HomeMy WebLinkAboutTreehouse After School (Facility Inspection) 8-1-24PURCHASE N j A l E 'VIRONMENTAL HEALT H DEP RTMENT PERMIT STATUS
Regular . ..0 CHILD CARE FACILITY INSPECTION REPORT Current ... 0
Complaint
Follow-Up
Other ......
.....
. .........
Oul-of-Ousmess ..
.. 0
.. 0 ... 0
.. 0
Pre-Op ................... 0
Reported Illness .... o
t:::lame QI Ea1:;il i 1�· Address:
Billing Address. Person in Charge:
Denied .. . 0
Expired .. ......... 0
Issued ....... _J
New ....... . .. .0
Revoked ..... ..... ··•· 0u
Owner Name
Zip Qo_d_e: Mapsco No:
TDPRS Representa live·
Number of Employees:
Age Range of Children Present: Number of Children Present: Lic ensed Number of Children:
Ternlory/CHS Amounl ol Phone Numb
�UMllER CODE EST NO MONTI! D>Y '<EAR INSP[Cfl0N TIME AREA CODE PerrTlll Type I l I I I 1 I I I I , I ·1 . I I I 1 ·
:, ,)r>l--c.1'..,£11.J,.Ftc.�•·•r/ �"DD•k«--•°"•c,er�,I
General Facility Design Interior Furnishings and Equipment
01. Designed, constructed, localed, clean, 1nsIalled. maintained 25. Beds, cols, mats, cribs, playpens: designed, maintained, spaced;
02. Windows, doors; desiqned, conslrucled, located maintained Mattresses, linens: filled, clean stored, sanitized
03. Floors, carpets: clean good repair; changes ,n !!oor level marked 26 . Equipment, toys; designed, constructed good reparr, clean,
04., Walls, ceilings: altached equ,pmenl: clean. construclcd, good sanitized.
repair 27 High chairs, walkers, strollers: good repair, clean. san1Ii1ed
05. I Hand contact surlaces; designed constructed, good repair, clean 28. 01aperin(l area: provided, localed, approved sanitizer, diaper
06 . Unused electrical outlets protected. 220 volt connections guarded disposal: hands washed, lavatory. soap, towels; good hyg,en,c
07 I Handrails on steps; installed, good repair, access,I>:� practices
08. I Lighhng provided as required; fixtures shielded r--• Child's storage: adequate; personal items labeled and separate29.
water Supply, Plumbing, Toilet Facilities i 30. Isolation area: provided, located. free of hazards, supervised,
09. Waler Source; approved, safe temperature, hol and cold under vented
pressure; drinking water properly dispensed Food Protection (Snacks Only)
10. Sewage and waste water: properly disposed, lac,I,1,es locates and 31. Formula. food; source, labeled, stored, served, leflovers
maintained discarded
11. Restroom facilities: designed, installed, localed, accessible 10 32. Thermometers proved, conspicuous, accurate
children, good repair 33 . Food protection during storage, preparation. service, dispensing,
12. Restrooms; adequate number, clean sanitized, lree of odor, vented packaging
to outside 34. Food storage, preparation areas localed, constructed, adequate,
13. Soap, sanitary towels and hssue available clean, sanitized
14. No cross connechons. back s,phonage, backflow 35. Equipment and utensils sanitized, stored, handled
15. Potty chairs: located, cleaned, rarntized after each use 36 Single service articles; storage, dispensing, no re-use
Garbage, Refuse and Nuisance Control Outdoor Area and Equipment
16. Coniainers constructed, good repair, localed. covered, clean, 37 Fences, gates: properly constructed. located, maintained. I adequate number, insect and rodent proof, frequency of removal installed ' 17. Outside storage areas clean, constructed, localed 38 Outdoor area and equipment free of hazards, constructed, good
18 EffecI1ve control of insects, rodents, vectors: Outer openings repair, adequate fall zone I protected Miscellaneous Functions
19 Pesticides, rodentie<des; properly stored labeled, used 39 Personnel with infections restncled Hands washed, clean
Storaae Areas clothing, good hygienic practices
20. Supplies, tools equipment; inaccessible lo children 40. First aid, medication; provided, stored, labeled used i 21. Necessary toxic items; properly labeled, stored, used 41. Emergency plans, information, equipment; provided, localed,
22. Laundry; dryer present, properly vented, room clean; soiled and ma,nta1ned
clean linens properly stored 42. Arnmals; license and vaccination statement available; no prohibited
Heatlno end Ventilation animals; cages clean, aquariums covered
23. Rooms adequately heated, cooled, ventilated 43 Swimminq pools: (See POOL INSPECTION REPORTI
24. Heating units and pipes: inaccessible to children 44 Food Service (See FOOD SERVICE INSPECTION REPORT)
Comments
Cond,tional to \ ' Date: In Compliance· j) Yes J No Follow-up: JYes j:)No
Inspected by Received by: (please print) Nam<.'r,11e Nan1e T Ill! Phone No· S1qnature ·-----·
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