HomeMy WebLinkAbout200 Evergreen Way Town of South Windsor - Health Department
O = _ 1540 Sullivan Ave., South Windsor, CT 06074- Mailing Address
1530 Sullivan Ave., South Windsor, Cr 06074-Office Address
SOR.<O�-t Phone Number: (860) 337-6173, Fax Number: (860) 644-1930
Cosmetology Inspection Form
:Same of Establishment Address Ke.�
,Annual Inspection Complaint Services:
Reinspection ❑Barber Shop Hairdressing/ osmetoY
❑Nails ❑ Other
Other:
Based on an inspection this day,the items circled below identify violations of the Ledge Light Health District Regulations for Barbershops,Hairdressing,
Cosmetology Shops and Nail Salons.
J. Housekeeping
A. Water Supply 19. In-Residence shop completely separate from living/sleeping quarters....
I. Water supply adequate,safe................................................................2. Hot and cold water under pressure, provided as required...................... 20. No foods or beverages on premises unless pen-nitted...............................
21. No animals/pets in working areas...........................................................
B. Sewage Disposal 22. Aisles/work spaces properly maintained..................................................
3. Approved method of sewage disposal......................................................
C. Plumbing K. Personnel
4. Approved plumbing fixtures,clean,maintained....................................... 23. All personnel properly licensed as required by DPH...............................
5. No potential cross connection,back siphonage,backflow....................... 24. No person with infection or communicable disease attended or working
25. Good hygienic practices,smoking prohibited..........................................
D. Toilet/Handwashing Facilities 26. Clean outer garments.................................................................................
6. Toilets and washbasins adequate,convenient,accessible,designed, 27. Hands washed with soap and water before serving each customer..........
installed......................................................................................................
7. Proper fixtures in good repair,clean......................................................... L. titensils/Equipment-Handling(other than Single Service)
8. Soap in dispensers and single-service paper towels provided.................. 28. The following items are prohibited:neck dusters,powder puffs,sponges,
shaving brushes,shaving mugs.................................................................
E. Garbage Disposal 29. Hair clippings removed frequently and in proper manner.......................
9. Adequate number of covered refuse containers provided,clean..............
30. Head rest covered with clean towels or paper..........................................
10. Outside disposal area and enclosures properly constructed,clean........... 31. Sanitary paper strip placed around neck before protective device...........
32. Shaker-top container used for dispensing lotion or powders...................
F. Floors/Walls/Ceilings 33. Alum or other material to stop the flow of blood provided in powder or
11. Floors properly constructed,in good repair,clean.................................... liquid form.................................................................................................
12. Ceilings properly constructed,in good repair,clean................................
13. Walls properly constructed,in good repair,clean.....................................
14. Attached equipment,fixtures,properly constructed,maintained,clean, M. Utensils/Equipment-Sanitizing(other than Single Service)
freeof hair clippings..................................................................................
34. Utility sink provided for instrument cleaning...........................................
H. Ventilation 35. Equipment used on customer cleaned and disinfected after each
16. Adequate ventilation,no excess heat or odors..........................................
customer....................................................................................................
36. Utensils used on customers cleaned and sanitized after each customer...
1. Storage 37. Proper use of recommended disinfection techniques/solutions................
17. Cabinets for clean linens and towels are adequate,clean,with tight 38. Disinfected utensils kept in sanitary covered containers when not in use
fitting doors................................................................................................ 39. Linens and towels properly sanitized when washed on premises............
18. Covered receptacle provided exclusively for soiled linens and towels.... yellow Items are Imminent Health Hazards and must be corrected immediately.
All other items must be corrected within 2 weeks.
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Date of I ection: Date f ired Compliance:
_11K.'ector of Health/Authorized Agent Signature of Person in Charge
SOUTH WINDSOR HEALTH DEPARTMENT
SALON INSPECTION - COMMENT SHEET
Salon Address
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Inspector's Initials Person in Charge Initials Al-
Date of Inspection i tci
Revised 8/18
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