59 Housing Inspection Residential Care 28 Licensing Guide and Application
OFFICE OF CHILD SERVICES
HEALTH INSPECTION REPORT
s to certify that Northampton Center for Children & Families, Inc.— Harland House
(Name of Facility)
ad at 59 Pomeroy Terrace Northampton, MA 01060
(Street) (City) (Zip)
nspected on by David E. Kochan
(Date) (Name of Inspector)
Northampton Board of Health, City Hall, 210 Main Street, Northampton, MA 01060
(Inspecting Board,Agency or Department)
above facility complies with Chapter II of the State Sanitary Code and other regulations pertinent to the
ving areas'
en Facilities Yes ✓ No
I Storage and Preparation Yes ✓ No
ar Supply (ci rii Yes ✓ No
Neter Temperature Yes ✓ No
room Areas Yes ✓ No
age System ("74 Yes ✓ No
ting and Electrical Operations Yes ✓ No
t Yes ✓ No
tilation Yes ✓ No
)ke Detectors Yes ✓ No
a
Yes ✓ No
estos Yes ✓ No
bage and Rubbish Disposal & Storage Yes ✓ No
/VA-rr MANAS/mi NT
itrol of Insects, Rodents & Skunks Yes ✓ No
r(✓✓•C Resider al Care 2riii Lue ,sing Guide add AppleHrirri
1y 14,4:
'roved: Yes J/ No 'Conditionally
ommendations: Ne4F ,fir ir
Signed(Inspector or Representative of Inspecting Authority)
onditional approval may be given only when, in the opinion of the inspecting authority, children's health
ild not be endangered in the facility prior to the correction of noted non-compliance items. Conditional
iroval will satisfy provisional licensing requirements, but certification must be obtained before a regular
nse can be issued.
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