Salem State College Day CareSALEM STATE DAY
CARE CENTER
SALEM STATE DAY
CARE CENTER
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 10/17/91
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 2iior_ing-Avenue
was inspected by the Salem Fire Department on 09/10/91
by LT. POITRAS
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
I •ii 111 'Y!L# kI\%..• • •.•
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 01/14/92
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 12/02/91
by INSP.MARFONGELLI
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
C .. i i R� , •71
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
Name of facility cc/4-L_ i i ct"72 7 tG Co t1.666 Chi/ L D C A-/e6
Address 01 6 a L, o /ZING f} V
Name of licensee
Address
t, tr
City l-C-.mil State il4P /4 SS Zip 0 / ? i o
Telephone
Date of inspection Y C- C • o? O , / 9 9 .2
Inspector: i% y, Poir 4.5 Company 6A/6-.
Responsible parties to notify in the event of an emergency:
Name Address Telephone
CAm S Po', / c E sou%H Ci46iPhis - G y 0 9
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
(Circle one)
0
N
(
Y D
Y N
9 N
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed:
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
i3
3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
5. Are all exits properly marked?
6. Are all egresses clear of obstruction?
..vo 4/6:itrs
7. Is emergency lighting adequate and in proper working
order?
8. Is a full fire alarm system with panel provided?
9. Is a drill switch provided?
10. Date most recent drill conducted: `//,.A✓• 0Q'3 , %9Q. .
11. Is a fire drill procedure conspicuously posted?
12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
V N 14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
Y
N
15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?_
16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Dav Care Center Inspection
Name of facility o &.1 _ ,ci/OiZ S -
Address 0,2 cq
Name of licensee
Address V, A7 ate ,
City State Zip
Telephone `1 L/ / - b 000
Date of inspection natal �1 . /99/
Inspector: '
624;Cody s
Responsible parties to notify in the event of an emergency:
Name Address Telephone
6-2.62-ZP,
Reference:
Massachusetts State Building Code
Section 434.0
0
,c//-- ( pvo
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
(Circle one)
Q N
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed: /7
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
3. Are at least two (2) separate, and independent interior
means of egress, remote from each other and leading
directly to grade provided?
4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
�Y N 5. Are all exits properly marked?
ON 6. Are all egresses clear of obstruction?
I
V N 7. Is emergency lighting adequate and in proper working
order?
eN 8. Is a full fire alarm system with panel provided?
0 N 9. Is a drill switch provided?
Y N 10. Date most recent drill conducted: V- 4 - 51
QN 11. Is a fire drill procedure conspicuously posted?
1CDN 12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
Y
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
Salem
State
Ile e
ATradition of Excellence
Fire Prevention Bureau
Fire Department
City of Salem, Massachusetts 01970
Attention: Inspector Philips
Gentlemen:
James T. Amsler, President
June 22, 1988
RE: Child Care Center
South Campus
Salem State College
As discussed with Inspector Philips at the on -site meeting Friday, June 17, 1988,
the College will take the following action to upgrade the Fire Protection System
of the. Child Care Center facility.
1. Install a smoke detector in the main room of the building.
2. Install two (2) heat detectors in the basement; one in the boiler room and the
other adjacent to the room.
3. Provide a louver with a fusable link in the concrete block wall of the boiler
room.
4. Provide a horn/strobe light device on the exterior of the building.
5. All of the new detectors and the existing pull station are to be tied into the
adjacent Academic Building so that if they are activated, the alarm will be
transmitted to the City alar.m system.
At the time of our site review, I was under the impression that the Child Care
Center would not be occupied until September. However, I have been informed
that a Summer session is scheduled to be held from July 5, 1988 to August 12, 1988.
To cover the facility during that time, the College will install as originally recom-
mended a smoke detector in the main room of the building before July 5, 1988.
Being a public agency, the other work will have to be bid and this will take about
three weeks to obtain bids. We plan to have all the work described completed by
this September.
Please contact me if you have any questions.
JM/bhr
cc: V. P. Marrs
Dean Cahill
L. Hansen
Capt. Turner
Sincerely,
1/Josph Mulligan', Director of Facilities
352 Lafayette Street, Salem, MA 01970. (617) 745-0556
Salem Fire Department
Fire Prevention Bureau
Fire 'Certificate of Inspection
* * *
Date: 02/22/88
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 12/01/87
by LT. LATULIPPE
Inspection status: Disapproved
The inspection of hospitals, clinics, and dispensaries are in.
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances in a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
No oil burner permit posted.
Extinguishers - 1st. floor & cellar require recharge.
Aseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 10/08/87
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 09/24/87
by LT. GREGOIRE
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances in a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the. -date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
D'___-
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS;
POSTEU
(� TYPE OF
NAME OF OCCUPANCY;) C-. J 4 J(,-`4,. -"i X-OCCUPANCY4k CAA',e
P.T.N/4-,A., �,u�,,,>��i� 5 e'x..,j e-- ADDRESS
BLDG. OWNER (7j C-1, .=C'— `- ADDRESS
Lic 572.1.71-Te TEL °e
TEL.74/7/-- 1c cv
ANSWER ALL QUESTIONS: EITHER "YES"4 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be, free
of rubbish accumulations, or other fire hazards?
fi
3. Are facilities provided for the safe disposal of rubbish? /-/ r
i
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants? )
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices? ��ES
9. Are all necessary Licenses and Permits posted & dated? % 1
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits? )-,es
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices? % /J'
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection? A -,-a
14. Does this occupancy have a standpipe system? it4
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system? y/e^4-
16. Is this a "WET" or "DRY" system? /Vow
Form #16 (Rev. 1/79)..
17..�Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire
19. Does this occupancy have a direct Fire
Master Instant
Type :Box # ADT# Alarm #
alarm system?
Alarm connection?
AFA# 3M# Other
20. Is emergency lighting system or units provided?
l)f
21. Are all emergency lighting units in good operating condition? %4=-_r
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
24. Are all areas used for storage maintained in a
/vo
safe manner?
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
/yz 1
27. Is a current fuel oil permit posted and storage proper? yGS
/14o
28. Are there any electrical hazards?
29. Does the occupancy appear to have any structural
30. Has a Form 25D (Inspection Recommendation Form),
and issued for this inspection?
defects?
been made
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
,Date: 9. 2- 5G--- P?
Approved by
D.C. in charge of Insp.
Inspected by: Lt /E6C-0 ,/-c-�
Approved by:
Date:
Company Officer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
SALEM FIRE DEPARTMENT - INSPECTION REPOR T O
ADDRESS; of °02 644.;
j.
TYPE OF cl
NAME OF OCCUPANCY: S, , :134.4(LLZ,-; OCCUPANCY
�r / Ufa����j >�
P.T.N. V ADDRESS .,• TEL. 37- 40-V7
/
BLDG . OWNER � o/ /J a.4.4- ADDRESS ' TEL.
4
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions /��
that may interfere with the emergency exit of occupants? f
8. Are all interior occupied spaces clean and consistant �jE�
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated? Y6-5
10. Are the occupants complying with all regulations and �/
conditions, as prescribed on the Licenses and Permits? YES
s
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
No
15. Does this occupancy have a sprinkler system? Ali®
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
16. Is this a "WET" or "DRY" system?
`/0
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system?
y6s
18. Date of last test of the interior fire alarm system? �/
19. Does this occupancy have a direct Fire Alarm connection? T S
Master ''LL Instant
Type :Box # .9 // ADT# Alarm # AFA# 3M4 Other_
/ V
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition? /1'0A/9
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
Ma
23. Are all flammables stored in proper containers and/or A/O
stored in an approved storage area? �V
24. Are all areas used for storage maintained in a safe manner? YES
25. Are basement areas free of any rubbish accumulation? 'YES
yes
YeS
28. Fre there any electrical hazards? //
20. 177es the occupancy appear to have anystructural defects? /V
30. Has a Form 25D (Inspection Recommendation Form), been made n'o
and issued for this inspection? /V
26. Does the heating system, including the chimney, appear
to be in'a safe operating condition?
27. Ts a current fuel oil permit posted and storage proper?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date:
Inspected by: ger/Zr
Approved by: ,7 ci, 1_%
Approved by
D.C. in charge of Insp. Date:
9fnpany
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
FROM THE DESK OF
Chief Joseph F. Sullivan
Date/d/f�
Please resubmit with more information
Date 3—/t/6(‘
Place L G
Incident # /)06.
Also enclose a check in the Amount o
made payable to the Salem Fire Departmen
Fire Prevention Bureau
Salem Fire Department
48 Lafayette Street
Salem, MA 01970
Insurance Report:
4
WALTER A. COSTELLO, JR.
CARMEN A. FRATTAROLI
THOMAS J. BARRETT
ANNETTE M.GONTHIER
KAREN M. BOLTON
AMY M. SOISSON
COSTELLO, FRATTAROLI, BARRETT & GONTHIER
COUNSELORS AT LAW
314 ESSEX STREET
SALEM, MASSACHUSETTS 01970
AREA CODE 617
745-8670
592-0037
June 10, 1986
Salem Fire Department
Lafayette Street
Salem, Massachusetts 01970
Re: Accident on Loring Avenue, Salem
May 18, 1986
Dear Sir or Madam:
Please be advised that this office represents Raymond P.
McGuiggin, 811 Ferncroft Tower, Danvers in connection with
the above -referenced accident.
I have been informed that the Salem Fire Department
responded to the scene of the accident. Would you kindly
provide me with a copy of your report regarding that accident.
Thank you for your anticipated cooperation.
AMS:sc
Sincerely,
AmM. Poisson
ADDRESS:
SALEM FIRE DEPARTMENT - INSPECTION REPORT
'26Z dLo/rJAG-- Ave-
4 `( TYPE OF h
NAME OF OCCUPANCY: S*ri5r& GoL�� G�4, E OCCUPANCY14- G�'f 6
5661 f% cG-�9'Cir 2 `GIBS`%
ADDRESS/14,41,ir uS TEL. F-, 2L P7
BLDG. OWNER CC"/ ` CF. /41 . ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"2 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all verticalshafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
VG—S
67-5
6- 5
A o
ti
Form #16 (Rev. 1/79)
,1,7".`Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?//4 o/v T'64 )
19. Does this occupancy have a direct Fire Alarm connection?
Master Instant
Type :Box # ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided? y
21. Are all emergency lighting units in good operating condition?(1/O4-"6
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
47 0
G—s
24. Are all areas used for storage maintained in a safe manner? �G
25. Are basement areas free of any rubbish accumulation? Yam, S
26. Does the heating system, including the chimney, appear
to be in a safe operating condition? G— S
27. Is a current fuel oil permit posted and storage proper? 5
28. Are there any electrical hazards? /v O
29. Does the occupancy appear to have any structural defects? y0
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
,Date: % �" 9 °F.-6 Inspected by: X
Approved by:
Approved by
D.C. in charge of Insp. Date:
Company Officer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
C�.
•
ROBERT J. CROWLEY
A/Chief
Itg u# ,Sttlenc, 41Lzaci1ueits
Aire pepartment PeaDquarters
48 Pfagette street
4ttlem,clitin.0197D
FIRE INSPECTION REPORT
Hospital (a),
Clinic (b)
Convalescent or Nursing Home (a)
Rest Home (a)
FILE Ctpy
Public Medical Institution (a)
Charitable Home (a)
Group Care Facility (c)
Day Care Facility (c)
This is to certify that State College Day Care Center
Name of Facility
located at 262 Loring Avenue
Address
was inspected on 10/16/85
Date
by Lt. John Devitt
Name of Inspector
( X) APPROVED ( ) DISAPPROVED
Form 44D (March 1985)
REPORT OF INSPECTION
Chief, Sa em Fire De artment
DISTRIBUTION
(a) Department of Public Health
Division of Health Care Quality
2nd floor, 150 Tremont Street
Boston, Ma 02111
(b) Carolyn Zavarine, M.D.
Department of Public Health
Hospitals and Ambulatory Care Facilities
Room 940, 80 Boylston Street
Boston, Ma 02116
(c) Office for Children
The inspection of hospitals, clinics, and dispensaries are in accordance
with the requirements of Massachusetts General Laws, Chapter 111,
Section 51. This Fire Certificate of Inspection issued by the Head of the
Salem Fire Department certifying compliance with local ordinances is a
prerequisite for an original or renewal license.
The inspection of convalescent and nursing homes, rest homes, charitable
homes, hospitals, and public medical institutions are in accordance with
the requirements of Massachusetts Geheral Laws, Chapter 111, Section 71.
This Fire Certificate of Inspection issued by the Head of the Salem Fire
Department is the result of an inspection conducted by the Salem Fire
Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance with
the provisions of Massachusetts General Laws, Chapter 148, Section 4.
SALEM FIRE DEPARTMENT - INSPECTION REPORT POSTED
ADDRESS: 2- �
NAME OF OCCUPANCY:
P.T.N.
v
BLDG. OWNER
TYPE OF
p C - OCCUPANCY t)
11
d
ADDRESS•�IL TEL
ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions? �Z
V
/A-0
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted.& dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are, all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
,system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system? 7,4r"PAJL
44-6
Form #16 (Rev. 1/79)
�s
17::Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm
19. Does this occupancy have a direct Fire Alarm
Master Instant
Type :Box # ADT# Alarm # AFA#
system?
connection?
3M# Other F--
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would 4/1-0constitute a special fire hazard?
23. Are all flammables stored in proper.containers and/or
stored in an approved storage area?
24. Are all areas used for storage maintained in a safe manner? 10-0
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
27. Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards?
29. Does the occupancy appear to have any structural defects?
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date:
Inspected by: 7,p27
Approved by: gf-
Approved by
D.C. in charge of Insp. Date:
'- „ & 5
Company Officer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
SALEM FIRE DEPARTMENT - INSPECTION REPORT ppsys
ADDRESS; (c'-,46(6
/41(oLi n
TYPE OF /
NAME OF OCCUPANCY :Q, ( w 7/,t,PCCUPANC7 l/
P.T.N. ,� l /
�� F?/1M S P c��/tADDRESS (VAI M /1G
BLDG. OWNER /AAA ADDRESS
TEL.
ANSWER ALL QUESTIONS: EITHER "YES"/ "NO"/ OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Afre all interior occupied spaces clean and consistant
with good housekeeping practices?
r'
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
/Y4-
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
(leo
NA
N A.
N,A
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?
(J
&/I?frs
19. Does this occupancy have a direct Fire Alarm connection?
Master Instant
Type :Box # 3'/1 ADM Alarm # AFA# 3M# Ot} er
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would n/p,
constitute a special fire hazard? �%(./
23. Are all flammables stored in proper containers and/or -_1--
stored in an approved storage area?
et
24. Are all areas used for storage maintained in a safe manner? �. G
e
25. Are basement areas free of any rubbish accumulation? t1��1%
26. Does the heating system, including the,chimney, appear (..
to be in a safe operating condition?
27. Is a current fuel oil permit posted and storage proper? /, 0
28. Are there any electrical hazards? NO
29. Does the occupancy appear to have any structural defects?,/O
30. Has a Form 25D (Inspection Recommendation Form), been made/I!(p
and issued for this inspection?
~_
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date:
fr,
Approved by
D.C. in charge of Insp.
Inspected by:
Approved by:
Date:
Q40,4, <�
'Company Officer
1 /'''
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
J
•
ROBERT J. CROWLEY
AlChief
Ifg• tf aim, attssrzchuse##�
Aire ciepart mutt peal
48 ` ttfagette *red
*"m 45" °`°'° FILE C 0 P Y
FIRE INSPECTION REPORT
Hospital (a)
Clinic (b)
Convalescent or Nursing Home (a)
Rest Home
( ) Public Medical Institution (a)
( ) Charitable Home (a)
( ) Group Care Facility (c)
( X) Day Care Facility (c)
This is to certify that State College Day Care Center
Name of Facility
located at ?62 Loring Avenue
was inspected on
X
7/1R/R5_
Date
Address
by Lt. C.M. Holloran
Name of Inspector
APPROVED (. ) DISAPPROVED
Form 44D (March 1985)
REPORT OF INSPECTION
ief, Sam Fire Drtment
DISTRIBUTION
(a) Department of Public Health
Division of Health Care Quality
2rid floor, 150 Tremont Street
Boston, Ma 02111
(b) Carolyn Zavarine, M.D.
Department of Public Health
Hospitals and Ambulatory Care Facilities
Room 940, 80 Boylston Street
Boston, Ma 02116
(c) Office for Children
83 Pine Street
Peabody, Ma 01960
Building Inspector
Health Department
Occupant
File
The inspection of hospitals, clinics, and dispensaries are in accordance
with the requirements of Massachusetts General Laws, Chapter 111,
Section 51. This Fire Certificate of Inspection issued by the Head of the
Salem Fire Department certifying compliance with local ordinances is a
prerequisite for an original or renewal license.
The inspection of convalescent and nursing homes, rest homes, charitable
homes, hospitals, and public medical institutions are in accordance with
the requirements of Massachusetts Geheral Laws, Chapter 111, Section 71.
This Fire Certificate of Inspection issued by the Head of the Salem Fire
Department is the result of an inspection conducted by the Salem Fire
Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance with
the provisions of Massachusetts General Laws, Chapter 148, Section 4.
a?
•
•
•
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: � � � a� U r' AI q '4 V <
NAME OF OCCUPANCY : f %ATe (4o I(Q 4 e 4AY e 4t (14414,r
!' b
P.T.N. (�n 111'3.p ft rar;?- ADDRESS SA
BLDG. OWNER eo,,,•,, of /'!pJ1. ADDRESS
POSTED
TYPE OF
OCCUPANCY'e.)'9y
TEL . 74/f - otr4
e xT• 4),
TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"l OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be
of rubbish accumulations, or other fire hazards?
free
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants? ve;
5. Do porches and fire escapes, appear to be in a safe
condition: and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
/ e.t
�Pf
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9.. Are all necessary Licenses and Permits posted & dated?
10. Are the -occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
vex
lvoh'f
y/J..1'
NU'
15. Does this occupancy have a sprinkler system? Np.
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system? Mho,
16. Is this a "WET" or "DRY" system? N/A,
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system? )/Pf
18. Date of last test of the interior fire alarm system? -- fsf^
19. Does this occupancy have a direct Fire Alarm connection? A/6
Master Instant
Type :Box # ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided?
/Yb
21. Are all emergency lighting units in good operating condition? ,y,.
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? /(/O
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? ref
24. Are all areas used for storage maintained in a safe manner? yey
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
27. Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards?
29. Does the occupancy appear to have any structural defects?
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection? Afb
i.rr
/Y6
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form•#58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: dt,12/,f`r
Approved by
D.C. in charge of Insp.
Inspected by:I7 1 ,, 7/r)j71y,yt<
Approved by:,j];
,9
Company Officer
Date:
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
Tames r_ dremixn
Qlhief
0
City �# areztt, 4Thzdp25etts
ITirr 39epartmrnt iieabt uarters
CERTIFICATE OF COMPLETION
FOR
A FIRE ALARM INSTALLATION
The undersigned installer of a Fire Alarm System, plans of
which were previously approved, hereby certifies that the
installation (or alteration) of said Fire Alarm System has
been installed in compliance with the guidelines and provisions
of the Salem Fire Department and the State Building Code.
Furthurmore, this installation has been tested in accordance
with the requirements of the Salem City Electrician and is
now ready for a final test by the Salem Fire Prevention Bureau.
Tests are conducted by appointment only. A representative of
the installer must be present for the test.
Complete instructions as to the use and maintenance of the system
have been furnished to the person (or persons) for whom the
installation (or alteration) was made.
Ins alter /ice/C4( CO, - err
0 /
SAL/`rLi 77 CoL- by - �- -
Fire Dept., Inspgction:
Date �� D 7
Inspected by:
7,0
Approved
Remarks:
Disapproved
P-4/14A tatAbt v-
License # L_ 7,5-3 C
Fnrm ',#fi2 (rev_ 7/7Fi)
LISTED BELOK.
Xxmes _ Xirennun
(Thief
Location of
THIS CERWIFICA E OF APPROVAL SHALL BE KEPT AVAILABT F FOR INSPECT •N ON THE PREMISES
ee $5, 00
ck#// l / 7
4'67
Titg trf $n1m, Alassacilusetts
NUT Deiartuwnt runri:urteru
48 Tafayette Street, Salem, Ma. 01970
CERIIFICATE OF APPROVAL FOR USE OF CARPET'S & PADDING
Use of Material://i
Occupancy : ( 14G- iy V �/�7X l " 6GG61 A C'o v 7g/
Name ��y� Address
Owner of Occupancy : \,%1,14,��9 f1 7A7� (%
Type of Occupancy: Assembly Area
Area of Use of Material:o.
Description of Material:
Product Name: (d U4 y i U/4
— -d 6f? V' .& L v- V //ge
Identification of Product:
Rohl #; Run #; Lot #; Pattern #; etc.
e4iQ/OX-7" v egio/i/
Carpet
Carpet with backing
Padding X
.�' &AT V 42 7 M4,f
Submit with this form a copy of the Testing Laboratory report. Applicant certifies
that the material designated herein was prepared from the same formulation and
has the same backing material as the material tested by the testing laboratory
listed below and found to have the following characteristics:
Certification of Flame Retardant Properties:
Smoke
Flame Spread 2 9 Fuel Contributed Developed 4494
Testing Laboratory:
Laboratory Address
Date of Test:
List Names and Addresses:
Laboratory
Approval #
Manufacturer ei,,, ,q4. feGT fti 77 1Ar 7ilex /,Gc . --T' T1 t?WOU/,( / 0)4,
Distributor or' Sales Convany: �/��z4,4 (1 / Qdf, jd—/`(r�/ ,e W.
Installer: Y4 Ayc1%Jit 1lJ/e/Il_ 60- — f 4 4-/if14,, / "/ 4 `�' `r .
Date .A Applicant's
/�
Submitted: c %3- oq Signature-, ,'..6 _,
Fire Prevention Bureau Approval:
Certificate of Approval #
Conditions of
Approval
Expiration
Date
Date of Issue
Class of
Occupancy
Approved
By,.
Fbrm #80A(Rev. 4/77)
SALEM FIRE DF.PT.
Atm t 4 Iva
•
GENERAL 'FELT INDUSTRIESPARK 80 PLAZA WEST -ONE, SADDLE BROOK, NON JERST:Y 09062 TELEPHONE (20i) 843-0900`,
April 229.' 1977
PRIME URETHANE CARPET CUSHION TUNNEL TEST RESULTS,'
TO WHiOM IT MAY CONCERN:
•UFe certify that ,the following grades of Breakthru = Prune Urethane Carpet'Cushion have been tested: bye=.an.. independent..
..laboratory and that these tests were conducted' :inaccord®
• ante 'with the provisions of ASTM E-84 "Standard :Method of
Test for Surface Burning Characteristics ,of gui1ding
Materials."
SMOKE
)DENSITY
S.ncee1��
CONTBIB JT1DN
General Felt`.i_Industries, 'Inc.
,i
dadlc: Franc
•Ptt ector o
THIS.,CERTIFICATh OF APPROVAL SHALL BE KEPT AVAILABTF FOR INSPECTION ON THE PREMISES
LISTED BELOW.
lames . prat:tan
IElief
Location of Use of Material:
ag cif Salmi, AL5sacliusetts
irr Etepartmrnt l•Ieadquartrrs
48 Tafayette Street, Salem, Ma. 01970
CExl'IFICArE OF APPROVAL FOR USE OF CARPETS & PADDING
Fee $5,00
occupancy: cir!16M A1 if 6/_ L ‘ G'/- 4 Lo M Aii ,45w,66lti�v r
Name Address
Owner of Occupancy: J ,, \ >v (,rf/�� a45
Type of Occupancy:
Area of Use of material: 02 Mo/iAr ,v /�7� ce,p )c- Aft—G
Description of Material: Carnet
Carnet with backing ,7 ' y�
Product Name :7ak/gs - (// 45.6-14//h , Padding
Identification of Product:
Roll #; Run #7 Lot #; Pattern #; etc.
i'edeAlp >` ///yz-e/y-- wiRoivll
Submit with this form a copy of the Testing Laboratory report. Applicant certifies
that the material designated herein was prepared from the same formulation and
has the same backing material as the material tested by the testing laboratory
listed below and found to have the following characteristics:
Certification of Flame Retardant Properties:
Smoke
Flame Spread -Fuel Contributed 0 Developed P
Testing Laboratory:
Laboratory Address
Laboratory
Date of Test: - /— ,,l Approval #
List Names and Addresses: ,{ ,/
Manufacturer-Ol�t/�!/,(' (/iasQAJ-T (4e, /ika kr/e-Lo wc3ReVE, A •
Distributor or. Sales Company: A,areA/ /' &fM ,l/r/G -- 4/, •T- d4 4 fr.
Installer:
Date Applicants
Submitted: P- /•3 — 7, Signature ; , 47, �� y1464
Fire Prevention Bureau Approval:
Certificate of Approval #
Conditions of
Approval
Expiration
Date
Date of Issue
Class of
Occupancy
proved
By,.
Form #80A(Rev. 4/77)
RECEIVED
IVED
SALEM FIRE DEPT.,
AUG 1' 4 Ira'
.r
DAVISVILLE iROAO G TURNPIKE CSRtVE:
P. O. 00A 475, WILLOW GROVE, PA. 16090
•aiaat_ttY
t.pomeD.BY
i f
QUALITY
BIRCHWOOD
CiMCIQMATE • )
CONESTOGA BERBERS
GRANETTE
Trai tt RIDGE ,
' t ', RA-DIAI�IT GLOM
.
OUVIS CARPET COMPANY, INC.
August 1, 1919
. TUNNEL TEST •
ASTM E84--7O & r A
PATTER.; FLAME FUEL SMOKE
NUMMI SPREAD CONTRIBUTED DENSITY
C312
C529
C680
C213
Fill
C331
F165
55 35 lie
65 30 85
20 15 50 -
35 30 65
55
35 - 25 '
re.
35 100
50
666 35 20 35
to PANEL TEST ;
CRITICAL RADIANT FLU
•
r.53 •
.53.
• .54
k:•
'
" *Tested with Stan
e (2t5) 672-1100
FLOORING RADIAiT•
`FACE 'ZDER-'?'
.: e:t.€
•
Antron III
BCF Nylon
Ptntron 11I
BCF Nylon
Antron' I1I •
:.. BCF Nylon .
Antron 11
rj. BCF Nylon .•
;,
M
s
Downs Approve::
f: 3t`hle Ny1on'''
x , Antron III
BCF Nylon
• ! f:
Downs A prove
Staale Nylon
Micron Imo$
BCF Nylon
,padding.
4
0
•
; u'nne3: Test; Flame Spread af'75 or less 3s usually considered • satisfactory. for,tiost•uses.
oring Radiant PEnetL Test -. (Higher-nwnber indicates ..better test resu.1ts.):
4
045 ,W, z iniuni critical radiant flux reconunended. for corridors. and -
exi trays of hospitals and nursing hones.
st,
el:
M e22 rain mum critical radiant flux for other uses.
. HALEM FIRS D
.
'
AUG -'11•`4'/ �g7
''4 . ; s ; 911) Thirci vea, N. Y'. • Marc,end(ia Mart Chicago •• Western MercV endlae Mart San F rand co • 14133 S: 8rgadrea; Lee Angetp : ,Oattas Trade Matt,`[
li
b ",,. y Marchandlia Mary Atlanta ,i* �c. r ,". -
SALEM FIRE DEPARTMENT
Fire Prevention Bureau
48 LAFAYETTE STREET, SALEM, MASS. 01970
QC I ] /�fd 4 R '11-11C13Date y /5' ? 70'(
Certificate of Completion - Installation or Altera iog of, Oil Burning Equipment
(Name of Owner) ...J0' / 7V -52 / C2 /"A"
at (Address) ... ,irk — ' Ic,Ci` - - .. -�i .,4 "d'0/....? -
has been made in /accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in
effect and pertaining thereto. (Ref. 527CMR4.00)
06/
The undersigned hereby certifies that the installation (or alteration) of fuel bu 'n equipment and/el stor
and applying to the installation for
Floor heated /
by system
(1st,2nd,all)
Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use
and maintenance have been furnished to the person (or persons) for whom the installation (or alterations) was made.
BURNER
Name //ai ✓�,l7 i ''/ � Mfg. by.. 07,1'l. ei , 1VV�7—S769✓S/c�,�/2,e?
Type CT (1• N Mass. Approval No... /3J 17
To use not heavier than "r. a fuel oil "YA Kind of heat. . OT! I/I
Type of Tank.... /77zzo9.4 . Nk
Location... ,4es:. Y!
Note: New underground tank installations, require a pla and Form 8/,�1G to be filed.
Type (automatic or manual) control ........ ? ' ! O. /.:off.%✓ ri
STORAGE TANK
(D.H.W.; F.H.W.; STEAM; F.H.A.)
[ ] New Tank
No. of Tanks ,/ Total Capacity ...,2.7 .9i9G II,}'E fisting Tank
I ] No additional storage, using same tank as another unit.
Location of automatic shutoff valve...4.Z ..0. . gR.... 47!40• 410 , . ,.0e?‘ -.Z'•Z
Location and type of manual shutoff valve. ,7.4 ZAh4L..5;re7"C.f 'ELECTRICAL CONTRACTOR:
Special requirements Company4" ? � /j��ORi 4/7
Cert. otCpmp. Rec'd., G -.
Permit issued..,.
Ieeued By
By .../c'
(written signature
Address. , ,5 i ���/�'�ls` �Q! 6
Installer's Certificate of Competency No.. , Q aF g�d�
DO NOT WRITE BELOW THIS LINE
EvALUATION OF HEATING SYSTEM..."447449
COMBUSTION TEST:
DATE: a/1// /F".(S:"
NOZZLE: GPH: / ANGLE: 8'D SPRAY: S/S-
r
GROSS STK. TEMP.: 4:1
NET STK. TEMP: ‘ p
02%:Circle one G®ld
SMOKE: `/
BREECH DRAFT: ac p
OVERFIRE`DRAFT: ?,-//_/
EFFICIENCY: 7737
RATING: Excellent: , Good: , Fait: , Poor:
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: G 2
Wm'
YPE OF
NAME OF OCCUPANCY: -ca,,L, �O vl�.thJ l_C�/u'.. Ca,/,h4..00CUPANCY
P.T.N. r,Q, c' ,/ ADDRESS TEL.
BLDG. OWNER ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
Ya°
3. Are facilities provided for the safe disposal of rubbish? Wo
0
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged? /fl-
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
0
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves, open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
;9
Form #16 (Rev. 1/79)
F '
6
17..Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection?- yz,
Master / Instant 0
Type :Box # f/ ADT# Alarm # AFA* 3M4 Other
20. Is emergency lighting system or units provided?
iirge
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an aprroved storage area? J,d-o
24. Are all areas used for storage maintained in a safe manner?
25. Are basement areas free of any rubbish accumulation?
26. roes the heatinc system, including the chimney, appear
to be in'a safe operating condition?
27. Ts a current fucl oil permit posted and storage proper?
28. Pre there any electrical hazards?
20. Toes the occupancy appear to have any structural defects? /n?o
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection? irT
4r
Q
ai
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form 058 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
/714 4-eZi 1A/
6.4
Name of person to whom Form #25D was issued:
Date:
i2lls7
Approved by
D.C. .in charge of Insp.
Inspected by:
Approved by:
Date:
Comp .%4' Officer
Form #16 (Rev.. 1 /79 )
P.T.N. checked by F.A.
* * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 06/19/87
Occupancy type: Day Care Center
Distribution: C
(Q)uarterly or (A)nnual:
* * *
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 04/29/86
by LT. DEVITT
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying..
compliance with local ordinances in a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of. the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
With the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Jokeph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/86)
* * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 04/04/87
Occupancy type: Day Care Center
Distribution: C
(Q)uarterly or (A)nnual: Q
* * *
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 03/24/87
by A/LT. HUGHES
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances in a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/86)
* * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 02/11/87
Occupancy type: Day Care Center
Distribution: C
(Q>uarterly or (A)nnual: Q
* * *
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 12/12/86
by A/LT. CRANNEY
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances in a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
.Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rsv. 8/86)
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: E 2 2 0 r` � di et �� pncTr
TYPE OF
NAME OF OCCUPANCY: S-f'C 49C,, a-- � (7F,,,,4, OCCUPANCY a' et-,-.,
-
P.T.N. Q-Pv-e'-4, Cier-,f®h ADDRESS TEL.d-Pr-9d
BLDG. OWNER
i
ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES", "NO", OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions? 114k.
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants? y e..)
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits? `� J
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices? h.�h�
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
1)
n
z
n0
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system? tJ
18. Date of last test of the interior fire alarm system? hot e
19. Does this occupancy have a direct Fire Alarm -connection? - r
Master Instant
Type :Box # ADT# Alarm # AFA# 3M4 Other_
20. Is emergency lighting system or units provided?
h
21. Are all emergency lighting units in good operating condition? non.(
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
10
i f
24. Are all areas used for storage maintained in a safe manner? 7-eJ
25. Are basement areas free of any rubbish accumulation?
26. Does the heating_ system, including the chimney, appear
to be in•a safe operating condition?
/7 'afrl P
n vnP
27. Ts a current fuel oil permit posted and storage proper? �ne
28. ire there any electrical hazards? h o
20. L7es the occupancy appear to have any structural defects?
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this,
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) ., If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom 'Form #25D was issued:
Date: /2-/Z- t
Approved by
D.C. in charge of Insp. Date:
Inspected by: f/ f
Approved by: 47ec h - e
Company Officer
Form #16 (Rev. 1!79)
P.T.N. checked by F.A.
LEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: ��----.,����
NAME OF OCCUPANCY: �n2
P.T.N.
a( R
TYPE OF
.00CUPANCY
ADDRESS TEL.
BLDG . OWNER COM • O /- AA/145 • ADDRESS �Sf RG i0/2 i- Y TEL:
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO % OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions,, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection? 4i4-
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
ke7S
Yes
Yes
• tea• E
Yt S
AiG
A14-
WA-
Form #16 (Rev. 1/79)
17.:Does this occupancy have an interior fire alarm system?
cS
18. Date of last test of the interior fire alarm system?
19. boes this occupancy have a direct Fire Alarm connection? ___WO
Master Instant
Type :Box # ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided? ,,vv
21. Are all emergency lighting units in good operating condition? "0,¢
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? 4t/0
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? VC.S
24. Are all areas used for storage maintained in a safe manner? '15S
25. Are basement areas free of any rubbish accumulation? Yes
26. Does the heating system, including the chimney, appear
to be in a safe operating condition? re-S
27. Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards? 410
29. Does the occupancy appear to have any structural defects? 2/0
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection? ,0
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form•#58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: /at -A, -1-` Inspected by: Fi ✓.,,/��/h.6Z—i2i — ,L7 /2o/�lgf�-.i'
Approved by: � ��Li04.2v , V'�
Compan Officer
Approved by
D.C. in charge of Insp. Date:
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
SALEM FIRE DEPARTMENT - INSPECTION REPORT POSTED
ADDRESS: 2 4; 2 ,L6( ,�� / v&
7 -T6 Go C76,-E- TYPE OF j4 y' c4.Q C-
NAME OF OCCUPANCY: n,¢ 1L et-' T jOCCUPANCY
P.T.N. .C'Di'f/% O/� e-4 I- ADDRESS COI GC 6- TELZ%-S OS-C-C
BLDG. OWNER O f /% -S'S ADDRESS
6 04 % % Y TEL .622s>7
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions? tiOti E
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7: Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants? y G S
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated? �"� S
10. Are the occupants complying with all regulations and !y C
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a'standpine system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system? K& S
18. Date of last test of the interior fire alarm system? /1O4/ T /fJ- v
19. Does this occupancy have a direct Fire Alarm connection? .//-
Master Instant
Type :Box # ADT# Alarm # AFA* 3M* Other
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?,/Vd`"
22. Does the occupancy have any unusual condition which would /1/_ 0
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or J� c �°
stored in an approved storage area? ` >
24. Are all areas used for storage maintained in a safe manner? / G S
25. Are basement areas free of any rubbish accumulation? / c
26. Does the heating system, including the chimney, appear .s
to be in'a safe operating condition?
27. Ts a current fuel oil permit posted and storage proper? � S
28. 7re there any electrical hazards? o
2a. ones the occupancy appear to have any structural defects? 7//
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
C sG1, ,PAM U p cv 0 Se %, T f7&-'6
Name of person to whom Form #25D was issued:
Date: ' 2 6� 8C
Inspected by:
Approved by:
Approved by
D.C. in charge of Insp. Date:
Company Officer
Form 416 (Rev. 1 /79 )
P.T.N. checked by F.A.
Citg of $?xlem,
a5zar iuB its
girt pepartmezrt pettbquarters
48 ufrttr ctrret
Salem, u_ 019713
FIRE INSPECTION REPORT
Hospital (a)
Clinic (b)
Convalescent or Nursing Home (a)
Rest Home (a)
( )
Public Medical Institution (a)
Charitable Home (a)
Group. Care Facility (c)
Day Care Facility (c)
• This is to certify that Salem State College Day Care Center
Name of Facility
located at 262 Loring Avenue
was inspected on
1.22.86
Date
Address
(X ) APPROVED ( ) DISAPPROVED
by Lieutenant Harry Garabedian
Name of Inspector
REPORT OF INSPECTION
Form 44D (March 1985)
Chief, Salem Fire Department
� v
ROBERT J. CROWLEY
NChlef
Hospital (a)
Clinic (b)
Qtg of $alem, ttssrzrhpzsetts
Mire pEpartment Peabquarters
48 Tette4freet
Salem, Pa. 01970
FIRE INSPECTION REPORT
Convalescent or Nursing Home (a)
Rest Home (a)
Public Medical Institution
Charitable Home (a)
Group Care Facility (c)
Day Care Facility (c)
This is to certify that Salem State College Day Care Center
Name of Facility
located at 262 I nrin_g Avenue
was inspected on
4 2A_R6
Date
Address
( x) APPROVED ( ) DISAPPROVED
by It. Devitt
Name of Inspector
REPORT OF INSPECTION
cie:73,47, q!::-1(14A:41
C ief, Salem Fire Department
Form 44D (March 1985)
ROBERT J. CROWLEY
AlChief
(
(
(
Citg of $alem, ttssachuse##s
ire peparfinent peatc3uarters
48 Iufagrtte Street
52112m, a.0197D
FIRE INSPECTION REPORT.
) Hospital (a)
) Clinic (b)
) Convalescent or Nursing Home (a)
( )
Rest Home (a)
Public Medical. Institution (a)
Charitable, Home ,(a)
Group Care Facility (c)
Day Care Facility (c) •
• This is to certify that S.S.C. Day Care Center
Name of Facility
located at 262 Loring Avenue
was inspected on
8.20.86
Date
Address
(X ) APPROVED ( , ) DISAPPROVED
by Lt. Devitt
- Name of Inspector -
.REPORT OF INSPECTION
Ccief,"Salem Fire Department
Form 44D (March 1985)
ROBERT J. CROWLEY
AlChief
fa
-FIRE INSPECTION REPORT
Hospital (a)
Clinic (b)
Convalescent or Nursing Home (a)
Rest Home
tituf a1em, ttssttchusP##�
girt pepartltunf Pettt3uaticrz
48 Pia -gate Street
g,tt1em, Au_ 0197D
FILE C;tpy
( ) Public Medical .Institution (a)
( ) Charitable Home (a)
( ) Group Care Facility (c)
(X ) Day Care Facility (c)
This is to certify that
State Cn11QpP Dp.y Care Center
Name of Facility
located at 262 Loring Avenue
Address
was inspected on April 2. 1985 1% by Lt. Clifford Lewis
Date Name of Inspector
(X ) APPROVED ( ) DISAPPROVED
REPORT OF INSPECTION •
One fire extinguisher in basement requires inspection & service.
T n �,
Chief, Sal th Fire DepJ-tment
Form 44D (March 1985)
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: .,4 1 Le 1.v `SITP � �ii , I) (', (' 2
TYPE OF
NAME OF OCCUPANCY: C.L je'' f 6a �a� fr � Ue� OCCUPANCY
P.T.N. Scdt 1,1<s- -e (((
BLDG. OWNER
ADDRESS
TEL.
ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES"J "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
y/ S
YES
3. Are facilities provided for the safe disposal of rubbish? jE s
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked? '
Is a gauge provided at the top of the system?
16,-Is this a "WET" or "DRY" system?
ggs
N o.
ys
if/on/1_
JilL
Form #16 (Rev. 1/79)
L. J
17.. Does this occupancy have an interior fire alarm system? ,CAS
d v 18. Date of last test of the interior fire alarm system? g,
19. Does this occupancy have a direct Fire Alarm connection?
Maste ; Instant
Type :Box # . \ ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided?
Alag
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? q%l
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? 5
24. Are all areas used for storage maintained in a safe manner? jE.S'
25. Are basement areas free of any rubbish accumulation? V(6.5
26. Does the heating system, including the chimney, appear
to be in a safe operating condition? \a
27. Is a current fuel oil permit posted and storage proper? 449
28. Are there any electrical hazards?
29. Does the occupancy appear to have any structural defects? ,VU
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form#58 (Complaint Form) o If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
.e..x"i, ,,/ /?f9S, »it �;� ,J�.� rr i ° pa%z
Name of person to whom Form #25D was issued:
,Date:
�` 2
Approved by
D.C. in charge of Insp. ! Date: `E-3
Inspected by:
Approved by:
aVat-77-1
Officer
Form_#16 (Rev. 1/79)
P.T.N. checked by F.A.
{ SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: 2 '' ei),__st____
NAME OF OCCUPANCYA�C�- P d[/ ����'��ANCY
v
P.T.N. A4L y ADDRESS
U C/
BLDG. OWNER �' ADDRESS
TEL.
TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
-3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5 Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions -cp
that may interfere with the emergency exit of occupants?E,
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
..conditions,' as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
Form #16 (Rev. 1/79)
17.•Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire
alarm system?
19_. Does this occupancy have a direct Fire Alarm connection?
Master cG Instant .
Type :Box #f��/ ADT# Alarm # 'AFA#
20. Is emergency lighting system or units provided?
a
3M# ' Other
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
24. Are all areas used for storage maintained in a safe manner?
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
27. Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards?
29.rpoes the occupancy appear to have any structural defects?
Has a Form 25D (Inspection Recommendation Form), been made
;and issued for this inspection?
Write a brief description of any violations discovered during this
inspction. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person
to whom Form #25D was
Date :
Approved
Approved by
D.C. in charge of Insp.
Form #16 (Rev. 1/79)
issued:
4/,4.
Inspected by: . J-...-rt
-
fiCompany Officer
Date: S - 2-53 -S(
P.T.N. checked by F.A.411‘
by:
under
Section 434.0; Mass. State Bldg. Code.
For inspection of Day Care Centers,
f
COM:.:DNWEALTH OF MASSACHUSETTS
OFF ICE '. FOR CHILDREN
DAY .CARE SERVICES
s ,to? certify that
r i`ng QVE°
alem State College Day Care
Name of Facility
; O4970 '
Address
Center
by Act. Deputy Chief David J._Goggin
Name of Inspector
a.t'.i.ons;.found..satisfatory at, time of inspection:
or repa i_rs at,;,,t i me of', i nspect i on .
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
(,.
iumj
`j N a.-ne and T
Office for Children
Day Care Services
83 Pine Street
Peabody, Mass. 01960
t
Fire Chief
e
• SFPB Form 41
Rev. 1/82)
COM ON EAI.,TH
This:is to certify that
located at
was inspected on
Report' of Inspection
•.A11 'conditions' foun
OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY ,CARE SERVICES
:;....FIRE_INSPECTION REPORT
Please return this report:
.cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
SalemState College Day Care Center
Name of Facility
262 Loring Ave, Salem, 'Mass. 01970
Address
by Capt. ,.David J. ' Gog(';in
Name of Inspector
satisfactory, at time of inspection.
Office for Children
Day Care Services
83 Pine Street
Peabody, Mass. 01960
Fire Chief
, , J, I I l-11 , J-1 • W t_ “ S L la 1 NA .I,Ll 1
COY.IDNWEP.1_,TilOFt1I.SE;ACiiUSETTS
OFFICE FOR CdiLDREN
DAY CARE SERVICES FILE copy
prroz. INSPECTION REPORT
This is to certify that State College Day Care Center
Name of Facility
located at 262 Loring Avenue
was inspected on
Report of Inspection:
S 1QP4 by L.TTOAVairei-C? e0-A--yL)
Date Name.of Inspector
Co MI 50-T1 5 -I-74c To.A4
Please return this rport:
.CC: Salem Bldg,. Insp.
Salem Health. Dept.
Occupant
File
Office for Children
Day Care Services.
83 Pine Street
Peabody, Mass: 01960
Fire Chief
SFPB Form 41 (Rev. 1/82)
Robert J. Crowle
A/Chief
TCY Pep:irfntent -LY:11 LitT:Trivr i
48 'T;zfmiette trEet
$tLem, gia_ 01970
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
DAY CARE CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Date of Issue:
2. Age Group of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System with panel provided: Battery Power:
Local Manual Pull Station,on A.C. Power only:
5. Fire Extinguishers:
Properly placed:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date last tested
Date: Inspector:
Company or F.P.B.
For inspection of Day Care Centers, under•Section 434.0; Mass. State Bidg:'Code..
This is
CO"11."0";;•7EP.I,TEI OF' 1,1F SSi1CiiUs' TTS
'OFFICE FOR CiIILL`2I1
DaY.CARE SERVICES
o certify that State' Co1.1ege Day Care tenter—
., Name of Facility
located at _ 62 Lor_i n_g A.v_enue :'•
was inspected on
SFP 2•r.,oQ4.b
Date.
Report of Inspection:
Please return this rcoart:
•CC: Salem Bldg. Insp.
Salem Health ..Dept.
Occupant
File•
SFPB Form 41 (Rev. 1/82)
Office .•for_ C.h ld,re
Day Care ' ervicess
83',Pine
Peabody, Mass : '01`960
.Robert J. Crowley
,A/Chief
a1ezn,4 4aad1utt
a5sarhuflettEc[
?firY ��ep:crtment _eiz,liu:rtrr.
48 1,afagetti; :$tr.eYt"
nlenc,• rz_ 81970,;
OFFICE FOR- CHILDREN' FIRE PREVENTION,,REPORT*":
DAY CARE"CENTER:INSPECTIOfN
1. Building Inspectors Certificate
2. Age Group of Occupants
3. Maximum Number of. Children,,
4. Fire Alarm:
Drill Switch provided:'•:
•
Full System with panel ' provided a.
Local Manual Pull Station, tin
5. Fire Extinguishers:
Properly placed:
6. Exits clear 'and unobstructed.:
7. Emergency lighting tested:
F
8. Housekeeping conditions::-
y
9. Fire Drill procedure :posted:
:ccudaricy Po'sfed
Date of: Issue:
10. Emergency shelter agreement available:
Location of :•Emergency .Shelter:'
11. .Boiler Room enclosed:
Additional Report:
Company
(OVER)
� V •
CO_9:•:ONWEILLTH OF I4ASS2\CILUSI TTS
This is to certify that
located at"
was
inspected on
OFFICE FOR CIIILDIREN
DAY .CARE SERVICES
PTF,E.,_INSPECTION REPORT
11-10-83 1
Date .
Report•of Inspection:
:.Conditio.ns•satisfactory at time of inspection.
State College Day Care Center -
Name of Facility
262 Loring Ave.Salem Mass 0.19703
Address
by Raymmnd T Dansreau
Name of Inspector
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
Name and Title
Office for Children
Day Care Services
83 Pine Street
Peabody, Mass. 01960
Fire Chief.'
For :inspection of Day Care Centers, under Section 434.0; Mass. State Bldg. Code.
was inspected.. on
- CO:•L` DNWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDR:.N
DAYCARE SERVICES
3-17-83..
Date
dn:d Lions
Please return this report:
Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
SFPB Form.41
Rev.. 1 /82Y
StateColleke Day "Care`-
Name of Facility
.Salem t
aytor d• T' Dansr.e0:
Name of Inspector.
Name and Title
Office for Children
Day Care Services
% Gregory Street
Middleton, Ma. 01949
1atues Pritutan
cam'.
, •
OItg of atm, .1,11a5sachuseite
elTire pepartment -,leab.gt.u.trtrrs
48 fagettz
P.a. 019713
;±Y OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
_DAY CARE CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Date of Issue:
2. Age Group of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System with panel provided: Battery Power:
Local Manual Pull Statiohem A.C. Power only:
-
Fire Extinguishers:
Properly placed:6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Date last tested:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date:
Inspector:
Company or F.P.B.
(c)
-:(OVER)
For inspection of Day Care Centers, under Section L+S`+.u; Mass. Jtate.siug t.oae
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY CARE SERVICES
_FIFE -_INSPECTION REPORT
This is to certify that
located at
was inspected on 6-9-83
Date
Report of Inspection:
State- college Day Care Center
Name of Facility
262; -Lae-ring Ave .Salem Mass 01970-
Address
by R-aymond-T Dansreau .
Name of Inspector
School Closed due to vacation.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
4^ Fire .Chief
Name and Title
Office for Children
Day Care Services
83 Pine Street
Peabody, Mass. 01960
SFPB Form 4.1 (Rev. 1/82)
for inspection Or1ay Lare .enters, Under ectron 454.v; Ma-SS:SE-are Drag. Z.oae
COM ONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY. CARE SERVICES
This is to certify that
losed:
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
SFPB Form 41
h-
y;'.G°aye'
Name. of FEditity
y7noricx`';' .ansre4
Name of Inspector
04d, te, ' c eFire Chief
Name and Title
Office for Children
Day Care Services
83 Pine Street
Peabody, Mass.. 01960
Ivy III.7F/cL.LIL111 vl Lay l.a1C VGHLCID, UIIUCI 11a. JLaLC uIuy.
I,Oue.
1i
CO_ MON EA.LTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY .CARE SERVICES
FIR^_TNSPECTION REPORT
This is to certify that State College Dav_ Care Center
Name of Facility
located at
262 Loring Ave.Salem Mass 01970
Address
was inspected on 03-25-82 ;� by Raymond T Dansreau
Date Name of Inspector
Report of Inspection:
Exit door east side to be kept unlocked while children are in school.
One extinguisher to be hung on bracket instead of on floor.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept. -
Occupant
File
Qa-1A1-(
Name and
Office for Children
Day Care Services
% Gregory Street
Middleton,. Ma. 01949
Fire Chief
tie
SFPB Form 41
Rev. 1/82)
(OVER)
,T21ttte5 _ ]rextnMu
thief
Citg of
ale, cflia5 actTuaethz
lire pep trtment -4.4eablu rters
43 ' afagett :$treei
oisza
OFFICE FOR CHILDREN.- FIRE PREVENTION REPORT
DAY CARE CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Date of Issue:
2. Age Group of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System with panel provided:
Battery'Power:
Local Manual Pull Station bn AC.- Power only:,
5. Fire Extinguishers:
Properly placed:
Date last tested:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date: Inspector:
Company or F.P.B.
ror
COMMON,•]EP.LTH OF MiASSACHUSET T S
OFFICE FOR CHILDREN
DAY-CARE SERVICES
. FIPE _INSPECTION REPORT
This is to certify that
located at
was inspected on OLI.-14-82
Date
Report of Inspection:
State College Day Care Center.
Name of Facility
262 Loring Ave.Salem Mass 01970
Address
by Raymond Dansreau
Name of Inspector
Conditions satisfactory at time of inspection.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
SFPB Form 41
Rev..1/82)
,�,,,0 Fire Chief
Name and Title
V
Office for Children
Day Care Services
% Gregory Street
Middl e con r Ma. 01949
(OVER)
`latnes _ irenxuxn
• thief
IiUg iif ate. filias5achuuttEl
fire Pepartntent gie:ztbquartrs
4S Tafagettt c'Str2et
ILrz, C {z_ 31970
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
DAY CARE. CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Date of Issue:
2. Age Group of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System with panel provided: Battery Power.:
Local Manual Pull Station> on A.C. Power only:-
5. Fire Extinguishers:
Properly placed:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date last tested:
Date: Inspector:
Company or F.P.B.
(OVER)
for ,inspection or uay ware venters, unaer section Loq.u, mass. tate istag. uoae.
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
__FTR�._TNSPECTION REPORT
This is to certify that
located at
was inspected on 09-22-82
Date
State CollnEr Day lure BentPr
Name of Facility
262-Loring Ave -Salem Mass 01970
Address
by 'RaymondT Dansreau
Name of Inspector
Report: of Inspection: Conditions satisfactory at .time of inspection.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
Office for Children
Day Care Services
% Gregory Street
M iddietonr Ma. 01949
SFPB Form 41 (Rev. 1/82)
(OVER
games _ �1!a'rennun
Pief
it11 of
aleat, 4acueth
�^it�ire pepartment eabqui:rthrs
4S Eaffgette'tr2et
aLm, _ ing70
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
_D Y CARE.CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Date ofIssue:
2. Age Group:of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System.with panel provided: .Battery Power:
Local Manual Pull Station A.C.- Power. only: > -
„-. 5. Fire Extinguishers:
Properly placed:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
Date last tested:
10. Emergency shelter agreement available:
Location .of_ Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date: Inspector:
Company or F.P.B.
(OVER)
I UI I II.JVG1/4. L 1 V11 V I
This
located at
U a y L. O I c
uIIUGI Jc1..L1 U11 TJT.U, 11CJJ. JLa LG VUUC.
COMY.ON EALTH OF MASSACiHUSETTS
OFFICE FOR CHILDREN
DAY -CARE SERVICES
FI.0.E_INSPECTION REPORT
is to certify that State College Day Care Center
Name of Facility
262 Loring Ave.Salem Mass 01970
Address
was inspected on 11-22-82
Date
Report of Inspection:
by Raymond T Dansreau-
Name of Inspector
Conditions satisfactory --at. time of inspection.
Please return this re,port:
CC: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
Fire Chief .
Name and Title
Office for Children
Day Care Services
% Gregory Street
Middletonr Ma. 01949
SFPB Form 41
Rev. l/82)
(OVER. )
Iutnes + . rT?tennurt
@Thief
Qlitg ate , 4aactTuieth
�1Eire �t�, epartmerxt .�eabquartery
4S •Tafette _Street
aLm,c{_U 17II
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
.DiX CARE. CENTER INSPECTION
1. Building'Inspectors Certificate 0f Occupancy: Posted
Date of -Issues
2. Age Group of Occupants:
3. Maximum Number of Children, per License:
4. Fire Alarm: Date Most Recent
Drill Switch provided: Drill Conducted:
Full System with "panel. provided: Battery Power:
Local Manual Pull Station on A.C. Power only:-
5. Fire Extinguishers:
Properly placed: Date last tested:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Housekeeping conditions:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Location of Emergency. Shelter:
11. Boiler Room enclosed:
Additional Report:
Date: Inspector:
Company or F.P.B.
r.
COMMONWEALTH OF MASSACHUSETTS
OF ICE FOR CHILDREN
. DAY CARE SERVICES
olcertify that£..
'I certify£ that, the abode day care facility 'complies with the rules and.
requaU,Qns o,f the Hoard of Fire Prevention.
FIRE INSPECTION REPORT-,
"r
State College Day ,Care Center"'.
Nagle of Facility
262 Loring Ave. Salem Mass 01970.
Address
03-16-81
Date
• •by Raymond T Dansreau
Name of inspector
s , if any):
onditions satisfastory.
'.Reccr,.niendation;s. (if any),::
•
',.Please return thisr(4ort:
cc s , Salem, B ldg. Insp.
Salem Health Dept.
Occupant
File:
.SFPB Form 41 (Rev. 7/80)
iJ "+yC•. _k�a�'s`-*v'' f .ter. �. " ':>�J'hY ..
No
,y ma,-. Fire Chief
Niaae and Tit.1e
Office for Children
Day Care Services
Gregory Street
Middleton, Ma. 01949
(OVER)
•to -
° 1, • .
'11: • •
•Japwsifprernitutf:,
Olitp .of ;§,
[Olive ptpartittent
afavite
a lent, „flit( . ti 70 •
OFFICE FOR CHILDREN - FIRE PREVENTION ,REPORT
„.•
DAY CARE CENTER
INSPECTION
BUilding Inspectors Certificate Of Occupancy's Posted
• (v Expiration-,
Licenses Posted
Expirtion !
. .
Maximum umber of Children, per Licenses
4. Fire Alarms
Drill Switch provided: Drill Conducted:
Full System with panel provided: Battery Power:
Local Manual Pull Station on A.C. Power only:
5. Fire Extinguishers:
Number of Extinguishers: Date last •tested:
6. Exits,clear and unobstructed:
7. Emergency lighting tested:
.8. Twoseparate means of egress,from each room used:
'.9.jire,;Drill;procedure posted:
•
10.'Emergency. Shelter agreement available:
LoCationof'Emergency Shelter:.
1 .4 •
11..Boilsr Room enclosed:
Additional Report:
• Date:
'•
' A
Inspector:
Company or F.P.B.
(OVER)
,r
COM:•0'.:WEALTH OF t•1A.SSACHUSETTS
OFFICE FOR CHILDREN]
GROUP CARE AND PLACEMENT LICENSING \ND CONSULTATION
FIRE INSPECTION REPORT
This is to certify that Salem State Day Care Center
Name of Facility
262 Loring Ave Salem Mass 01970
Address
located at
was inspected on 06-30-81 by Raymond T Dansreau
Date Name of Inspector
I certify that th': above group care facility complies with the rules and
regulations of thu.Board of Fire.Prevention.
Yes
No
Violations (if az.y) :
Conditions satisfactory at time of inspection.
Recommendations (:.f any) :
^lease return this report:
,CLNWILL
e and Title
dA,2:1
Office for Children
Group Care and Plzlcc ment Licensing and Consultation.
120 Boylston Street
Bot.oi , ::aria_:chu: ..t:s 02116
P.
SFPB Form 41A
ADDRESS:
SALEM FIRE DEPARTMENT - INSPECTION REPORT
t /6 //c,./r
, , _
TYPE OF
NAME OF OCCUPANCY:) t>?CCUPANCYjr1fG,
P.T.N. /A/ //`f' ADDRESS ellig%/p TEL. GJL'-5�60
BLDG. OWNER /&?, 1354T/, ADDRESS
TEL.
ANSWER ALL QUESTIONS: EITHER "YES"1 "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?.
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
1
%
fy 0
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system? 1/41/4/
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection? ,1ST
Master Instant
Type :Box # ADT# Alarm # v AFA# 3M# Other
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition? f e
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? ,4/o
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? )/b-r
24. Are all areas used for storage maintained in a safe manner? fir/'
25. Are basement areas free of any rubbish accumulation? )�eP
26.(Does the heating system, including the chimney, appear
to be in a safe operating condition? y 11'
27. Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards? //6
29. Does the occupancy appear to have any structural defects? /PO
30.,Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
• List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: ce" /7
/
Approved by
D.C. in charge of Insp. Date:
Inspected by:,C` RG-I�".".o�
Approved by: i�j� / ` % 4 s-e•g)
Company Officer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
CO:•1NDNWEALTH OF t'JSSACiiUSETTS
OFFICE FOR CHILDREN.
DAY CARE SERVICES
This is to certify that
located at
Was inspected on
.FIR —INSPECTION REPORT
Henny Penney Nursery School
Name of Facility
316 Essex Street, Salem, Mass.
Address
9/21/81
Date
• by
Capt. James Sullivan
Name of Inspector
I certify that the above day care facility complies with the rules and
,regulations of the Board of Fire Prevention.
xes X
, Violations (if Iny) :
No
Recommendations (if any):
All conditions found satisfactory at time of inspection.
Please return this rcprt:
cc: Salem Bldg, Insp.
Salem Health Dept.
Occupant
File
SFFB Form 41 .(Rev. 7/30)
Name and Title
Office for Children
Day Care Services
% Gregory Street
Middleton, Ma. 01949
(OVER)
Fire Chief
•
•
•
T This is
located at
Was inspected on
I certify that the
.
regulations of the
'Yes Conditional
COMMONWEALTH OF MAS S ACHUS ETT S
OFFICE FOR CHILDREN •
DAY CARE SERVICES
,,FIRE_INSPECTION REPORT
to .certify that5g6%tr 51///7 et?E-0/;'-44734(e_
Name of Facility
2 I. ,;1 ,i)e%P.;/v ,5/9 ,JA4 Address6A-5-
9/9-.7--/p by
N me of Insector
above day care facility
Board of Fire Prevention.
Violations (if AnY):
'
approval
No
complies with the rules and
Please pot -current Cer0 ficate of. Occupancy a
•:'
ccramenclations (if any):
•
Please return this report:
,cc: Salem Bldg. Insp.
' Salem Health Dept.
Occupant
Pia!
SFPB Form 41 .(Rev. 7/80)
d Heal 0 Permi t.
Nara 44d Title
Office for Children
Day Care Services
% Gregory Street
Middleton, Ma. 01942
(OVER)
Fire Chief
. ,
•
• ,Datei
•
:2Jzms girssuta”
&ft! of 5tint, assactItmeihi
JueDepartment Peabiguartcrs
43 lEafirgettetret
aim, At_ 01370
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
DAY CARE CENTER INSPECTION
Building Inspectors Certificate Of Occupancy:
2. Health Dept. License:
3. Maximum Number of Children, per License:
Posted /V° Ai?
Expiration
Posted Expiration
Li. 4. Fire Alarm:
Drill Switch provided: Ves Drill Conducted:
Battery Power: 1,-15-c
1
Full System with panel provided:
Local Manual Pull Station on A.C.
3. Fire Extinguishers:
Number of Extinguishersr 2
6. Exits clear and unobstructed:
Emergency lighting tested:
t
8. Wo_separate means of egress from
9. Fire Drill procedure posted:
Power only: p.efFS
Date last tested: 31
4/c>
each room used
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed: //?4;77c
Additional Report:
Date
C
InspectOr:XW1-44- /(9
i48?
0741.1_
Company or or F.P.B.
(OVER)
COMMONWEALTH OF M'AAASSACHUSETTS
This is to certify that
located at
OFFICE FOR CHILDREN
DAY .CARE SERVICES
- '. PTRB _INSPECTION REPORT
Salem State Day Care Center
Name of Facility
262 Loring Ave.Salem Mass 01970
Address
was inspected on 12-07-81
Date
by
Raymond T Dansre-au
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes X
No
Violations (if iny) ::r' .
Conditions satisfactory at time of inspection'.
Recommendations (if any) :
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
/11,74af,
Name and Title
Office for Children
Day Care Services
% Gregory Street
Middletonr Ma. 01949
ire Chief
SFPB Form 41 '(Rev. 7/80)
(OVER
Y Jatnes c'I- prtstnutt
Chief
liig tf alem, Alassacipietta
ire pepartmenfi -rieailiivartrrs
48 Pfitgette freei
rxiem; max_ U1 7II
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
DAY CARE CENTER INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Expiration
Posted
Expiration
2. Health Dept. License.
3. Maximum Number of Children, per License:
4. Fire Alarm:
Drill Switch provided: Drill Conducted:
Full System with panel provided:, Battery Power:
Local Manual Pull Station on A.C. Power only:
5. Fire Extinguishers:
Number of Extinguishers:' Date last tested:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8.-_Two ._-_separate ---means -of egress.:. from_. each room used:
9. Fire Drill procedure posted:, ..
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report: . .
Date:
Inspector:
Company or F.P.B.
(OVER)
This is to certify that
located at
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY:,,CARE SERVICES
FIRE. INSPECTION REPORT
Salem State College .Child Care Center
Name of Facility
262 Loring Ave. Salem, -Mass. 01970
Address
was inspected on3/17/8o
Date
by Capt. Frank Rizzotti
Name of Inspector
I certify that the above. day care facility complies with the rules and
regulations of the Board of Fire Prevention_
Yes g
Violations (if iny) :
Recommendations (if any)
All conditions found satisfactory at time of inspection.
- Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
Office for Children
Day Care Services:
120 Boylston Street.
Boston, Aassachuset
Name and Title
s 02116
Fire Chief
SFPB Form 41
3c
07,/
-3
tory School South
lg Avenue
etta 01970
hot lunch has been increased to thirty-five
eta (.07) cents a day.
Dr. Kevin Dwyer
Principal
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS:
NAME OF OCC PANCY:
P.T.N.
BLDG. OWNER
ADDRESS
-C ADDRESS
TYPE OF
,2 OCCUPANCY
TEL.
TEL.
ANSWER ALL QUESTIONS: EITHER "YES"l "(O"2 OR "NONE"..
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish.
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants? ,.�
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulationsand
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing. devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this, occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
)q2
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system?
1.8. Date of last test of the interior fire alarm system?
19. hoes this occupancy have 'a direct Fire Alarm'connection? ,,,(-
Master Instant • • •: .
Type :Box # ADT# ' Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?
'22•:, Does the occupancy have any unusual condition which would
constitute a special fire hazard? qZ��
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? 7�-5--.
24. Are all areas used for storage maintained in a safe manner?
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition? /l
27.,Is a current fuel oil permit posted and storage proper? 7�t-�
28. Are there any electrical hazards?
29 Does the occupancy appear to have any structural defects?, .- --->
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
• List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: 0
Approved by
D.C. in charge of Insp.
I.7f
Form #16 (Rev. 1/79)
Inspected by:
Approved by:
P.T.N. checked by F.A.
COMMONWEALTH OF I:ASSACHUSETTS
OFFICE FOP, CHIILDREEN
DAY CARE SERVICES
FIRE INSPECTION REPORT
This is to certify that State College Day Care Center
Name of Facility
located at
262 Loring Ave.Salem Mass 01970
Address
was inspected on May 22 , 1980
by Raymond T Dansreau
Date Name of Inspector.
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes x No
Violations (if Zny):
Conditions O.K. at time of inspection.
Recommendations (if any) :
Plea:e return this report:
Of ice for Children
Day Care Services
120 Boylston Street:
Bo:;ton, assachuz:etts
cc: Bldg. Insp.
Health Dept.
Office for Children
2 SFPB Form 41
Name and Title
0216
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
'_EIRE__INSPECTI.ON. REPORT
This is to certify that
located at
was inspected on 09-19-80
Date
I certify that the above
regulations of the Board
Yes X
Violations (if .any):
State College Day Care Center
Name of Facility
262 Loring Ave.Salem Mass 61970
Address
by Raymond T Dansreau
Name of Inspector
day. care facility
of Fire Prevention.
complies with the rules and
No Q
Conditions satisfactory at time of inspection.
Recommendations (if any) :
Please return this report:
cc: Salem Bldg. -Insp.
Salem Health Dept.
Occupant
File
• .14,0,.(,(,(,� Fire Chief
()Name and -£le
Office for Children
Day Care Services
Gregory. _Street
-Middletonr.Ma. 01949
(OVER)
SFPB Form 41 (Rev. 7/80)
(;antes - rennxtt
Cffief
Itg of $atern, Assartfueeit5
ire Pe}arttnent Peaquarter5
4S Ljttfauette street
Salem, CErx. 01870
OFFICE FOR CHILDREN - FIRE PREVENTION REPORT
DAY_ CARE CENTER. INSPECTION
1. Building Inspectors Certificate Of Occupancy: Posted
Expiration
Posted
Expiration
2. Health Dept. License:.
3. Maximum Number of Children, per License:
4. Fire Alarm:
Drill Switch provided: Drill Conducted:
Full System with panel provided: Battery Power:
Local Manual Pull Station on A.C. Power only:
5. Fire Extinguishers:
Number of Extinguishers:"'
Date last tested:
6. Exits clear and unobstructed:
7. Emergency lighting tested:
8. Two separate means of:_.egress _from each room used:
9. Fire Drill procedure posted:
10. Emergency shelter agreement available:
Location of Emergency Shelter:
11. Boiler Room enclosed:
Additional Report:
Date: Inspector:
Company or F.P.B.
(OVER)
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY CARE SERVICES
This is to certify that
.
located at
FIRE INSPECTION REPORT
262 Loring
was inspected on 12/9/80
Date
I certify that the above
regulations of the Board
Yes X
Violations (if iny):-)
: •
Salem State College Day Care tenter
Name of Facility
Ave. Salem, Ma. 01970
Address
by Lieut., Lawrence
T. Bois
Name of Inspector
day. care facility, complies
of Fire Prevention.
Recommendations (if any):,
No
with the rules and
All -conditions appear satisfactory at time of inspection.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
"._
Name,a3d Title
Office for Children
Day Care Services
% Gregory Street
Middleton, Ma. 01949
1, I
, • I
• I
•
SFPB Form 41 (Rev. 7/80)
(OVER)
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS: ��� ���`��� 4L/E
TYPE OF
NAME OF OCCUPANCY: SSC OCCUPANCY
P.T.N. SS e. ADDRESS TEL.
BLDG. OWNER S,S•en-
ADDRESS TEL..
ANSWER ALL QUESTIONS: EITHER "YES"l "NO"l OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish? 5ft-5-
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and 'free of obstructions? 44%vir
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition? 644r
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant with good housekeeping practices? y l•C
9. Are all necessary Licenses and Permits posted & dated? y� s
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are allvertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged? (-Ar5
13. Does this occupancy have a fixed fire extinguishing ✓d
system?
Date of last inspection?
14. Does this occupancy have a standpipe system? Ajo
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system? Are
15. Does this occupancy have a sprinkler system? 1V®
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge.. provided at the top of the system? 441(
16. Is this a "WET" or "DRY" system? de Ave
Form #16 (Rev. 1/79)
17.. Does this occupancy have an interior fire alarm system? 6-/ES
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection? 9%.5.
Master Instant
Type :Box # ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition? Ah4
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? 14'5
24. Are all areas used for storage maintained in a safe manner? ih',r
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
27. Is a current fuel oil permit posted and storage proper? VE.5
28. Are there any electrical hazards? /Ve
29. Does the occupancy appear to have any structural defects? /Vm
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
^/a
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: 4"7'4'
Approved by
D.C. in charge of Insp.
Inspected by:
Approved by:
Date:
,tear., • 7-442)
%Company Officer
P.T.N. checked by F.A.
26,
Form #16 (Rev. 1/79)
This is to certify that
located at
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
FIRE INSPECTION REPORT
Salem State College Day Care Center
Name of Facility
262 Loring Ave. Salem, Mass. 01970
Address
was inspected on
March 20, 19791 by. F/F James Kinsella
- Date
Name of Inspector
- I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
No
Violations (if any):
No emergency lighting system on premises: Obtain written exemption if not
required.
Wiiing to oil burner fire=o=matic hanging loose, in basement:
Light fixture in basement hanging loose. •
No visible fuel oil permit posted on premises.
No Certificate of Occupancy on premises.
Recommendations (if any):
Obtain necessary licenses etc.
Pepai4 wiring.
Please return this -report:
I(2-1"'idle'-' Firp Chipf
Name and Title
Office for Children
Day Care Services
120 Boylston Street
Boston, zissachusetts
cc: Bldg. Insp.
Health Dept.
Office for Children
'Gregory St. Middleton
SFPB Form 41
023.16
ADDRESS;
SALEM FIRE" -DEPARTMENT---_ INSPECTION REPORT
Z TYPE OF �L�iul d e&kk__
NAME OF' OCCUPANCY : t / L� G v€. __OCCUPANCY
P.T.N. ADDRESS �fi.%.,r ATEL .7 ."---0s-6
%��� Gam:
°E.79-9--6//
BLDG. OWNER i/-:i4�,„ ADDRESS
ANSWER ALL QUESTIONS: EITHER "YES' "NO"1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12..Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does 'this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? 'Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
2;74.0-
Form #16 (Rev. 1/79)
17.. Does this occupancy have an interior fire -alarm system?
18. Date of last, testof the -interior fire alarm system?
19.,Does this occupancy have a direct Fire Alarm connection?
Master Instant
Type :Box # 54(/4L ADT# Alarm # AFA# 3M#
20. Is emergency lighting system or units provided?
Other
21. Are all emergency lighting units in good operating condition?17L-12_
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? f�-
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
24. Are all areas used for storage maintained in a safe manner?
25. Are basement areas free of any rubbish accumulation?
26. Does the heating system, including the chimney, appear
to be in a safe operating condition?
27.,Is a current fuel oil permit posted and storage proper?
28. Are there any electrical hazards?
29. Does the occupancy appear to have any structural defects?
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
2a, -lo---✓�c� � �,
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form #58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
•-�' .;e1e,e„,,i_
i
2 % v' 3-O-or.- -- A-.
Name. of person to whom Form #25D was issued:, i
Date: ,� -2- o 77 Inspected by:
Approved by
D.C. in charge of Insp.
Approved by: G 41 • '4;7
Company Officer
Date:
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
.rs
1
SALEM FIRE DEPARTMENT
IN-SERVICE INSPECTION COMPLAINT
RECOMMENDATION
Name -6lt----"fi�i e-' 6'i-'' Date t.-6?' "-`7`L„_
Address 2 0--2
.2
19 77
As a . result of an inspection this date of the premises owned and/or occupied by you, the following
recommendations are submitted which should receive serious consideration. These recommendations are made in
the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard, may be
required for legal occupancy of the premises or otherwise are in violation of the law.
Reinspection date: o / '79
y
Form 25D (Rev. 1/79)
(Fire Dept. Copy }.;
Inspector
In -Service Re -Inspection Report: Date: s,a .Sx/ /779
Conditions found to exist at time of Re -Inspection:
6(3 - 0 `7 - ) 7 44)4, ,,,% d P
Name of person with whom recommendation follow-up was discussed.
Reasons, if any, for failure to comply with original recommendation.
Complaint has been corrected. 7s
Forward this form to Fire Prev. Bureau for follow-up.
'tnsP ector
En . Co.
r
Name
Address
SALEM FIRE DEPARTMENT
IN-SERVICE INSPECTION COMPLAINT
RECOMMENDATION
_2 6-2 ,"-r"--t--6n-ot- .
2 2 19 77
As a result of an inspection this date of the premises owned and/or occupied by you, the following
recommendations are submitted which should receive serious consideration. These recommendations are made in
the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard, may be
required for legal occupancy of the premises or otherwise are in violation of, the law.
Reinspection date: � �- � " �--' .2gre/ f7 r
Form 25D (Rev. 1/79)
(Fire Dept. Copy-) •
Inspector
In -Service Re -Inspection Reports
Date: e,/ Y7%
Conditions found to exist at time of Re -Inspection: /4.4am
Name of person with whom recommendation follow-up was discussed.
Reasons,_ if any, for failure to
'% B? c!44 i tt Oo
Complaint has been corrected.
Forward this form to Fire Prev.
comply with original recommendation.
Bureau for follow-up.
hspector
En Co.
SALEM FIRE DEPARTMENT
IN-SERVICE INSPECTION COMPLAINT
RECOMMENDATION
Name Ad--ee-frt-/--,--4A-‘,02X-- Date „-n-rot,t-eir...-- 2 0 19 79'
Address 2 2—
tt-
As a result of an inspection this date of the premises owned and/or occupied by you, the following
recommendations are submitted which should receive serious consideration. These recommendations are made in
the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard, may be
required for legal occupancy of the premises or otherwise are in violation of the law.
Reinspection date:
Form 25D (Rev. 1/79)
)97 q
a
(Fire Dept. Copy)/
Inspector
In -Service Re -Inspection Report: Date: ?. ,/77
Conditions found to exist at time of Re -Inspection:
Name
eoof-person with whom recommendation follow-up was discussed.
7"6/ j3 r g7574=.1) ,# L / 9 4 / S' / h/
Reasons, if any, for failure to comply with original recommendation.
;:c /7-v
Complaint has been corrected.
yI s
Forward this form to Fire Prev. Bureau for follow-up.
Eng. C o .
!nspec for
SALEM FIRE DEPARTMENT
IN-SERVICE INSPECTION COMPLAINT
RECOMMENDATION
Name A"-e--7P1-.-4/41-'te-t--;ee:&,---eAr,...- Date 2'7 19 77
Address . 12 -- �-10
As a result of an inspection this date of the premises owned and/or occupied by you, the following
recommendations are submitted which should receive serious consideration. These recommendations are made in
the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard, may be
required for legal occupancy of the premises or otherwise are in violation of the law: .
/ $
`41 /--,, i36
1.
Go-
Reinspection date: -e' • t97 9
Form 25D (Rev. 1/79)
(Fire Dept. Copy
.-; Inspector
In -Service Re -Inspection Report:
Date: ► .. - Z!/ /9XF
Conditions found to exist at time of Re -Inspection:
Name of person with whom recommendation follow-up was discussed.
Reasons, if any, for failure to comply with original recommendation.
Complaint has been corrected.
Forward this form to Fire Prev. Bureau for follow-up.
Eng. Co.--
C e.1 — -
•
0
COMMONWEALTH OF MASSACHUSETTS
OFFICE.FOR CHILDREN
DAY CARE SERVICES
This is to certify that
located at
FIRE INSPECTION REPORT.
Salem State College Day Care Center
Name of Facility
262 Loring Ave.
Address
was inspected onMay 7,1979
Date
by Inspector Raymond T Dansreau
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevefition.
Yes X
Violations (if
Recommendations (if any):
Please return this report:
CC: Bldg. Insp.
Health Dept.
Office for Children
•
SFPB Form 41
Nc
Conditions O.K.-at time of inspection.
Officc! for Children
Day Care Services -•
120 Boyli:ton Street
Bo:;ton, aSsachueLLs
Name and Title
02:;16
Mantes - iircnttxrt
Viirf
(tau ref ,$ales, Alassacilusetts
.Jtirr Department iiiiabquarters
4a Jittfttyetie elrert
May 7, 1979
Salem State College Day Care Center
262 Loring Ave.
Salem, Mass. 01970
Sirs:
As a result of a conference with the Commonwealth of Massachusetts
State Building Inspector, this date, it has been agreed that this
occupancy shall not require installation of emergency lighting, •
under the following restrictions.
1. This occupancy shall occupy for day care use, the first floor only.
2. This occupancy shall occupy during daylight hours only.
This notice shall be conspicuously posted on the premises.
Per order:
iet/r(),/:
Act. C 4 t. David J'. Goggin
Salem Fire Marshal
cc: Mr. Franciosa
Mr. Ed Stevens
Mr. Joseph Tache
This is to certify that
located at
CO,MtnNWEcALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY: -CARE SERVICES
FIRE INSPECTION REPORT
State College Day Care Center
Name of Facility •
262 Loring Ave Salem Mass 01970
Address
was inspected on 09-12-79 by Raymond T Dansreau
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes X No
Conditions satisfactory at time of inspection
Violations (if any) :
Recommendations (if any) :
Please return this report:
Office for Children
Day Care Services--
120 Boylston Street
Boston, '.assec.husetts
cc: Bldg. Insp.
Health Dept.
Office for Children
614;;; ,fib
SFPB Form 41
Name and Title
02116
This is to certify that
. • located at
was inspected on 11-09-79
Date
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
FIRE INSPECTION REPORT
State College Day Care Center
Name of Facility
262 Loring Ave Salem Mass 01970
Address
by Raymond T Dansreau
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
YeR
Violations (if my):
Recommendations (if any):
NO
Exit door east side of bldg difficult to open. Harayare needs attention.
Please return this report:
cc: Salem Bldg. Insp.
Salem Health Dept.
Occupant
File
Office for Children
Day Care Services
120 Boylston Street
Boston, Yassachus.etts
Name and Title
02-J16
Fire Chief
SFPB Form 41
CO`•LONv;EALTH OF ifu=SSACHUSET S
OFFICE FOR CHILDREN
DAYCARE SERVICES
FIRE INSPECTION REPORT
This is to certify that J/4%'�F ZoL6•A&�:- ./4) ( GA 44
Name 'of Facility
located at
‘;!.- )L 5, /A' 47 /4 '
Address
was inspected on HAA64' /, /72S by
Date
ame of Inspector .
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
Violations (if Any):
d'' 9 2r
Cir-7114-d41-42-
Recccmendations (if any) :
Name and Title
Please return this report:
O"ffic,:: for Children
Day Care Services
120 Boy]ston Street
Boston, 'assachl efts 02i lv
SFPB Form 41
CO`• DNNEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY CARE SERVICES
FIRE INSPECTION REPORT
This is to certify that e Al � � � �� co c
r Name of Facility
located at
262
was inspected on
,AZ6- ry- v & S4- E ti1,4-SS
Address
7 by
Nay I-e-AL
_ of Insr'ctor
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention_
ves
Violations (if any):
Recommendations (if any) :
Please return this re~,ort:
SFPB Form 41
No
et)/' 74.
2: 36 Piy J 447 &`1-71-o
NaAe and Title
Officfor Children
Day Care Services
120 vej1ston Street.
,-
CO t .)N TE?.LTH OF t4u-SSi\C[iUSE S
his is to. -certify that
ocated at
'was. inspected on
OFFICE FOR CHILDREN
DAY,..CAR E SERVICES
.FIRE INSPECTION REPORT
• Name'bf Facility
262 Lorin; Ave.
Address
'July 19,19(8 by
Info fc;• i;cr `?b tnnnd '1'
Date Name of Inspector
certify that the above day care facility
:regulations of the Board of -Fire Prevention.
•
Violations ,(if iny) : .
Dansreau
complies with the rules
Conditions were found O.K.a t. time nf' inspection.
Recommendations (if any)
Please return. this report:
Officu,for Children
..Day Care Services
120 Boylston,Street
SFPB Form 41
1:ame and Title
-.416
SALEM SCHOOL DEPARTMENT
SALEM, MASS.
SUBJECT: MONTHLY FIRE DRILL REPORT
TO: SUPERINTENDENT OF SCHOOLS
Date of Drill 3 OCTOBER 78
Time of drill 10:50 A.M.
Length of Drill 2 minutes
Number of Participating Personnel 45
Number of Participating Students 375
Location of Blocked Exit or Stairway none
Time of Return of Students to -Classes 10:55 A.M.
Fire Drill Discipline excellent
Name of Person Who Initiated This Drill
Remarks:
'ak a --f..o_AL
Mnrar•A Mann Laboratory $c$ool-North
School
c.
Signature of ncipal.
3 October 78
Date
DISTRIBUTION: One Copy -School concerned
Two Copies -Superintendent of Schools
This form becomes effective in April, 1964., until further notice.
•
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DJUHCARE SERVICES
FIRE INSPECTION REPORT
This is to certify that State College Day Care. Center
Nanie of Facility
located at 262 Loring Ave.Salem Mass 01970
Address
was inspected on December 8,1978 by Raymond T Dansreau
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of.the Board of Fire Prevention.
Yes
x
Violations (if I.ny):
Recommendations (if any):
Please return this report:
No
Conditions satisfactory at time of inspection.
i,ame and Title
Officcl_for Children
Day Care Services —
120 Boylston Street -
Boston, Mssachusetts
cc: Bldg. Insp.
Health Dept.
Office for Children
Uregory St. Middleton
SFPB Form 41
02116
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY-CARE SERVICES
FIRE INSPECTION REPORT
11)
This is to certify that
NamF ci fty
e .. f a 7,,.
located at
was inspected on
Address
/7,6ttibk, `�,7 by
Date
Nate of Inspectoz
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
Violations (if any):
Recommendations (if any):
Please return this report:
No
Name and Title
Office for Children
Day Care Services ---
120 Boylston Street
Boston, Yassachusetts 02116
SFFB Form 41
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVIC.S
This is to certify that
located at
was inspected on
FIRE INSPECTION REPORT
Name of Facility
Address
) 7 '2 by
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
violations (if 'ny) :
Recommendations (if any):
Please return this report:
NO
`% .I..44/. 'iL7/JD�-fir
Name and Title /
Office for Children
Day Care Services -
120 Boylton Street -
L3C>_st0r , ..s sachu etas 02116
SFPB Form 41
This is to certify that
located at. 06a/
was inspected on
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
FIRE INSPECTION REPORT
. ,-e_ /3//by
Date
of Faciljty
I certify:that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
,Yes
=,Violations (if zny) :
Recommendations (if any) :
_.�
Please return this report:
NO
-c...-tom- •-��
Office for Children
Day Care Services
120 Boy1. ton Street.
Dc.`tori, YisselchwL,tts
Name and Title
02; 16
SFPB Form 41
•
CO ZAMONWE bt.;4AsSACHUSETTS
OFFICE4.0R--61ILDREN
-• DAYPARESERVICES
FIRE 'INSPECTION REPORT
- •
- 4
dertify 'that
Name of Facility
Address
e of Ins
•
-
certifythat-.thaaboveday;care..-facility complies with the'ruletari
-ragu a. lons.of:theBoa!rd Of Fire PreVention..
. • .
cciunendations (if: any):
-
' ,1,.• •
t
•
•.•
• •t;-,
Name and Title
Please return this report:
r:SFPB FOrm
! .
Office or Children
Day Care Services
120 Boylztton Street
n6ston, Yassachutftts
02316
f
4
•
COMA)NWEALTH OF MASSACHUSEI � S
OFFICE FOR CHILDREN
DAY.CARE SERVICES
This is to certify that
was inspected on
FIRE INSPECTION REPORT
,1 1; ZW /// „J/
/]
Name /6f-Faci'lity
located at hr4 at(
Address
//S/77
Date
by
Name of '_`nspecfor
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
Violations (if lny) :
Recommendations (if any):
Nc_me and Title
Please return this report:
Office for Children
Day Care Services
120 Boylston Street
t___.
Boston,�•�:1SSdC:nU3,_��� 02116
SFPB Form 41
commNuEALTH OF MAS S ACHU S ET T S
OFFICE FOR CHILDREN
DAY CARE SERVICES
FIRE INSPECTION REPORT,
This is to certify that 5517 CoLL& /)/F;." chfiei;
Name of Facility
og a olebv6- •
Address
located at
was inspected on - .2— 7 7 by (,/17
Date Name of Inspeet_or
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
No
Violations (ifiny):
C...0 A/ / 7"/ o 4/S 10 WA/ sn-i-is /-4 c_ :n 71.0.
. 0 A / .41 6 P.i5 C. r, P
Recommendations (if any):
Please return this report:
Officc.: for Children
Day Care Services
120 Boylston Street
Boton, Yass,achuti-tts
Name andfTitle
SFPE Form 41
i17
Cam-"'? .'i H OF MASSACHUSETTS
r •_ = FOR CHILDREN
- --,C.13E SERVICES
FIPE INSPECTION REPORT
This is to certify t,at Salem State College Day Care Center
Name of Facility
locat,,,d at
was inspected
262 Loring Ave. Salem, Mass. 01970
Address
on Feb. 2, 1976
Date
i by Insp. T.J. Hull
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes No X
Violation(if xny) : 1. BOILER ROOM: The boiler shall be enclosed in an area
with 5_ fire coded sheetrock. Section 1113.0
Z. Rear EXITDOOR sticks and is difficult to open.
3. Front door is kept locked. Because door wont stay closed otherwise.
4. Interior local manual fire alarm pull station and horn shall be,
installed per local requirements.
Recommendations (if any) :
Na
me and Title
Please return this report:
Office for Children
Day Care Services
12J Boylston Street.
1-oston assacnu= e t..Ls 02316
Chief
SFPB Form 41
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY-CARE SERVICES
FIRE INSPECTION REPORT
This is to certify that Salem State College Day Care Center
Name of Facility
located at
262 Loring Ave. Salem,Mass.
Address
was inspected on May 19, 1976 by Ronald Holloran
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes NO
Violations (if .any): Closed for the summer.
Recommendations (if any) :
Please return this report:
Office for Children
Day Care Services
120 Boylston Street .-
Boston, 'Massachusetts
Name and Title
027.16
SFPB Form 41
This is to certify that
located at
COMMONWEALTH OF MiASSACHUSETTS
OFFICE FOR CHILDREN
DAY CARE SERVICES
FIRE INSPECTION REPORT
salem State College Day Care Center
Nance of Facility
262 Loring Ave. Salem,Mass.
Address
was inspected on
July 7,1976
Date
by
Ronald R.Holloran
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes No
Violations (if any):
Recommendations (if any) :
Closed for the summer.
Please return this report:
Office for Children
Day Care Services
120 Boylston Street -
Boston, Massachusetts
Name and Title
02316
SFPB Form 41
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY-CARE SERVICES
FIRE INSPECTION REPORT
This is to certify that Salem State College Day Care Center
Name of Facility
located at 262 Loring Ave. Salem Mass.
Address
was inspected on December 22,1976by Insp. Raymond. Dansreau
Date Name of Inspector.
I certify that the above day, care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes No
Violations (if Any):
Boiler room enclosure has been completed,
meets State Code Section 1113.0 and. SalanifFire Code.
Recommendations (if any):
zali-.42_
Narne and Title
Please return this report:
Officu for Children
Day Care Services --
120 Boylston Street
Boston, Yassachuetts 02;16
SFPB Form 41
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY -.CARE SERVICES
FIRE INSPECTION REPORT
This is to certify that Salem State Collage Day Care Center
Name of Facility
located at 262 Loring Ave. Salem Mass.,
Address
'was inspected on 2I /1/75 by A.A. Murphy
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
Violations (if iny):
No
Egress door open inward.
Standard Interior Local Manual Pull station shall be
provided.
Recommendations (if any):
Please return this report:
Office for Children
Day Care Services - ---
120 Boylston Street -
Boston, Massachusetts 02116
SFPB Form 41
SALEM FIRE, DEPARTMENT `
FIRE PREVENTION BUREAU
COMPLAINT FORM
s� DATE tVigtq 19 TIME...Y....lr�.M.
Location of Complaint or Hazard P eye .,..,g54€4., d.,,
U
Complaint_by "' 2 ' Address. ,
Nature of Complaint ace.1-1" -2t.4 r1/"/‘ cL. .,(s�
_,:ies--LL--.---a--A--4u.0-.<—"_--04-e--4, ' ...7t- p� �
Received by
Investigated by
A.A. Murphy
DATE Jan 20 75 19 TIME2 30P+"M.
Action Taken _ Cellar has been cleaned out some and in my ouoinion it is
fair condition.
Other Department Notified
Form #58
,YZ
Dr. V. Mara
Acting President
Fire Chief James Brennan
Salem Fire Dept.
Salem, Ma. 01970
Dear Sir:
01970
March 27, 1975 ,5�/-v/ :y 13.'61' 7.3 -
3�z scour
This is in reply to your notification of complaint regarding
the heater room at 262 Loring Ave, known as the Day Care Center,
South Campus.
1 would like to request form B-7, General Provision Item #24,
relating to heater rooms. As soon as I receive this form, I will
take the necessary steps to correct any changes needed to make
this area acceptable to public safety.
In the Department of Public Safety who will be the person to whom
I will communicate?
Sincerely,
Edwin R. Stevens
Superintendent of
Buildings & Grounds
ERS:pl
Enclosure
. COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAYCARE SERVICES
FIRE INSPECTION REPORT
This is to certify that Salem State College Dav Care Center
Name of Facility
262 Loring Ave. Salem,Mass.
Address
located at
-
was inspected on
4/1475
by Ronald R. Holloran
Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes
X
Violations (if my):
NO
All conditions found satisfactory at time of inspection.
Recommendations (if any):
N:414- 49t._ 00"c","11 toe, ee
Please return this report:
Chief
Name and Title
Office for Children
Day Care Services—
. 120 Boylston Street.
Bostori,.MasSachusetts 02116
aa.geta
SFPB Form 41
This is to certify t
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY CARE SERVICES
FIRE INSPECTION REPORT
Salem State College Day Care Center
hat
Name of Facility
located at 262 Loring Ave. Salem, Mass. 01970
Address
9/15/75 R.R. Holioran
was inspected on by
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes No X
Violations (if any) : Exit door to play yard locked with hooks.
Boiler Room; Ceiling shall be of (2) two hour fire coded material.
Standard Interior Local Manual Pull Station and Horn shall be
installed.
Recommendations (if any) :
Please return this report:
Office for Children
Day Care Services --
120 Boylston Street
Boston, .assachusetts 02116
SFPB Form 41
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY: -CARE SERVICES
FIRE INSPECTION REPORT
Salem State College Day Care Center
This is to certify that
located at
Name of Facility
262 Loring Ave. Salem, Mass. 01970
Address
Oct. 29, 1975- Insp. T.J. Hull
was inspected on by
Date Name of Inspector
I certify that the above day care facility complies with the rules and
regulations of the Board of Fire Prevention.
Yes NoX
Violations (if any):', BOILER ROOM: The boiler shall be enclosed in an
areawith three quarter h_®ut—rate4`fi:re coeieyjsheetrock.
2. The boiler room shall be cleared -of all -debris. As it is immpassible.
3. Interior local manual fire alarm pull station and horn shall be
installed per local requirements.
Recommendations (if any) :
per,. Fire Cfiief
Name and Title
Please return this report:
Office for Children
Day Care Services
120 Boylston Street
Boston, ?tassachusetts 02116
SFPB Form 41
•
. Pre►rmau
eiij. of 'u1pm, assitrintEPt#s
Dire Department Erubquurtrrs
t
FIRE PREVENTION BUREAU
'In'compliance with Chapter 148,.Section 28A of the General Laws of the`
„Commonwealth of Massachusetts, you are hereby notified of the following'
.'complaint, which we believe to be in violation of the General Laws or '
local .codes• or ordinances. This complaint appears to require '•official '
`action' on your part, to ensure compliance with theintent of the• law and,
'" , for,;:proteotion of life and property. _ • . _ , - •
'`` yr' , . j. , V"'. t ` ' _ ,-Salem State College Day Care Center,
,.Locationof•Complaint or Hazard 262 Loring Ave. Salem, Mass.
r Date .Originally Received'by Fire Prevention Bureau Oct; 29, 1975 "
•
: Lieut. David J. ° .•^ ,
.. Goggin ..
4 s =., j Complaint: by' Salem Fire" Marshal Address 48 Lafayette" St, Salem, _.,
r -,
4° Several violations of State Building Code,'ChapterA�,
'Nature ofyComplaint
",i,: °;- 148 of 'the. General Laws and the 'Salem Fire Code.
X . r
,Inital inspection;Dates' Oct.. 29, 1975
-Fire Prevention` Inspector:'
Action Taken: Referred to Mr.
Insp. T. J. Hull. '
Tache and Day Care Center Director
Condition is continuing as of Nov. 19, 1975 and should,
require. an inspectiori.�-for. compliance. with State Building
Code requirements: :Rduest certificate of occupancy be.,
lifted if items, are'' not complied with. •
•,'Other. Departments, Notified:'
State Building Inspector
• r
CITY 0? SALEM, XASSCITUSETTS
- FIRE PREVENTION BUREAU
QUARTERLY FIRE INSPECTIONAL REPORT
In accordance with the requirements of General Laws, Chapter 140, Section 4,
Salem State College Day Care.'Center .
Name of institution %
the
located at
South Campus, at 262 Loring Ave.
.was inspected on
9/19/74
Date
•
by Lieut. David J. Goggin
Name of Pire Inspector
eport of Inspection:
1. Center is presently in operation without a Certificate of Occupancy.
2. Interior fire alarm drill switch shall be installed per current
requirements. This shall be a standard Local Alarm non -coded pull
station, with the standard fire horn attachment.
3. Side porch,door, still opens inward. Back porch door should
have the knob. removed if it is not to be used. Exit.signs to
be positioned at this egress.
4.. Rear egress door, which was just put in, was found locked and
is sticking badly. This shall require immediate attention.
5. Interior toilet room shall be vented as per section 29 of the
General Provisions of Form B-7.
Approved
Disapproved
Date
9/19/74
?LE SE RETURN THIS REPORT TO:
CC: .BOARD OF HEALTH
INSTITUTION
SALEM BUILDING: INSPECTOR.
STATE BUILDING -INSPECTOR"
MR. ED. "STEVENS, SSC'
Signature
Salem Fire, Chief
Title
FORM 35 SFPB
•
COMMONWEALTH OF MASSACHUSETTS
OFFICE FOR CHILDREN
DAY -CARE SERVICES
This is to certify that
FIRE INSPECTION REPORT
Salem .State College Day Care Center
Name of Facility
located at 262 Loring Avenue Salem Mass
was inspected on 6 Dec 1974 by Insp. A .A . Murphy Jr.
Date Name of Inspector
Address
I certify that the above day care -facility complies with the rules and
.regulations of the Board of Fire Prevention.
-Yes
Violations (if my):
Egress doors open inward. All other conditions found to be
satisfactory.
Recommendations (if any):
'No
Egress Doors should be made to open outward/,
Please return this report:
Name and Title
Office for Children
Day Care Services -
— -
120 Boylston Street
Boston, Massachusetts 02116
CITY OF SALEM, MASSACHUSETTS
FIRE PREVENTION BUREAU
QUARTERLY FIRE INSPECTION REPORT
In accordance with the requirements of General Laws, Chapter
148, Section 4, .the Ste. Chretienne Day Care Service
Name of Institution
located; at 262 Loring Ave.
& Street
was inspected
,on June 9, 1971 by Lieut. David J. Goggin
1171
Report .of Inspection:
New proposed day care center, inspected at the request of Sister
Margaret, ; f-or: compliance with Form B-7 of the Department of Public
Safe-tr.—Proposed' area was found to be satisfactory for use as•
a day care center; subject to compliance with the recommendations
as stated on the reverse side of this report.
Approveo
Disapproved
Date June 10, 1971
CC: Health Department
Building Inspector
Place of Assembly
7=1547.7.0,frzex.,
Signature
Chief, Salem Fire Department
Title
FORM 35 SFPB (Rev. 5/71)
Recommendations for new proposed Day Care Service, at Ste. Chretienne
Acadamy, 262 Loring Ave. Salem, Mass. as`provided by Form B-7;
Department of Public Safety Regulations.
1. Application and plans shall be submitted to and approved by
Salem Building Inspector and Salem Health Department.
2. Operable Transoms shall be secured, in place and blocked with
woodpanels or sheet rock panels on both sides.
3. A fire alarm systemfor 25 or more children as planned, will
require additional heat detectors placed as discussed during the
inspection. (1st floor kindergarten room -two detectors)(Stairwell
between 1st• and grpund•floor-used for secondary egress -one
detector) (On ground floor -two detectors in largetroom; one
detector in small room; and one detector in proposed clothes room.)
L. Alarm system shall have a drill switch provided for use of the
inspectors and for drill practice. Each alarm pull station shall
be provided with a sign "FIRE ALARM".
5.:A po:rtable fire extinguisher shall be provided in eabh class
room or in the adjacent corridor. Recommend. -the new Tri-class
ABC type extinguisher.
6. Proper EXIT signs shall be provided over all egress doors from
classrooms and to the outside.
7. Self closing devices shall be provided on all stairway enclosures.
8. All other conditions appear to meet the requirements of the
Form B-7, at time of inspection.
Lieut. David J. Go gin
Salem Fire Marshal
SALEM FIRE DEPARTMENT - INSPECTION REPORT
ADDRESS:
NAME OF OCCUPANCY:
P.T.N.
� TYPE OF
^gl'-��1� kk OCCUPANCY
ADDRESS
BLDG. OWNER jit-6,„����46 L ADDRESS_2,6:24 e - i
TEL .7 -/-E-9f0 r
TEL.
ANSWER ALL QUESTIONS: EITHER YES 1 NO 1 OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear tobe free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guardedand provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
Form #16 (Rev. 1/79)
17..D es this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection?
Master Instant
Type :Box *,.5.16/2 ADT$ Alarm $ AFA* 3Mt Other_
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area?
24. Are all areas used for storage maintained in a safe manner?
25. Are basement areas free of any rubbish accumulation? Pez
26. roes the heatinc system, including the chimney, appear
to be in a safe operating condition?V
28. tre there any electrical hazards?,
28. Toes the occupancy appear to have any structural defects?
Ts a .current fuel oil permit posted and storage proper?
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form *58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: _2-.261-f-z,
Apprcved by
D.C. in charge of Insp. Date:
Inspected by:
Approved by: Grp/ • ( 44 )c,[�� ,
Compan�O facer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
SALEM FIRE DEPARTMENT - INSPECTION REPORT
POSTED
ADDRESS:
NAME OF OCCUPANCY:
g
P.T.N., ADDRESS
BLDG. OWNER ADDRESS
TYPE OF
OCCUPANCY ScLv-vC
TEL.
TEL.
ANSWER ALL QUESTIONS: EITHER "YES", "NO", OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
C
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces,clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11..Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
\/t-S
1
ses
Form 016 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system? IAA
19. Does this occupancy have a direct Fire Alarm connection? /
Master s a Instant
Type :Box # ADT# Alarm # AFA# 3M# Other_
20. Is emergency lighting system or units provided?p
21. Are all emergency lighting units in good operating condition?
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard? 0-0
23. Are all flammables stored in proper containers and/or
stored in an apVroved storage area?
24. Are all areas used for storage maintained in a safe manner? k/��
25. Are basement areas free of any rubbish accumulation?
26. roes the heating system, including the chimney, appear
to be in'a safe operating condition?
2%. ;s a current furl oil permit posted and storage proper?
29. T re there any electrical hazards? l,(.2
2°. the occupancy appear to have any structural defects? -")
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection? k-rl
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form 058 (Complaint Form) . If the violation
appeFIrs to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form #25D was issued:
Date: 4-Z6 _C(\
Approved by
D.C. in charge of Insp. Date:
Inspected by: ��, ���� (' „c„..
v
Approved by: C,
mpany Officer
Form #16 (Rev. 1 /79)
P.T.N. checked by F.A.
SALEM FIRE.DEPARTMENT - INSPECT•ION ••REPORT - • INADDRESS: \-��r
Scse,,i Kew
NAME OF OCCUPANCY: �-\ A ��, �� \ 63
TYPE OF
OCCUPANCY
P.T.N. NAgee ADDRESS 35 L^4.74F/e ¶ - TEL.-7 `,7-Cof//
BLDG. OWNER CSC ADDRESS TEL. ? tit - 6,G%a
ANSWER ALL QUESTIONS: EITHER "YES", "NO", OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and •free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system? AP%-e -112dreet
Date of last inspection? acocA \Cre0
14. Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
1 P S
.4-)I A
Ai I
Lies'
Les
�e�
rS.
e3
es
)00
ti}-0
tA)lA
NIA -
Form 016 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm'system? es.
18. Date of last test of the interior fire alarm system? a,?nI VI
19. Does this occupancy have a direct Fire Alarm connection? A-1e S
Master Instant
Type :Box M3. L[ ADT# Alarm # AFA* 3M* Other
20. Is emergency lighting system or units provided? 8 S
'134e v)e v,-;k-
21. Are all emergency lighting units in good operating condition? /Jp e,J 4e, 3a
Ccet Qc+r vc,ric.
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?�r�
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? 1 PS
24. Are all areas used for storage maintained in a safe manner? Lies
25. Are basement areas free of any rubbish accumulation?
�e S
26. roes the heating system, including the chimney, appear
to be in a safe operating condition? eS
mew ;�ri.
2%. Ts a current fuel oil permit posted and storage proper? , - ce�e
28. tre there any electrical hazards?
20. :-)cis the occupancy appear to have any structural defects?
L�
30. Has a Form 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form 058 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name -)f person tc whom Form N25D was issued:
Date:
Approved by
D.C. in charge of Insp.
Inspected by:
Approved by:
Date:
E`' •StIvA
/i
Company 0 ` i` er
Form *16 (Rev. 1/79)
P.T.N. checked by F.A.
SALEM FIRE DEPARTMENT - INSPECTION REPORT
POST
ADDRESS:
NAME OF OCCUPANCY:/
&I,
P.T.N. age_ ADDRESS
BLDG. OWNER S S
TYPE OF
OCCUPANCY,;
TEL.
ADDRESS TEL.
ANSWER ALL QUESTIONS: EITHER "YES", "NO", OR "NONE".
1. Are the approaches to the building free and clear?
2. Does the area adjacent to the building, appear to be free V
of rubbish accumulations, or other fire hazards?
3. Are facilities provided for the safe disposal of rubbish?__e_
4. Are all outside egress paths free from any obstructions
that may interfere with the safe exit of the occupants?
5. Do porches and fire escapes, appear to be in a safe
condition and free of obstructions?
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition?
7. Are entrances and hallways clear of any obstructions
that may interfere with the emergency exit of occupants?
8. Are all interior occupied spaces clean and consistant
with good housekeeping practices?
9. Are all necessary Licenses and Permits posted & dated?
10. Are the occupants complying with all regulations and
conditions, as prescribed on the Licenses and Permits?
11. Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices?
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14. Does this occupancy have a standpine system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system?
15. Does this occupancy have a sprinkler system?
Are all pressure gauges showing satisfactory readings?
Are all O.S.&Y. valves open and padlocked?
Is a gauge provided at the top of the system?
16. Is this a "WET" or "DRY" system?
5 -o
Form #16 (Rev. 1/79)
17..Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection?
Master Instant
Type :Box * ADT* Alarm $ AFA* 3M* Other
20. Is emergency lighting system or units provided?
21. Are all emergency lighting units in good operating condition?_o
22. Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an apFroved storage area?
24. Are all areas used for storage maintained in a safe manner? c- J,,slz,
C/
25. Are basement areas free of any rubbish accumulation?
26. roes the heatinc system, including the chimney, appear
to be in'a safe operating condition?
Lt. Ts a current fuel oil permit posted and storage proper?
28. ?re there any electrical hazards?
20. ;-,As the occupancy appear to have any structural defects?
30. Has.a For 25D (Inspection Recommendation Form), been made
and issued for this inspection?
Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
notification, file a Form *58 (Complaint Form) . If the violation
appears to require immediate action, notify the Deputy Chief on duty.
List each remark with item number for identification.
Name of person to whom Form,#25D was issued:
Date:
9/P/
Inspected by:
Approved by:
Approved by
D.C. in charge of Insp. Date:
,'?62Za---6.-74„)
/5¢
Companf icer
Form #16 (Rev. 1/79)
P.T.N. checked by F.A.
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 10/10/95
File number: 46
Occupancy type: State College
Distribution: File (F)
Inspection type: Semiannual
This is to certify that Harrington Building, SSC
located at 11 Harrison Road
was inspected by the Salem Fire Department on 09/21/95
by LT. LATULIPPE
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Robert W. Turner, Chief
Salem Fire Department.
Form 44D_ARev. 8/8ii
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date:
File number:
Occupancy type:
Distribution:
Inspection type:
05/20/96
54
State College
File (F)
Semiannual
This is to certify that Harrington Building, SSC
located at 11 Harrison Road
was inspected by the Salem Fire Department on 04/29/96
by CAPT. KOEN
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
ramAAA—
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
* * * * *
Date: 01/04/93
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at-262 Loring Avenue
was inspected by the Salem Fire Department on 12/10/92
by LT.HUDSON
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
Name of facility S.S.C. Day Care Center
Address
NAMP of licensee
Address
City
Telephone
Date of inspection
Inspector:
262 Loring Avenue
Same
State MA Zip 01970
741-6000
12/10/92
Lt. Hudson company , F.P.B.
Responsible parties to notify in the event of an emergency:
Name Address Telephone
Bev Gerson 20 Lafavette St, (h17)h11-/,448
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFIPA 101 Life Safety Code
Form #41C (06/88)
(Circle one)
Y N
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Insrection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed: 17
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
Y N 3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
Y N 4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
Y N 5. Are all exits properly marked?
Y N 6. Are all egresses clear of obstruction?
Y N 7. Is emergency lighting adequate and in proper working
order?
Y N 8. Is a full fire alarm system with panel provided?
Y N 9. Is a drill switch provided?
Y N 10. Date most recent drill conducted: 11/92
F N 11. Is a fire drill procedure conspicuously posted?
Y N 12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
Y N
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
Y N 14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
y N 15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
y N 16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
* * *
Date: 06/15/93
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 05/10/93
by LT. LATULIPPE
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Joseph F. Sullivan, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
(Circle one)
C.)
0
Cs)
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Dav Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed:
3b l ;v pv„laid
Children under the age of 2 yrs. 9 mos. 0
Children over the age of 2 yrs. 9 mos. i�
N 3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
N 4. Are two (2) TeAns of egress, located as remotely as
possible from each other, provided for each occupied
room? -
N 5. Are all exits properly marked?
6. Are all egresses clear of obstruction?
7. Is emergency lighting adequate and in proper working
order?
0 N 8. Is a full fire alarm system with panel provided?
Y 3 9. Is a drill switch provided?
y N 10. Date most recent drill conducted: LI /I'
Y N 11. Is a fire drill procedure conspicuously posted?
Y N 44 12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
/v/A
0
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
16. Has an emergency shelter arrangement been formulated
• for the shelter of occupants in the event of an
emergency?
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
Name of facility S(J. (0.1.Leo Dcxv e /'e C r1. c'
Address 242 L®4, ICE
Name of licensee
Address
Sa,WIF, a. , (14.11ot) -�
City State l Zip
Telephone &2) 7 6//— �, / ct c€
Cso�) 9/ - 69 o 3 oicr4. €
Date of inspection S/ k /(73
Inspector: 1�/,c 7-3v%6i
Company
Responsible parties to notify in the event of an emergency:
Name Address Telephone
Sap 571-0P,J,« 791-6600 ,'-, 611
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
(Circle one)
N
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed: /7
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
4. Are two (2) means of -egress, located as remotely as
possible from each other, provided for each occupied
room?
N 5. Are all exits properly marked?
N 6. Are all egresses clear of obstruction?
Y i 7. Is emergency lighting adequate and in proper working
L�JJ order?
Y
N
N
8. Is a full fire alarm system with panel provided?
9. Is a drill switch provided? 2
10. Date most recent drill conducted: /0 ` 7 3 - 9 3
11. Is a fire drill procedure conspicuously posted?
12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
Y N 15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
Y ` 16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
Name of facility -S7414e#'1, ,, j CO
Address
Name of licensee
Address
'24
S- _ ,01/
C
City S M `per- State Zip
Telephone 7 4'/— 7 0.?
Date of inspection
Inspector:
/2- 6-- Q3
i/r daci
Company 15'- S7
pirrrni„
Responsible parties to notify in the event of an emergency:
Name Address Telephone
tiCe.
ile✓e -`y �e�Sri Z�L� 7� ,) i-c//Z
r •�
/ 7- 6 3/ - qSV/
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (08/88)
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 12/09/93
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 12/06/93
by LT.CROTEAU
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
(2,4A,444"...
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
(Circle one)
D
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed:
Children under the age of 2 yrs. 9 mos. Ci)
Children over the age of 2 yrs. 9 mos. \ 5
3. Are at least two (2) separate, and independent interior
means of egress, remote from each other and leading
directly to grade provided?
4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
N 5. Are all exits properly marked?
`:/ N. 6. Are all egresses clear of obstruction?
i
Y C.N. 7. Is emergency lighting adequate and in proper working
order? L)u 1,S1,A.,1
N 8. Is a full fire alarm system with panel provided?
Y
Y N
9. Is a drill switch provided?
10. Date most recent drill conducted: r4Y\A-A. - Pa)`
11. Is a fire drill procedure conspicuously posted?
12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
Y N 13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
,
Y i 15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
Name of facility ��C��- CAE Cep
Address aoD- Lon
F
Name of licensee `\ 4 CaM, eir,A6 Cr `e_
Address 'aDD- Pr/ Q•
City State /V"Npr Zip U W1C.0
Telephone --)c1i l r67 cFC1
Date of inspection �� ` �J9
Inspector:
Company
Responsible parties to notify in the event of an emergency:
Name • Address Telephone
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 07/07/94
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 05/02/94
by LT. LATULIPPE
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
(24.0.44.4A.,,
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
(Circle one)
Y N
N
N
N
N
3
D
Y G
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. Maximum occupancy allowed:
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
/7
3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
5. Are all exits properly marked?
6. Are all egresses clear of obstruction?
7. Is emergency lighting adequate and in proper working
order?
8. Is a full fire alarm system with panel provided?
9. Is a drill switch provided?
10. Date most recent drill conducted: xl ) `''���
de(/
ri/ae-10-4.
11. Is a fire drill procedure conspicuously posted?
12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Name of facility
Address
Name of licensee
Address
City
Telephone
Date of inspection
Inspector:
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection,
,se addr
��
)K/Z-&-
State` 741A- Zip Q / 49-D
41,
A4/ company
Responsible parties to notify in the event of an emergency:
9//-,ane'
Addr s
'ram:eke.
Reference: Massachusetts State Building Code
Section 434.0
Telephone
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date:
File number:
Occupancy type:
Distribution:
Inspection type:
09/27/94
20
Day Care Center
Office for Children (C)
Quarterly
This is to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire Department on 09/08/94
by LT.FLYNN
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
(Circle one)
N 1 Is the Building Inspector's Certificate of Inspection
posted?
•
2. Maximum occupancy allowed:
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
N 3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
iJ 4. Are two (2) means of egress, located as remotely as
possible from each other,,provided for each occupied
room?
N 5. Are all exits properly marked?
0 N 6. Are all egresses clear of obstruction?
gN 7.. Is a full fire alarm system with panel provided?
,
N 8. Is a drill switch provided?
N 9. Date most recent drill conducted: %/"d''9,
N 10. Is a fire drill ? procedure conspicuously posted.
iJ 11. .Do all interior stairways have smoke detectors_
connected to alarms audible throughout the day care
center?
Y J 12. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
Y"
N 13. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
14. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
N 15. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Name of facility
Address
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection
A4 i Co`Cit6-E. c d io GAR E: (pv7 (-
3z6IZ G4V/'
Name of licensee 14 /i SM7-- coLL/te-Z, &/I/td7 a; cEfrayEA-.
Address
A.6 At/1
City $4J/ K, State /114-c---. Zip 0/971)
Telephone IV/-6Y41.g
Date of inspection ///f /6- 9 7
Inspector:
; J , Company )1.-
Responsible parties to notify in the event of an emergency:
Name Address
de/4r, % so C✓itr%
Reference: Massachusetts State Building Code
Section 434.0 -
Form #41C (09/90)
Telephone
7//1///
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date:
File number:
Occupancy type:
Distribution:
Inspection type:
This is
* * * * *
11/29/94
20
Day Care Center
Office for Children (C)
Quarterly
to certify that S.S.C. Day Care Center
located at 262 Loring Avenue
was inspected by the Salem Fire
by CAPT. SILVA
Inspection status: Approved
Department on 11/16/94
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an+original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
(Circle one)
Y
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Dav Care Center Lnsioection
1 Is the Building Inspector's Certificate of Occupancy
posted?
2. :..Maximum .Maximtmt occupancy allowed:
Children .under the'age of 2 yrs: 9 mos.
Children over the age of 2 yrs. 9 mos.
3. Are,,at least two (2) separate and independent interior
means of egress,' remote from each other and leading
directly to grade provided?
4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
N 5. Are all exits properly marked?
6. Are all egresses clear of obstruction?
7. Is emergency lighting adequate and in proper working
order?
8. Is a full fire alarm system'with panel provided?
9. Is a drill switch provided? ,
10. Date most recent drill conducted: �G6 /5 9?j
11. Is a fire drill procedure conspicuously posted?
12. Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
Y 13. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
N
N
14. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
15. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
16. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Dav Care Center Inspection
Name of facility �Q./l/1 shiy dew C'4 �4se Ce77<i--
Address
Name of licensee SceG� . STA74 CCI
Address
City
Telephone
Date of inspection
Inspector:
State Zip
/0- 1s
ComPanY
Responsible parties to notify in the event of an emergency:
Name Address Telephone
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (06/88)
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 06/06/95
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262C Loring Avenue
was inspected by the Salem Fire Department on 04/10/95
by CAPT. LYNCH
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate ofinspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Robert W. Turner, Chief
Salem Fire Department.
* * * * *
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date: 10/10/95
File number: 20
Occupancy type: Day Care Center
Distribution: Office for Children (C)
Inspection type: Quarterly
This is to certify that S.S.C. Day Care Center
located at 262C Loring Avenue
was inspected by the Salem Fire Department on 09/11/95
by LT.FLYNN
Inspection status: Approved
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
Fire Prevention Bureau
Fire Certificate of Inspection
Date:
File number:
Occupancy type:
Distribution:
Inspection type:
05/20/96
60
Day Care Center
Office for Children (C)
Quarterly
This is to certify that S.S.C. Day Care Center
located at 262C Loring Avenue
was inspected by the Salem
by LT. CROTEAU
Inspection status: Approved
Fire Department on 04/18/96
The inspection of hospitals, clinics, and dispensaries are in
accordance with the requirements of Massachusetts General Laws,
Chapter 111, Section 51. This fire certificate of inspection
issued by the head of the Salem Fire Department certifying
compliance with local ordinances is a prerequisite for an original
or renewal license.
The inspection of convalescent and nursing homes, rest homes,
hospitals, and public mental institutions are in accordance with
the requirements of Massachusetts General Laws, Chapter 111,
Section 71. This fire certificate of inspection issued by the Head
of the Salem Fire Department is the result of an inspection con-
ducted by the Salem Fire Department on the date indicated.
Inspections conducted by the Salem Fire Department are in accordance
with the provisions of Massachusetts General Laws, Chapter 148,
Section 4.
Report of Inspection:
1,� `7I1
LuA
Robert W. Turner, Chief
Salem Fire Department.
Form 44D (Rev. 8/87)
Salem Fire Department
48 Lafayette Street
Salem, Ma 01970
cpers
(Circle one)
Y N 1 Is the Building Inspector's Certificate of Inspection
posted?
Day Care Center Inspection
2. Maximum occupancy allowed:
Children under the age of 2 yrs. 9 mos.
Children over the age of 2 yrs. 9 mos.
0 N 3. Are at least two (2) separate and independent interior
means of egress, remote from each other and leading
directly to grade provided?
CDN 4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
0 N 5. Are all exits properly marked?
Y N 6. Are all egresses clear of obstruction?
ON 7. ' Is a full fire alarm system with panel provided?
Y N 8. Is a drill switch provided?
Y N 9. Date most recent drill conducted:
�Y N 10. Is a fire drill procedure conspicuously posted?
N� Y N 11 Do all interior stairways have smoke detectors
connected to alarms audible throughout the day care
center?
411A Y
N 12. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
13. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
14. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
N 15. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Salem Fire'Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection.
Name of facility SC:1D at LI 1,)0‘ re 0.0
Address r-(6 p Lr, r-riki ..
Name of licensee SQ.�-�
Address
Dip Loy- cook_ (4-ve ,
City .111.0z, State it A- zip(Al 0
5
Telephone
Date of inspection 1 0 —.-mil ci Cii
M
spector: r,i AlI L ') QCompany L' S
Responsible parties to notify in the event of an emergency:
Name Address Telephone
Reference: Massachusetts State Building Code
Section 434.0
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
Form #41C (09/90)
(Circle one)
No
Salem Fire Department
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection (�
mOre_44%•a►J 1 b (nI�
oN mQ �C'_'�j Inc
0Y N 1 Is the Building Inspector's Certificate of Inspect?on
posted?,
2. Maximum occupancy allowed:
30
Children under the age of 2 yrs. 9 mos.
Children over the. age of 2 yrs. 9 mos.
N 3. Are at least two (2) separate and independent interior
means of egress, remote . from each other and leading
directly to grade provided?
N 4. Are two (2) means of egress, located as remotely as
possible from each other, provided for each occupied
room?
0 N 5. Are all exits properly marked?
N •6. Are all egresses clear of obstruction?
N 7. Is a full fire alarm system with panel provided?
Y t� 8. Is a drill switch provided? Y N 9. Date most recent drill conducted: 4116 Ci'K
N 10. Is a fire drill procedure conspicuously posted?
AID Y N 11. Do all interior stairways' have smoke detectors
connected to alarms audible throughout the day care
center?
N 12. If the total occupancy is greater than twenty four (24)
children, is at least one manual alarm (pull station)
provided on each floor of the day care center which
will sound an alarm on all floors when actuated?
19- Y N 13. If the total occupancy is less than or equal to twenty
four (24) children, is a manual alarm (pull station)
provided which will sound an alarm on all floors when
actuated?
14. Is the day care center occupying the same building with
or located within two hundred (200) feet of a
high -hazard occupancy?
N 15. Has an emergency shelter arrangement been formulated
for the shelter of occupants in the event of an
emergency?
Salem Fire Department
Fire Prevention Bureau
48 Lafayette Street
Salem, Ma 01970
Day Care Center Inspection,
Name of facility 3S
Address (2'
c� � 'c — Y/i�i %'L'� •
, S3
Name of licensee `� \J9 4f \ Shit O /%4) P' '
Address l L 6 r //)/vw .
City rY\ State )1)9 s Zip 041(7
Telephone
Date of inspection
Inspector:
Company Zi
Responsible parties to notify in the event of an emergency:
Name Address
SCo1/ge
Reference: Massachusetts State Building Code
Section 434.0
Form #41C (09/90)
Telephone
102 CMR 7.00 Standards for the Licensure or
Approval of Group Day Care Centers
NFiPA 101 Life Safety Code
• Y,