets
EI 81.Program Space/Adequate Sq.Ft.Per Child 1 122.Covered Waste Receptacle
❑ 82.Equipment Clean/Good Repair/Safe/Non-toxic 123.Diaper Changing Policy Posted/Followed
5( 83.Cots Stored/Maintained/Adequate Number 124.Hand Washing Policy Posted/Followed
N( 84.Developmentally Appropriate Equipment/Materials 125.Individual Storage of Personal Items
85.Hot Tubs/Spas/Saunas:Locked/Inaccessible 126.Cribs/Cots Washed/Disinfected
86.No Weapons/No Facsimile of a Firearm on Premise 127.Under 12 Months Placed on Back for Sleeping
Outdoor S Dace_ 128.Alternate Sleep Position/Equip-Medical Document
Of 87.Outdoor Space Adequate Sq.Ft.Per Child 129.Crib/Bed Used for Infant Sleeping
❑ 88. Impact Absorbing Material under Equipment 130.Crib/Bed Free from Observable Hazards
❑ 89.Playground Free from Hazards 131.Infant Toys Separate/Washed/Disinfected Daily
90.Peeling Paint:Sample Taken:Y ,
132.No Toys/Objects Less than 1 /. Diameter
91.Lead Management Plan 133.Plastic Bags/Balloons/Styrofoam Objects Inaccessible
92.Equipment Anchored/Safely Arranged 134.Health Consultant/Documentation of Visits
93.Outdoor Play Area Protected/Fenced 135.Infants Held for Bottles/Individual Attn/Tummy Time
lli( 94.Drinking Water Available/Accessible 136.Written Statement/Feeding Schedule from Parent
137.Unused Portions of Liquids Discarded
Educa 'oval R uirements 19a-79-8a 138.Clean Bottles/Disp.Bottles/Approved Bottle Washing
95.Written Plan for Daily Program Available to 139.Food Served from Dish or Whole Jar Served
Parents/Staff 140.Bottles Individually Identified w/Child's Name
6/ 96.Activity Choices: Developmentally Appropriate/ Outdoor Play Space-Under Three
Flexible/Meets Individual Needs 41 141.Play Space Fenced
Program Includes:Indoor/Outdoor,Gross/Fine 142.Outdoor Equipment:Dev.Appropriate
Motor Skills,Snacks/Meals, SchoI Age Children Endorsement 19a-79-11
Rest/Sleep/Quiet Time, 5f 143.Approved Endorsement
Toileting and Clean Up Gib 144.Activity choices appropriate
Administration of Medications 19a-79-9a (P 145.Ratio: 1 Staff to 10 Children
af 97.Written Policies/Procedures 146.Group Size:Max.20 Children
i( 98.Training Outline on rile V 147.Education Consultant Appropriate
N n rescri tion Topical Medications Night Care Endorsement 19a-79-12(10nm-5am)
99. Administration/Parent Permission/MAR 148.Approved Endorsement
W 100. Labell g/Storage 149.Written Program Plan/Supervision
al/To icaVInhalant/In'ectable Medications 150.Staff Awake/Available
❑ 101. Med Trained Staff/Cerdficates 151.Cot/Crib/Bedding/Toiletries/Sleep Apparel
Oral/Topical/Inhalant Training_ 152.Individual Storage of Personal Items
Injectable Medication Training (.J 153.Bedding/Sleeping Apparel Laundered Weekly
U 102. Authorized Prescriber/Parent Permission/MAR Monitoring of Diabetes 19a-79-13
103. Labeling/Storage C 154.Written Policies/Procedures
104. Unused/Expired Meds Returned/Disposed&N C 155.On Site Staff Trained in First Aid/Glucose Testing
Self-Administration C 156.Training Current/Documented
r105. Authorized Prescriber/Parent Permission/MAR L 157.Supervision of Self Administration
106. Labeling/Storage 158.Equipment/Supplies:Labeled/Inaccessible
107.Approved Petition For Special Med Authorization 159.Signed Agreement w/Parent Regarding Equipment
MergencyDistribution of Potassium Iodide 160.Materials Discarded Appropriately
108.IQ Pills:Parent Permission/Storage 161.Authorized Prescriber/Parent Permission
Expiration Date: 162.Documentation of Test Results/Actions Taken
163.Daily Written Parent Notifications
Signature of Inspector Written Corrective Action Plan Signature of Person in Charge
Due to OEC by: //��v�' 4 4",
SUPPLEMENTAL REPORT OF INSPECTION PAGE
Name of Program/Provider: M pI1'')eY' &2Q r'e 010 6 YP►'1-S (-*License#15 3�?Ll Date: --?-)26o I t(9
Observations/Corrections needef-XS-M-�f Lf S'f -CDY' Bct.cWc�nun ci- Ch-Ock-S �D �
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S=Substantiated NS=Not Substantiated P=Pending(if applicable)
Operators/providers are required by regulations and statutes Signature:to be be in compliance at all times. (Inspector-OEC)
sWze�lj,� Y9AJ-4
CORRECTIVE PLAN SHALL BE RETURNED TO Signature:
OEC BY: '�</cb l kd on in C arge)