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39.5 MASON STREET - DEEC HIR 9-26-16 4 Department of Early Education and Care HEALTH INSPECTION REPOR T This is to certify that (Name of Facility) located at [a MA 014 (Street) (City) (Zip) was inspected on C1 (-a6 t 6 by f e (date) (Name of pector) of .Lai Pooaf Ul ps IfN A - — (Inspection Board,Agency or Department) The above facility complies with Chapter I I of the State Sanitary Code and other regulations pertinent to the following areas: Kitchen Facilities Yes / No Food Storage and Preparation Yes (/ No Water Supply Yes V No Hot Water Temperature Yes No Bathroom Areas Yes No Sewage System Yes iI No Lighting and Electrical Operations Yes No Heat Yes V No Ventilation Yes i/ No Smoke Detectors Yes No Exits Yes ✓ No Asbestos Yes ✓ No Garbage and Rubbish Disposal& Storage Yes ✓ No Control of Insects,Rodents Skunks Yes � No Approved: Yes No *Conditionally I RPHealthInspectionReport20050701 Recommendations: ClITCU,C 5tw W )MCt(I ko(�3 (� U\-Q((d Qkid 1 astp-n 1i� room Si d 1o�pector or Representative of Inspecting Authority) *Conditional approval may be given only when, in the opinion of the inspecting authority, children's health would not be endangered in the facility prior to the correction of noted non-compliance items. Conditional approval will satisfy provisional licensing requirements, but certification must be obtained before a regular license can be issued. 2 RPHealthMspecfionReport20050701