HomeMy WebLinkAboutDaycare Inspection 494 Chapel Road 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 NOUNCED ❑ FOLLOW UP ❑ LOCATION ❑ OTHER
FUL ARTIAL CHANGE
Program License Number: Date of Time of (�
Name: Knckerm(Q Ltofnin M J430114-7 1Z2494 Inspectiol/311(o Arrival: q4U
Address: Expiration Date: Licensed Under 3
c14 ChaPel Road Z I-ZS7 f it Capacity: 010 Capacity: 40
Town: Tel hon #of children #of staff
SOU+h Wind Sor (001 Z gZ-13
present: y present: 0
operwin� rcm LQO�W1Yn,9 wrliers LLC Director: Br an�9 Pi z2et rr�
Email: 30Q-4-7 & V IC OV)9, COYY 1 Head Teacher: M on iM Layw,
Hours of Operation: ry)._F G. 3O am_ co Go Pm Summer Care: OPE.1
Ages Served: �^ '` Instruction Codes:4--Compliance, O=Non-Compliance
(0 W�k S'- [Q Y rS 3=Not Observed, 4=Not Applicable at this time
Endorsements: / /
tY Under Three(6wks-36m) & Preschool(3y-5y) School Age(5y&up) ❑ Night Care(6wks&up)
Lice�ns rree Procedures 19a-79-2a Record Kee in 19a-79-5a
Q 1.Local Health Inspection Date: 11,115 32.Enrollment Information
Ad�mi isttration 19a-79-3a 33.Emergency Medical Permission
If 2. New Staff-Employee Orientation 34.Authorized Released Permission
Q( 3. Annual Staff Policy Training l� 35.Field Trip Permission
ld 4. Documentation of Behavior M.Tech Discussed w/Parents fi� 36.Transportation Permission
5. Notification of Change 37.Child Health Records/Immunizations/TB
6. Policies:Discipline/Supervision/Child Protection/General fill( 38.Individual Care Plan(Signed by Parent/Staff)
J Operating Policies/Personnel Policies/Closing Time Policy ® 39.Injury/Illness/Accident Reports
1�7 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 / 41. Proper Refrigeration 45°
9. Current Fire Marshal Certificate Dater "Q� �7 42. Kitchen Separated
,i PJ 10.OEC Complaint Procedure 43. Hand Washing Before Eating/Food Handling
`1-a 11.Food Service Certificate Date: Or Y W dLM 44. First Aid Kit(s):Indoor/Outdoor/Field Trip/Inventory
51 12.Menus ►`1(}t Mqui t. Ph sical Plant 19a-79-7a
13.Emergency Plans ❑ 45. License Premise:Clean/Good Re ir/Hazard Free
L9 14.No Smoking Signs 46.Peeling Paint:Sample Taken-Y�T
15.Radon Test Date:Results: oi5 Building Pre-78: YU1 Lead Test: Y(S)
Staffiniz 19a-794a Results:
16. Staff Health Records/TB Tests $ 47.Lead Management Plan
17. Professional Development 48.Sanitary Drinkin ountains/Disposable Cups
61( 18. Disciplinary Actions Water Supply ub ell
P� 19. Designated Head Teacher/60% 3( 49. Lead Water Tes Date:
51' 20. Two Staff Present Bacterial/Chemical Test Date:
21. Ratio:1 Staff to 10 Children On Bottled Water Y/lb
Olj 22. Group Size:Maximum 20 Children l( 50.Walkways Maintained
L�J 23. Designated Director/Training W 51.Designated Staff Toilet/Sink
f�f 24. CPR Certified Staff l( 52.All Openings for Ventilation Screened
0� 25. First Aid Trained Staff 53.Windows Protected to Prevent Falls
Con§Qtants [5i' 54.Glass Protected to 36"
❑ 26. Agreements/Contracts (Complete/Signed Annually) 4-2 55.Overhead Doors:Locking Devices/Spring Protectors
Contrqpts Los 56.Exits/Hallways and Stairs Unobstructed
Education 46 57.Individual Storage of Clothing/Bedding
Health 0( 58.Smoking Prohibited
Social Service •✓ A 59.Matches/Lighters Inaccessible
Dental ld 60.Electrical Safety:Outlets/Cords
Dietitian l( 61.Toileting Needs Met
27. Logs/Visits Documented id 62.Required Toilets/Sinks/Supplies
Swimming: 4-0 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) 66.Air Temp 65°,Ther eter Affixed
31.Lifeguard Certified/Supervision ❑ 67.Water Tem er re 60 -115°
Signature of Inspector: Written Corrective Acition Plan Si ture of erson in Ch ge: j
Due to OEC by: •7/ZZLl i
1�v I tt a PI "z l a.,/
Post for 30 Page 2
Operating
Days
CHILD CARE CENTER/GROUP INSPECTION FORM
Program Name: /� License Number: Date of
Kinaercwe Le-aVnin Or 11301�4� i2Zto4- Inspection: -7 J 9 h(D
Ph sic 1 Plant continued: Undep Three Endorsement 19a-79-10
68.Portable Space Heaters Ye / 109.Approved Endorsement
CS' 69.Walls/Ceilings/Floors/Rugs:Clean/Good Repair ® 110.Ratio: 1 Staff to 4 Children
70.Rugs Secure 111.Group Size no Larger than 8
71.Hot Water/Steam Pipes Protected 5d 112.Physical Barriers/Groups of 8(Indoors/Outdoors)
5r 72.Working Phone on Each Level 5t( 113.Adequate Sinks in Program Space
1d 73.Emergency Numbers Posted Od 114.Free Standing/Well-Constructed/Safe Cribs
14 74.Adequate Lighting:50/30 Candle Feet 5( 115.Washable Cots
75.Light Fixtures Shielded/Shatter Proof lid 116.Chairs for Feeding/Stable/Safety Straps/Locking Tray
5( 76.Potentially Hazardous Substances Locked 5( 117.Dev.Appropriate Tables/Chairs/Equipment
id 77.Garbage/Rubbish Disposed Daily 9' 118.Refrigerators and Food Prep Facilities
5( 78.Stairs Protected/Good Repair/Handrails 5d 119.Sturdy/Safety Rail/Nonporous/Exclusive Use
5d 79.Pets:Maintained/Care Plan Sir 120.Washed/Disinfected
1d 80.Operable CO Detector on Each Level if 121.Disposable Paper Sheets
Id� 81.Program Space/Adequate Sq.Ft.Per Child 122.Covered Waste Receptacle
l'3 82.Equipment Clean/Good Repair/Safe/Non-toxic 123.Diaper Changing Policy Posted/Followed
flj 83.Cots Stored/Maintained/Adequate Number 124.Hand Washing Policy Posted/Followed
84.Developmentally Appropriate Equipment/Materials ® 125.Individual Storage of Personal Items
s 85.Hot Tubs/Spas/Saunas:Locked/Inaccessible pi 126.Cribs/Cots Washed/Disinfected
d 86.No Weapons/No Facsimile of a Firearm on Premise 127.Under 12 Months Placed on Back for Sleeping
Outdo r S ace 413 128.Alternate Sleep Position/Equip-Medical Document
87.Outdoor Space Adequate Sq.Ft.Per Child l( 129.Crib/Bed Used for Infant Sleeping
88. Impact Absorbing Material under Equipment 5d' 130.Crib/Bed Free from Observable Hazards
89.Playground Free from Hazards Off 131.Infant Toys Separate/Washed/Disinfected Daily
90.Peeling Paint:Sample Taken:Y) 1( 132.No Toys/Objects Less than 1'/a"Diameter
91.Lead Management Plan 5( 133.Plastic Bags/Balloons/Styrofoam Objects Inaccessible
92.Equipment Anchored/Safely Arranged W 134.Health Consultant/Documentation of Visits
93.Outdoor Play Area Protected/Fenced 51( 135.Infants Held for Bottles/Individual Attn/Tummy Time
94.Drinking Water Available/Accessible 136.Written Statement/Feeding Schedule from Parent
Ct� 137.Unused Portions of Liquids Discarded
Educ 'onal Requirements 19a-79-8a 138.Clean Bottles/Disp.Bottles/Approved Bottle Washing
95.Written Plan for Daily Program Available to 4Y 139.Food Served from Dish or Whole Jar Served
/ Parents/Staff 140.Bottles Individually Identified w/Child's Name
L 96.Activity Choices: Developmentally Appropriate/ Outdoor Play Space-Under Three
Flexible/Meets Individual Needs / 141.Play Space Fenced
Program Includes:Indoor/Outdoor,Gross/Fine fY 142.Outdoor Equipment:Dev.Appropriate
Motor Skills,Snacks/Meals, School Aize Children Endorsement 19a-79-11
Rest/Sleep/Quiet Time, 143.Approved Endorsement
Toileting and Clean Up Y 144.Activity choices appropriate
Administration of Medications 19a-79-9a 5( 145.Ratio: 1 Staff to 10 Children
97.Written Policies/Procedures 5a 146.Group Size:Max.20 Children
98.Training Outline on file 147.Education Consultant Appropriate
Nonprescription Topical Medications Ni At Care Endorsement 19a-79-12 10 m-5am
56 99. Administration/Parent Permission/MAR 148.Approved Endorsement
Y 100. Labeling/Storage 149.Written Program Plan/Supervision
O al/To ical/Inhalant/In'ectable Medications U 150.Staff Awake/Available
Of 101. Med Trained Staff/Certificates 151.Cot/Crib/Bedding/Toiletries/Sleep Apparel
Oral/Topical/Inhalant Training_✓, 152.Individual Storage of Personal Items
Injectable Medication Training ✓ 153.Bedding/Sleeping Apparel Laundered Weekly
l� 102. Authorized Prescriber/Parent Permission/MAR Monitorine of Diabetes 19a-79-13
brr 103. Labeling/Storage �� � 154.Written Policies/Procedures
@ ,
104. Unused/Expired Meds Returned/Disposed 155.On Site Staff Trained in First Aid/Glucose Testing
Self-Administration 11 156.Training Current/Documented
105. Authorized Prescriber/Parent Permission/MAR 11 157.Supervision of Self Administration
106. Labeling/Storage 4 158.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
108.1U Pills:Parent Permission/Storage 161.Authorized Prescriber/Parent Permission
-1 Expiration Date: 162.Documentatio e t Results/Actions'Taken
163.Daily WrittodParentANotirications
Signature of Inspector Written Corrective Action Plan Signafure of Pe son in Charge
Due to OEC by:
�2,ti� UJA cu -7 )27,1 c 10 z
PAGE 3
SUPPLEMENTAL REPORT OF INSPECTION
Name of Program/Provider: K ti ndQ Y Caye * 30 1 261 License# [ZZ64 Date: -7 1 g- to
Observations/Corrections needed: UnavjnouhCtd f [ 1 11 n ,spec cn , SCL e Sleep pOS4e,4,-S
Prue d.d and Prvgram prvo'd- d BC.LCk.9yVw d CXl ec-k st a-F-F L-11+.
I& Uroserued 3j(a sta4 p�,ysicals not cwy-en+ (S-S; vo, vie)
C , chi et ifitQy1 c oh sv ltant conlrac+ a'o se rved not e U("er+
2 . dietbGn 103 not obser,,vcd (annual review)40• ob seYve d p rn snac►c ms e['1r kve d S- NE c kM ut v4 c4er s and V Ck-fv.,r. enu s c a
te
s
Z fbod 9YvJ s
N c, WU-fey vn d di i
44, mWO O \id Vid Vlt D10S VeGLV` (*l0U+ ' ", vVRr5) 2 1 )sIn +
Cold racy-s) 1'l,*Vfrn0yreU)r �-- curers, CW(yc)rt istCAid mor�L"U
Q�j, �bSeYv�ed di[�� wall v�nts in 2G and Zl3 and Toddlev 9oC►rni,
tome nod Vruy1�,[n9 in Pre k JtoddU.r ;� h► bo�rvl) Sta ire d ce[ l i ny ti1� i ZB
(off: 2C (n w&\j cks1j s'l n c Hz o 1200 ry
observed -ran ash d r-an ru G�S LAn �e Cure r) 2 C, We V A tun 3
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L,n W UM o.-t- Pe tic e, east 1 t 1h+
obst rved I rit i n j me as uli
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o�seYved cna) as ay7d bolfis -on pre k P'cy9r'''"d. S�'n j set
['UPS'�j .sw1yo�
1 2, observed L1kncuveyvd lrcuvi Cans in in+cwtt / Uddl,er and 28
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`odl rxm S irks W rn2 d 04 tM I r1 1 r .D•F "I r-e
•- o�tU,irinc� c,�R f�s+mod cards Jcae��: ca�u�s
1tr,n u�� s�-� pol �`�y j����d�t-•e �c�� n i by d� � 11�1� �b
S=Substantiated NS=Not Substantiated P=Pending(if applicable)
Operators/providers are required by regulations and statutes Signature:
to be in compliance at all times. ecror-OEO
CORRECTIVE PLAN SHALL BE RETURNED TO Signatur
OEC BY: Zi/ 1(D (Person it