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Daycare Inspection 925 Sullivan Ave
Post for 30 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 9( NOUNCED ❑ FOLLOW UP ❑ LOCATION ❑ OTHER UL ARTIAL CHANGE Program i License Number: Date of Time of /� Name: Grammy s Csardm Leadn i ncJ' C;�Y -1 OZ12 Inspection. Arrival:10 Address: �' �,,�p Expiration D te: Licensed Under 3 Q15 SU`li Van /`t/�'1 1z,)-31113 Capacity:3a Capacity:Z4 Town: S D urn S or elephone: #of children #of staff (0 2-1,1 L3 present: 23 present: Operator:aymu,S i l�l, 0+ S' �`S0r hector: Limo Jonpa Email: Yo mm S G►'djl4i 60 COX•Y12+ Head Teacher: aCICq S+✓bCA Hours of Aeration: b"Opm Summer Care: Ages Served: ',� ` t�1 Instruction Codes:4=Compliance, O=Non-Compliance (0 r.►S' t :1 Y 3=Not Observed, 4=Not Applicable at this time Endorsements: / ig(Under Three(6wks-36m) %(Preschool(3y-5y) sf School Age(5y&up) ❑ Night Care(6wks&up) Licen ure Procedures 19a-79-2a Record Kee in 19a-79-5a if 1.Local Health Inspection Date: 1 l�� 32.Enrollment Information Admi istration 19a-79-3a 33.Emergency Medical Permission 51 2. New Staff-Employee Orientation l34.Authorized Released Permission 1� 3. Annual Staff Policy Training 57 35.Field Trip Permission 4. Documentation of Behavior M.Tech Discussed w/Parents "a 36.Transportation Permission 5. Notification of Change 6Y 37.Child Health Records/Immunizations/TB !d 6. Policies:Discipline/Supervision/Child Protection/General T1 38.Individual Care Plan(Signed by Parent/Staff) Operating Policies/Personnel Policies/Closing Time Policy 5Y• 39.Injury/Illness/Accident Reports Id 7. Daily Attendance Records:Children/Staff Health and Safe 19a-79-6a Items Posted:Cons icuous/Accessible 40. Nutritious Snacks/Meals(Required Food Groups) 8. License l� 41. Proper Refrigeration 45° 9. Current Fire Marshal Certificate Date: 1 10.)1 t. 42. Kitchen Separated 5i 10.OEC Complaint Procedure 43. Hand Washing Before Eating/Food Handling y-E' 11.Food Service Certificate Date: 44. First Aid Kit(s):Indoor/Outdoor/Field Trip/Inventory 5i( 12.Menus Ph stcal Plant 19a-79-7a 13.Emergency Plans 45. License Premise:Clean/Good Re ir/Hazard Free 5( 14.No Smoking Signs 46.Peeling Paint:Sample Taken-Y� Y 15.Radon Test Date: 1 14 Results:_ Building Pre-79: Y/g) Lead Test: Y(J�i Staffs 19a-794a Results: Of 16. Staff Health Records/TB Tests 47.Lead Management Plan J 57 17. Professional Development 48.Sanitary Drinkin Fountains/Disposable Cups 5( 18. Disciplinary Actions Water Supply ubli We, 19. Designated Head Teacher/60% � 49. Lead Water Tes Date: y i( 20. Two Staff Present Bacterial/Chemical Test Date: C� 21. Ratio:1 Staff to 10 Children On Bottled Water Y/O 22. Group Size:Maximum 20 Children 5�(/ 50.Walkways Maintained 23. Designated Director/Training i+ 51.Designated Staff Toilet/Sink 5if 24. CPR Certified Staff M( 52.All Openings for Ventilation Screened 51f 25. First Aid Trained Staff 51' 53.Windows Protected to Prevent Falls Consultants 5i( 54.Glass Protected to 36" Q 26. Agreements/Contracts (Complete/Signed Annually) 4-0 55.Overhead Doors:Locking Devices/Spring Protectors Contracts Los 5if 56.Exits/Hallways and Stairs Unobstructed Education 57.Individual Storage of Clothing/Bedding Health 58.Smoking Prohibited Social Service lif 59.Matches/Lighters Inaccessible Dental d 60.Electrical Safety:Outlets/Cords Dietitian r1i Ck yli& A 61.Toileting Needs Met 51( 27. Logs/Visits Documented d 62.Required Toilets/Sinks/Supplies Swim min : w$ 63.Potty Chairs:Nonporous/Emptied/Disinfected 28.Non-Swimmers Identified t( 64.Hand Washing After Toileting:Staff/Children 29.Staff/Child Ratios ld 65.Ventilation in Toilet Room 30.CPR Certified Staff(20 years of age) W 66.Air Temp 65°,Thermometer Affixed 31.Lifeguard Certified/Supervision 5( 67.Water Temperature 60°-115° Signature of Inspec�to�r: Written Corrective Action Plan Sig re of Person in Charge: Due to OEC by: ,�, ` Post for 30 Page 2 Operating Days CHILD CARE CENTER/GROUP INSPECTION FORM Program Name: r License Number: Date of j &Gmn Y I CTCJ�r k� S- rd S r -702-1Z Inspection: Ph sic 1 Plant continued: Under Three Endorsement 19a-79-10 68.Portable Space Heaters YO 109.Approved Endorsement Old 69.Walls/Ceilings/Floors/Rugs-Clean/Good Repair 110.Ratio: 1 Staff to 4 Children If 70.Rugs Secure 111.Group Size no Larger than 8 5d' 71.Hot Water/Steam Pipes Protected 112.Physical Barriers/Groups of 8(Indoors/Outdoors) Id 72.Working Phone on Each Level 113.Adequate Sinks in Program Space Gir 73.Emergency Numbers Posted 114.Free Standing/Well-Constructed/Safe Cribs 6Y 74.Adequate Lighting:50/30 Candle Feet 115.Washable Cots 5l 75.Light Fixtures Shielded/Shatter Proof NJr 116.Chairs for Feeding/Stable/Safety Straps/Locking Tray U 76.Potentially Hazardous Substances Locked l9 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 5(1 121.Disposable Paper Sheets �Lj 81.Program Space/Adequate Sq.Ft.Per Child C,7/ 122.Covered Waste Receptacle V 82.Equipment Clean/Good Repair/Safe/Non-toxic C7 123.Diaper Changing Policy Posted/Followed II( 83.Cots Stored/Maintained/Adequate Number 6i� 124.Hand Washing Policy Posted/Followed lir 84.Developmentally Appropriate Equipment/Materials Qi( 125.Individual Storage of Personal Items 'a 85.Hot Tubs/Spas/Saunas:Locked/Inaccessible N( 126.Cribs/Cots Washed/Disinfected d 86.No Weapons/No Facsimile of a Firearm on Premise 5r( 127.Under 12 Months Placed on Back for Sleeping Outdoor S ace 4-9' 128.Alternate Sleep Position/Equip-Medical Document Rr 87.Outdoor Space Adequate Sq.Ft.Per Child 5i' 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 C� 90.Peeling Paint:Sample Taken:y 132.No Toys/Objects Less than 1%"Diameter 4$ 91.Lead Management Plan 133.Plastic Bags/Balloons/Styrofoam Objects Inaccessible Irk 92.Equipment Anchored/Safely Arranged 5( 134.Health Consultant/Documentation of Visits Id 93.Outdoor Play Area Protected/Fenced 20' 135.Infants Held for Bottles/Individual Attn/Tummy Time 0( 94.Drinking Water Available/Accessible Csr 136.Written Statement/Feeding Schedule from Parent Crr 137.Unused Portions of Liquids Discarded Educational Re uirements 19a-79-8a l( 138.Clean Bottles/Disp.Bottles/Approved Bottle Washing 95.Written Plan for Daily Program Available to Sir 139.Food Served from Dish or Whole Jar Served Parents/Staff Y 140.Bottles Individually Identified w/Child's Name 2' 96.Activity Choices: Developmentally Appropriate/ Outdoor Play Space-Under Three Flexible/Meets Individual Needs Rf 141.Play Space Fenced Program Includes:Indoor/Outdoor,Gross/Fine Y 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 A 145.Ratio: 1 Staff to 10 Children Of 97.Written Policies/Procedures 146.Group Size:Max.20 Children If 98.Training Outline on file 147..Education Consultant Appropriate Npprescrintion To ical Medications Niizht Care Endorsement 19a-79-12 10 m-5am 99. Administration/Parent Permission/MAR 148.Approved Endorsement ili( 100. Labeling/Storage 149.Written Program Plan/Supervision O al/To icaVInhalant/In'ectable Medications 150.Staff Awake/Available 101. Med Trained Staff/Certificates 4 151.Cot/Crib/Bedding/Toiletries/Sleep Apparel Oral/TopicaUlnhalant Trainin 152.Individual Storage of Personal Items Injectable Medication Training 153.Bedding/Sleeping Apparel Laundered Weekly 102. Authorized Prescriber/Parent Permission/MAR Monitoring of Diabetes 19a-79-13 103. Labeling/Storage 154.Written Policies/Procedures C� 104. Unused/Expired Meds Returned/Disposed�1 155.On Site Staff Trained in First Aid/Glucose Testing Self-Administration 156.Training Current/Documented 105. Authorized Prescriber/Parent Permission/MAR 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 Emereency Distribution of Potassium Iodide 160.Materials Discarded Appropriately i 108.1U Pills:Parent Permission/Storage 161.Authorized Prescriber/Parent Permission `l 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 OPEC by:� Ci"7 SUPPLEMENTAL REPORT OF INSPECTION PAGE Name of Program/Provider: C-yay-nrnV'S jar&,0 - S. UU((LdtOV'License# --foZ-,t2 Date: -7 12 CIO Observations/Corrections needed: (Anal'1nawced -i Alt inSpeCt on - 0(9SeyVed g Ghi)d 1 -7 StOcK -ff►es- PrOgrCkrn pM ,;d'U t3acky diold cl-eck s--off' r l,s+ . Safe Sleep posters 9iv� 4• o9 Curnerrahm oi- somao ors rm opa3,oment iecrmi q u-G)- di .sassed W j pins n 0k 005MIR-d in 318 010 d files 44. V*/rid V-\'b voscrved vv -moVt Cpp, to vv errs 45. Cell►rlC� v��l'�'-s 0b SeV d dus in vi all, PreK bGti+l , R-,P VC class , Q`hd �b4lduy 10CktV)r1) nrl j M\ C� ave Sc 'lk d� �n 1r><ffgnfi �t � radio coed t� secure i i r3ddl�c v Ly s0 OL"d WA06otx UA.Y11 GCWJ d Dr' TO d dUy L -(Vf dYt go, co &&ectw viol ©b yeirvM ICE C .S. T 0of auri' CO2(,ktM ey Aired U)3Uj t(o j rn.in e�i / C3�nc�d�Yy1 0�,^)M -La-bc" �xpi re d 11 v1 `U • V�O�trvtd o�h 1nfan--' a& ee p 1, cy,b t\)I ' i A ut art- IIarI.y►r�o l 6,vckr Y1�) un piS�ussed = 5�bm� do Urn g e *Yrn -ON- Y)"'► D MCt-k' add Pep�+'d alver-39 care01cl S. a - a uC (ren'a -Z 'Mori 0)1;P r°t q s p e( i- �.�� 1t�ai ��'� s a� �ac� exwait"C'd 1)h -TIAIA-0- S=Substantiated NS=Not Substantiated P=Pending(if applicable) Operators/providers are required by regulations and statutes Signature: Flue1 U�U- to be in compliance at all times. (Inspector-OEC) CORRECTIVE PLAN SHALL BE RETURNED TO Signature: A OEC BY: 212-p( 1[b (Person in Charge)