HomeMy WebLinkAboutInspection 925 Sullivan Avenue ENVIRONMENTAL INSPECTION REPORT
[ INSPECTION ❑ FOLLOW-UP INSPECTION ❑ COMPLAINT
Connecticut Office of Early Childhood Town
410 Capitol Ave.,MS#12 CBR,P.O.Box 340308,Hartford,Connecticut 06134-0308 S
Da e o Ins p tion
INSTRUCTIONS
Check=Compliance; Circle=Non-Compliance; 3=Not bserved, 4=Not Applicable Date of Expiration
Licensed Capacity Under 3 Endorsements #Children Present #Staff Present
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Progr m, ayle � rI. T le one����
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Address ,,__,,.,, ..e'�� Operator
Licensed for: �Jnder 3 Yrs Wre-School(3-5 Years) M K� hool Age ❑Night Care
Physical Plant/Indoor Space 19a-79-7a Health and Safety 19a-79-6a
�License premises clean/goo(l repair M141 Refrigeration no more than 45'
Equipment clean,in good repair,safe/non-toxic j12 Food prep area clean/good repair
Free from obsery ble hazards S 13 Food safely stored
_ (3.44 Food prep hand washing
Ali Slf Ad�u�etr Vvas'tg
--+ 16 Kitchen separated
❑ 4� Water Supply in compliance with all PHC requirements n/7 Mar as appropriate:
La^nacks served ❑ Cold breakfast
❑ 4a Customer of a Water Company El Meals served El Meals transported
Water Company Name: �� !�J.4TL 2_ ❑ Other
Lead Water Test Date:
Within Limits aExceeds Limits
-o - Building: Pre 1978 Construction(Lead Inspection Required)
4b On-Site ell TTT ❑ No Lead-Based Paint Identified
Classi ation of Well Check One: ❑ Lead Hazards Identified and Eliminated
❑ blic Well-We supplies 25 more adults and (Plan of Correction on rile with Local Health Department)
Children,dall t least 60 d s per year. ❑ Intact Lead-Based Paint Identified
(If not,then vate well) (Management Plan on file with Local Health Department)
❑ Private W —Serves le than 25 adults&children
Review of at ual 'est R salts Building: Post 1978 Construction
1.Lead W er Test te:
thin L► ❑ Ex Beds Limits / °`REMARKS"
if.Bact iologica Analysis st Date: t
Within milts VExceeds Liini
iii.C emj it alysis'fgdt Date: �Sppprroval
oval recommended. No code violations identified.
It Limits ❑ Exceed imilts oval recommended with conditions(see below).
// no 'coinmended due to existing serious code L
Ins ecti not el violation �`. b OK L.�•��4 tf�
Well meets onstruc n and se ratio stance +��S — Vj�ta�-�(,C )4V �O
require. is of CT ub11c H Ith Co e Sections /� O T�
I9-13-B a-m.❑ es No /L 7�� G� S 7 /
❑ 4c Other(Please specify) �_ O
3 J ' Q
Required toilets/sinks/supplies �`�L O�rL/v� '���
b Adequate ventilation in toilet room I f 1,
7 Sewage disposal adequate /1,& !'/
E!j 8 7 s Space 19a-7pool co -7a Y
�( 8 y Swimming pool complies with PHC 19-13-1133b —
[U.9 Playground free from observable hazards / �A
[�-w Drinking water available,adequate,safe A-e 6',
ne (ln actor) 25 Date orr tions Due LsKignedperson in harge)
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