HomeMy WebLinkAbout2016-12-29 - 1724 Ellington Road - Daycare Inspection Report Post for30 Connecticut Office of Early Childhood Page 1
Operating 410 Capitol Ave,MS#12 CBR,PO Box 340308
Days Hartford,CT 06134-0308
800-282-6063/(fax)860-509-7541
CHILD CARE CENTER/GROUP INSPECTION FORM
❑ INITIAL ) VFrtNNOtJNCED ❑ FOLLOW UP ❑ LOCATION ❑ OTHER
UL ARTIAL CHANGE
Program Mother @jOSe Ch 11 d Yews C'h"- In4eTOd License Number: 13��5 Date of i2 2n/l� Time of U
Name: 1 J Inspection: i Arrival: q
Address: Expiration Dr9t : Licensed Under 3
n P �G Capacity: I Capacity: W
Town: Telephone: #of childrenj ' #of staff l
S UV i nds�Y 2'(00 b l t l- Zq present: `l l present:
Operator: Director: -
mmpr C-JX2s h( drtn's ClY (1(1 MGV GVIe &10.+er
Email: Head Teacher: hGtm e I G R d IF1'
(afir�� rl a41� CUm v
Hours of O ration: rn^F -70 m_ '5 :3 b rn Summer Care:
� open
Ages Served: C Instruction Codes:v=Compliance, O=Non-Compliance
w KE S y rs 3=Not Observed, 4=Not Applicable at this time
Endorsements:
)Q Under Three(6wks-36m) 2KYreschool(3y-5y) ❑ School Age(5y& up) ❑ Night Care(6wks& up)
Licensure Procedures 19a-79-2a Record Kee in 19a-79-5a
1.Local Health Inspection Date: Nd 32. Enrollment Information
Administration 19a-79-3a 33. Emergency Medical Permission
2. New Staff-Employee Orientation 34.Authorized Released Permission
❑ 3. Annual Staff Policy Training 35.Field Trip Permission
/ 4. Documentation of Behavior M.Tech Discussed w/Parents 36.Transportation Permission
C� 5. Notification of Change U' 37.Child Health Records/Immunizations/TB
6. Policies: Discipline/Supervision/Child Protection/General Gd 38. Individual Care Plan(Signed by Parent/Staff)
Operating Policies/Personnel Policies/Closing Time Policy 39. Injurv/Illness/Accident Reports
a 7. Daily Attendance Records:Children/Staff Healtl and Safet 19a-79-6a
ItemsPosted: Conspicuous/Accessible Ur 40. Nutritious Snacks/Meals(Required Food Groups)
8. License 41. Proper Refrigeration 45°
9. Current Fire Marshal Certificate Date: l 15j I fair 42. Kitchen Separated
li� 10.OEC Complaint Procedure 43. Hand Washing Before Eating/Food Handling
11 is 11. Food Service Certificate Date: 44. First Aid Kit(s): Indoor/Outdoor/Field Trip/Inventory
12.Menus Ph cal Plant 19a-79-7a
6i! 13.Emergency Plans 45. License Premise:Clean/Good Re it/Hazard Free
[� 14.No Smoking Signs 46.Peeling Paint: Sample Taken-V
15.Radon'rest Date:20I I(.o Results:!�0.4 Building Pre-79: Y,& Lead Test: Y&
Staffit 19a-79-4a Results:
16. Staff Health Records/TB Tests 4-5 47.Lead Management Plan
17. Professional Development 48.Sanitary Drinkin untains/Disposable Cups
18. Disciplinary Actions Water Supply: tublfcYWell
19. Designated Head Teacher/60% 49. Lead Water Tes Date: 3 25 1r,
C� 20. Two Staff Present Bacterial/Chemical Test Date:
21. Ratio: I Staff to 10 Children On Bottled Water Y,@
22. Group Size: Maximum 20 Children 01 50.Walkways Maintained
23. Designated Director/Training 51.Designated Staff Toilet/Sink
Gi/ 24. CPR Certified Staff 52.All Openings for Ventilation Screened
C`! 25. First Aid Trained Staff 53.Windows Protected to Prevent Falls
Consultants Q( 54.Glass Protected to 36"
26. Agreements/Contracts (Complete/Signed Annually) tt a 55.Overhead Doors: Locking Devices/Spring Protectors
Contracts Los �d/ 56.Exits/Hallways and Stairs Unobstructed
Education ® 57. Individual Storage of Clothing/Bedding
Health Od/ 58.Smoking Prohibited
Social Service 59. Matches/Lighters Inaccessible
Dental 60. Electrical Safety:Outlets/Cords
Dietitian 61.Toileting Needs Met
❑O 27. Logs/Visits Documented idJ 62.Required Toilets/Sinks/Supplies
Swimming: Ed 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
30.CPR Certified Staff(20 years of age) YiJ 66.Air Temp 65°,Thermometer Affixed
31.Life ward Certifi d/Su peryision 26 67.Water Temperature 60°-115'
Signature of Inspector: Written Corrective Action Plan Signature of Person in Charge:
ue to OEC by: l Z R I^
Post for 30
Operating Page 2
Days
CHILD CARE CENTER/GROUP INSPECTION FORM
Program Name: License Number: Date of /
M Ofiner ftCw, off Todd/ Pre K 1 J Inspection: 12 {Za ]
PhvsicA Plant continued: n UnderThree Endorsement 19a-79-10
68.Portable Space Heaters VA9 109.Approved Endorsement
❑ 69.Walls/Ceilings/Floors/Rugs:Clean/Good Repair 110.Ratio: 1 Staff to 4 Children
70.Rugs Secure Id 111.Group Size no Larger than 8
71.Hot Water/Steam Pipes Protected 1, 112.Physical Barriers/Groups of 8(Indoors/Outdoors)
I� 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
® 75.Light Fixtures Shielded/Shatter Proof 116.Chairs for Feeding/Stable/Safety Straps/Locking Tray
g76.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
79.Pets:Maintained/Care Plan 120.Washed/Disinfected
80.Operable CO Detector on Each Level 121.Disposable Paper Sheets
81.Program Space/Adequate Sq.Ft.Per Child 122.Covered Waste Receptacle
82.Equipment Clean/Good Repair/Safe/Non-toxic C� 123.Diaper Changing Policy Posted/Followed
83.Cots Stored/Maintained/Adequate Number / 124.Hand Washing Policy Posted/Followed
V 84.Developmentally Appropriate Equipment/Materials ® 125.Individual Storage of Personal Items
y13 85.Hot Tubs/Spas/Saunas:Locked/Inaccessible J126.Cribs/Cots Washed/Disinfected
d 86.No Weapons/No Facsimile of a Firearm on Premise id 127.Under 12 Months Placed on Back for Sleeping
Outdoor S ace -' 128.Alternate Sleep Position/Equip-Medical Document
87.Outdoor Space Adequate Sq.Ft.Per Child 129.CribBed Used for Infant Sleeping
❑ 88. Impact Absorbing Material under Equipment 130.Crib/Bed Free from Observable Hazards
4 89.Playground Free from Hazards 131.Infant Toys Separate/Washed/Disinfected Daily
5J 90.Peeling Paint:Sample Taken:Y/ IO 132.No Toys/Objects Less than 1 '/4"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 G7� 135.Infants Held for Bottles/Individual Attn/Tummy Time
6r 94.Drinking Water Available/Accessible 136.Written Statement/Feeding Schedule from Parent
137.Unused Portions of Liquids Discarded
Educ4gional Requirements 19a-79-8a l( 138.Clean Bottles/Disp.Bottles/Approved Bottle Washing
Uf 95.Written Plan for Daily Program Available to Si 139.Food Served from Dish or Whole Jar Served
Parents/Staff W 140.Bottles Individually Identified w/Child's Name
i, 96.Activity Choices: Developmentally Appropriate/ Outdoor Play S ace-Under Three
Flexible/Meets Individual Needs r, 141.Play Space Fenced
Program Includes:Indoor/Outdoor,Gross/Fine L9 142.Outdoor Equipment:Dev.Appropriate
Motor Skills,Snacks/Meals, School Age Children Endorsement 19a-79-11
Rest/Sleep/Quiet Time, 1 143.Approved Endorsement
Toileting and Clean Up 1 144.Activity choices appropriate
Admi istration of Medications 19a-79-9a 1 145.Ratio: 1 Staff to 10 Children
97.Written Policies/Procedures 1 146.Group Size:Max.20 Children
Qf 98.Training Outline on file 11 147.Education Consultano Appropriate
Nonprescription Topical Medications Night Care Endorsement 19a-79-12(10pm-5am)
❑ 99. Administration/Parent Permission/MAR 148.Approved Endorsement
100. Labeling/Storage 3 149.Written Program Plan/Supervision
O al/To ical/Inhalant/In'ectable Medications 3 150.Staff Awake/Available
101. Med Trained Staff/Certificates ✓ 151.Cot/CribBedding/Toiletries/Sleep Apparel
Oral/Topical/Inhalant Trainin 3 152.Individual Storage of Personal Items
Injectable Medication Training 153.Bedding/Sleeping Apparel Laundered Weekly
U 102. Authorized Prescriber/Parent Permission/MAR Monitorin�of Diabetes 19a-79-13Diabetes 19a-79-13
103. Labeling/Storage 3 154.Written Policies/Procedures
E� 104. Unused/Expired Meds Returned/Disposed &N 3 155.On Site Staff Trained in First Aid/Glucose Testing
Self-Administration 3 156.Training Current/Documented
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1C3 105. Authorized Prescriber/Parent Permission/MAR 3 157.Supervision of Self Administration
❑ 106. Labeling/Storage 3 158.Equipment/Supplies:Labeled/Inaccessible
❑ 107.Approved Petition For Special Med Authorization 159.Signed Agreement w/Parent Regarding Equipment
Emereency Distribution of Potassium Iodide 160.Materials Discarded Appropriately
[� 108.KI Pills:Parent Permission/Storage 161.Authorized Prescriber/Parent Permission
1 Expiration Date: 162.Documentation of Test Results/Actions Taken
163.Da ly Written Parent Notifications
Signature of Inspector Written Corrective Action Plan Signature of Person in arge
ue to OEC by:
PAGE .3
SUPPLEMENTAL REPORT OF INSPECTION Name of Program/Provider: 1 R other Goose— 1n-F/) odd/PreK License# [S: 005 Date:
Observations/C'orrections needed: (An an nCAAO Ce d f0 11 I nIp eCh U'1 O�OSe►'Ve d 10 C41 1101I
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S=Substantiated NS=Not Substantiated P =Pending(if applicable) (An I n Pre►�
Operators/providers are required by regulations and statutes Signature: ` kkl
to be in compliance at all times. (Inspector-OEC)
CORRECTIVE PL N S ALL BE RETURNED TO Signature:
OEC BY: 1� �� (Person in Charge)
SUPPLEMENTAL REPORT OF INSPECTION PAGE q
Name of Program/Provider: Oh Mer CSU se 114 Vrdd d/ License# 13-+'0 Date: 11
Observations/Corrections needed:
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S=Substantiated NS=Not Substantiated P=Pending(if applicable)
Operators/providers are required by regulations and statutes Signature: V17t
to be in compliance at all times. (Inspector-OEC)
CORRECTIVE,PL N SHALL BE RETURNED TO Signature:
OEC BY: Z�� (Person in Charge)