HomeMy WebLinkAbout2019-7-2 - 1519 John Fitch Boulevard - Hotel Inspection ReportTown of South Windsor —Health Department
1530 Sullivan Avenue,South Windsor,CT 06074
Phone Number:(860)337-6173,Fax Number:(860)644-1930
HOTEL/MOTEL INSPECTION FORM
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ESTABLISHMENT PHONE#Kay 1W ‘200%
OWNER jal/Wwf {MM
ADDRESS [SM':Fol/M (hm M 'S‘‘C/‘r/0
PHONE NUMBER EMAIL USQ d’loos’@ umQoa W\
MANAGER NAME/PHONE #Sec 'an a »(ow CLM/
Registration of Facilities:(Sec.19 —13 —829 (a))
Has the establishment registered with the South Windsor Heaith Department in accordance withSec.19—13-B29?YES NO
Number of Rooms NumberofFioorSLV Eievators O NumberK
/Swimming Pooi:YES No x/Restaurant:YES NO
Swimming pooi and/or food service inspection forms attached?YES N O
WaterSupply:(Sec.19—13-829 (b))
Pubiic Water Supply \/Water Company
Private Water Supply Type
Date of Iast water test Approved?YES N O
(if no,explain)
Plumbing,Washing and Toilet Facilities:(Sec.19-13-829 (c)(f)(19-13-B45 )
NO \/
If yes,describe
Watercloset present in each room?YES J NO
Adequate water pressure?YES t/NO Toiiets flush properly?YES ‘/N
Hot water supplied?YES i/N Ventilation to the outer air?YES No i/
Potential plumbing cross—connection found?YES
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Drinking Facilities and Towels:(Sec.19—13—829 (d).(19-13-863)
Type of water utensii:Non-disposable Disposabl Othee r
If non-disposable,name sanitizing methods:
Clean towels foreach renter?YES '/NO M ¢elbv~eo¥d £04!\Dw‘3 «V M
Pest Control:(Sec.19-13-B99)
Evidence of insects or rodents?YES NO \/
Frequency of treatment m k Date of last treatment§/Am
CT Licensed Exterminator w a1*\w\W\
Address/Phone
Sewage Disposal:(Sec 19-13—B29 (e)
Sewage Disposal:Public Private X
Date of last septic tank cleaning (if private):(Qt m
lce machines in use:YES /NO Laundromat:YE NO /
Solid waste pickup:Company Vat/Q 5
Frequency of pickups:w ‘Size ofdumpster(s)\K’Am/i 5
Sanitary condition in dumpster
area:l/\
Inspection Notes:
#of Rooms inspected:%§\Fire/Smoke Alarms Present:YES i/NO
Comments:
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Common areas inspected \VV)‘\w v &A o (\L
Exterior of Property in Good Repair:YES_X_NO
Comments:
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Date corrections are due,(list each specific item and date due):
Owner/Agent:
Print Name:’JCJWN r‘pagw
re.
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Signature of Health Department inspector:
O Date/1 /L/a?