CORRECTIVE ACTION PLAN - CT Care 4 Kids
CORRECTIVE ACTION PLAN
NAME OF PROGRAM __________________________________________________________________________________________________________________ LOCATION ADDRESS: ______________________________________________________________________________ Town: _____________________________ INSPECTION REPORT DATE: _____________ OEC Representative: ___________________________________ DCEX #: ____________ YCEX #: ____________
Based on the Inspection Report, the operator was cited for failure to meet the Health & Safety Requirements listed below. I hereby declare that the operator has complied in the following manner. NOTE: A statement simply indicating that corrections are "done" or "will be fixed," is not an acceptable Plan of Correction.
Item # From Inspection Report
Corrective Action Taken (Describe how the violation(s) were corrected)
Date Corrected
Operators are required to meet the requirements at all times.
CORRECTIVE ACTION PLAN SHALL BE RETURNED TO OEC BY: ____________
(Date)
Signed: ________________________________________________ ___________
(Person in Charge)
(Date)
RETURN TO: ______________________________________________ Connecticut Office of Early Childhood 450 Columbus Boulevard Suite 302, Hartford, CT 06103 Camp Fax #: 860-326-0556 Licensing Fax#: 860-326-0552
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