HomeMy WebLinkAbout1333 Sullivan Avenue Post for 30
Operating Connecticut Office of Early Childhood
Days 410 Capitol Ave,MS#12 CBR,PO Box 340308 Page 1
Hartford,CT 06134-0308
800-282-6063/(fax)860-509-7541
CHILD CARE CENTER/GROUP INSPECTION FORM
❑ INITIAL I NOUNCED ❑ FOLLOW UP
FUL PARTIAL ❑ LOCATION ❑ OTHER
FAddress:
gram CHANGE
me SGI�fiY1 WIrldSvr Ch�►d pevel. Cevrr2r License Number: Date of(( 2911� Time of
c ✓ Inspection: Arrival:q30
333 S tJ111 i vAn �'N en u� Expiration Date: Licensed Under 3
n: 1 I g Capacity: -4 tp Capacity:
Sovith W 1 r 6 or Teell^e hone: , ` /� #of children #of staff
Operator: 6 U �"l L4-q I�7 present: y 2 present:
P swmanducy ("hl d 1�I• C '10 C- Director: LI 1-Z C000th 2W%CK
Email: Head Teacher:
SWCdc@ s�OL IG0( 1, n EI �taloet�h Zw16k
Hours of Operation: �_� Summer Care:
ov
Open
Ages Served: �/ Instruction Codes:4�bmpliance, O=Non-Compliance
2 rS' 1 r S 3=Not Observed, 4=Not Applicable at this time
Endorsements:
XUnder Three(6wks-36m) X Preschool(3y-5y XSchool Age(5y&up) ❑ Night Care(6wks&up)
Licen*re Procedures 19a-79-2a Record Kee in 19a-79-5a
Cf 1.Local Health Inspection Date: 3 2 (p G1 32.Enrollment Information
Administration 19a-79-3a E( 33.Emergency Medical Permission
2. New Staff-Employee Orientation 34.Authorized Released Permission
3, Annual Staff Policy Training 1/ 35.Field Trip Permission
4. Documentation of Behavior M.Tech Discussed w/Parents 4-E3 36.Transportation Permission
5. Notification of Change 37.Child Health Records/[mmunizations/TB
ff 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
J 7. Daily Attendance Records:Children/Staff Healtb and Safety 19a-79-6a
Items Posted:Conspicuous/Accessible 5f 40. Nutritious Snacks/Meals(Required Food Groups)
8. License 41. Proper Refrigeration 45'
® 9. Current Fire Marshal Certificate Date: (d 11 ) 42. Kitchen Separated
11' 10.OEC Complaint Procedure 43. Hand Washing Before Eating/Food Handling
yt' 11.Food Service Certificate Date: 44. First Aid Kit(s):Indoor/Outdoor/Field Trip/Inventory
`(�N 12.Menus Ph sical Plant 19a-79-7a
13.Emergency Plans 45. License Premise:Clean/Good Re ir/Hazard Free
fJf 14.No Smoking Signs 46.Peeling Paint:Sample Taken-YAJ)
l� 15.Radon Test Date: aN Results: I I Building Pre-78: Y® Lead Test: Y/&
StafS 19a-79-4a Results:
16. Staff Health Records/TB Tests L)'Q 47.Lead Management Plan
17. Professional Development 48.Sanitary Drinkinz Fountains/Disposable Cups
18. Disciplinary Actions Water Supply: ubli ell
N( 19. Designated Head Teacher/60% Cd 49. Lead Water Tes Date:
.Z 12S/IS
20. Two Staff Present Bacterial/Chemical Test Date:
21. Ratio: 1 Staff to 10 Children On Bottled Water Y/1®
22. Group Size:Maximum 20 Children fiJ� 50.Walkways Maintained
23. Designated Director/Training f�/ 51.Designated Staff Toilet/Sink
24. CPR Certified Staff (Y 52.All Openings for Ventilation Screened
25. First Aid Trained Staff 53.Windows Protected to Prevent Falls
Cons ants 54.Glass Protected to 36"
26. Agreements/Contracts (Complete/Signed Annually) 4 j 55.Overhead Doors:Locking Devices/Spring Protectors
ContraSts Los 56.Exits/Hallways and Stairs Unobstructed
Education 57.Individual Storage of Clothing/Bedding
Health A 58.Smoking Prohibited
Social Service 59.Matches/Lighters Inaccessible
Dental 60.Electrical Safety:Outlets/Cords
Dietitian 61.Toileting Needs Met
27. Logs/Visits Documented 62.Required Toilets/Sinks/Supplies
Swimming: � 63.Potty Chairs:Nonporous/Emptied/Disinfected
28.Non-Swimmers Identified J 64.Hand Washing After Toileting:Staff/Children
]� 29.Staff/Child Ratios / 65.Ventilation in Toilet Room
_[ 30.CPR Certified Staff(20 years of age) yf 66.Air Temp 65°,Thermometer Affixed
31.Lifeguard Certified/Supervision 67.Water Temperature 60°415°
Signature of Inspector: Written Corrective Action Plan Signature of Person in Charge:
j41 1 1 1 Due to OEC by:
Post for 30
Operating Page 2
Days
CHILD CARE CENTER/GROUP INSPECTION FORM
P69.
me: License Number:
Date of
soY cyw dl uevQtQfr caj+t✓ 13315 Inspection: I (I Zq' (O
t continued: Under Three Endorsement 19a-79-10
Portable Space Heaters Y® Sf 109.Approved Endorsement
Walls/Ceilings/Floors/Rugs:Clean/Good Repair 110.Ratio: 1 Staff to 4 Children
C� 70.Rugs Secure I� 111.Group Size no Larger than 8
71.Hot Water/Steam Pipes Protected d 112.Physical Barriers/Groups of 8(Indoors/Outdoors)
72.Working Phone on Each Level d 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
C� 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 tr 119.Sturdy/Safety Rail/Nonporous/Exclusive Use
79.Pets:Maintained/Care Plan d 120.Washed/Disinfected
❑ 80.Operable CO Detector on Each Level N( 121.Disposable Paper Sheets
81.Program Space/Adequate Sq.Ft.Per Child d 122.Covered Waste Receptacle
❑ 82.Equipment Clean/Good Repair/Safe/Non-toxic d 123.Diaper Changing Policy Posted/Followed
83.Cots Stored/Maintained/Adequate Number Qf 124.Hand Washing Policy Posted/Followed
84.Developmentally Appropriate Equipment/Materials d 125.Individual Storage of Personal Items
-O 85.Hot Tubs/Spas/Saunas:Locked/Inaccessible it 126.Cribs/Cots Washed/Disinfected
6 86.No Weapons/No Facsimile of a Firearm on Premise 13 127.Under 12 Months Placed on Back for Sleeping
Outdo r Space 11 128.Alternate Sleep Position/Equip-Medical Document
❑/ 87.Outdoor Space Adequate Sq.Ft.Per Child N 129.CribBed Used for Infant Sleeping
l9 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
L�( 90.Peeling Paint:Sample Taken:Y/O II� 132.No Toys/Objects Less than l %"Diameter
91.Lead Management Plan 133.Plastic Bags/Balloons/Styrofoam Objects Inaccessible
92.Equipment Anchored/Safely Arranged ❑ 134.Health Consultant/Documentation of Visits
O 93.Outdoor Play Area Protected/Fenced 135.Infants Held for Bottles/Individual Attn/Tummy Time
94.Drinking Water Available/Accessible 136.Written Statement/Feeding Schedule from Parent
N137.Unused Portions of Liquids Discarded
Educ tional Requirements 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
I Parents/Staff 140.Bottles Individually Identified w/Child's Name
96.Activity Choices: Developmentally Appropriate/ Outdo r Play S ace-Under Three
Flexible/Meets Individual Needs 141.Play Space Fenced
Program Includes:Indoor/Outdoor,Gross/Fine 9 142.Outdoor Equipment:Dev.Appropriate
Motor Skills,Snacks/Meals, School Aim Children Endorsement 19a-79-11
Rest/Sleep/Quiet Time, 143.Approved Endorsement
Toileting and Clean Up 144.Activity choices appropriate
Admi istration of Medications 19a-79-9a 145.Ratio: 1 Staff to 10 Children
97.Written Policies/Procedures 3 146.Group Size:Max.20 Children
rd 98.Training Outline on file 147.Education Consultant Appropriate
N n rescri tion Tolpical Medications Night Care Endorsement 19a-79-12(10pm-5am)
99. Administration/Parent Permission/MAR 148.Approved Endorsement
100. Labeling/Storage 149.Written Program Plan/Supervision
Oral/To ical/Inhalant/iniectable Medications 150.Staff Awake/Available
101. Med Trained Staff/Certificates 151.Cot/Crib/Bedding/Toiletries/Sleep Apparel
Oral/TopicaVInhalant Training V/ 152.Individual Storage of Personal Items
Injectable Medication Training V 153.Bedding/Sleeping Apparel Laundered Weekly
102. Authorized Prescriber/Parent Permission/MAR Monitoring of Diabetes 19a-79-13
103. Labeling/Storage L 154.Written Policies/Procedures
104. Unused/Expired Meds Returned/Disposed(9N L 155.On Site Staff Trained in First Aid/Glucose Testing
Self-Administration L 156.Training Current/Documented
105. Authorized Prescriber/Parent Permission/MAR C 157.Supervision of Self Administration
106. Labeling/Storage 4 L 158.Equipment/Supplies:Labeled/Inaccessible
107.Approved Petition For Special Med Authorization 159.Signed Agreement w/Parent Regarding Equipment
Emergencv Distribution of Potassium Iodide 160.Materials Discarded Appropriately
108.KI 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 jDuiq
tten Corrective Action Plan Signature of Person in Charge
to OEC by:
SUPPLEMENTAL REPORT OF INSPECTION PAGE
Name of Program/Provider::,lk)jo l so y- Chi I d Devel . C-y License# 13315 Date: 1 ZCL !(o
Observations/Corrections needed:
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Operators/providers are required by regulations and statutes Signature: U-LAGI.C_
to be in compliance at all times. (Inspector-OEO
CORRECTIVE{'LAN SHALL BE RETURNED TO Signature:
OEC BY: j (Person 'n Cha e)