HomeMy WebLinkAboutDept of Early Education and Care Health Inspection ReportDepartment of Early Education and Care
HEALTH INSPECTION REPORT DP
A
This is to certi that 111 OWL
-
(Name of Facility) v
located at /� l�f, �C6r x� `1 C� �GGt�f /CP'/r►�
(Street) . (City) (Zip)
was inspected on --C`a r%� by_ e%'
(date) ame of Inspector)
of
(Inspection Board, Agency or
The above facility complies with Chapter I I of the State Sanitary Code and other regulations
pertinent to the following areas:
l�
Kitchen Facilities
Yes
No
Food Storage and Preparation
Yes .
No
Water Supply
Yes
l✓ No
Hot Water Temperature
Yes
No
Bathroom Areas
Yes
V/ No
Sewage System
Yes
No
Lighting and Electrical Operations
Yes
V/ No
Heat
Yes
V No
Ventilation Yes No
Smoke Detectors *l FID Yes No
Exits 3� ti criS 'fi �/�'� Yes V"' No
Asbestos rVIA Yes V// No
Garbage and Rubbish Disposal & Storage Yes te-/ No
Control of Insects, Rodents & Skunks Yes V-� No
"1na`i-Lr rhU n� 61", V + �tzsv�
Approved: Yes � No Conditionally
1 RPHealthlnspectionReport2005O7O1
Recommendations:
Signed (Inspector or Representative of4nspecfmg Authority)
*Conditional approval may be given only when, in the opinion of the inspecting authority,
children's health would not be endangered in the facility prior, to the correction of noted
non-compliance items. Conditional approval will satisfy provisional licensing requirements,
but certification must be obtained before a regular license can be issued.
2 RPHealthInspectionReport20050701