Z - Fire Department Inspection Report 1-14-2020SPATE �� `
�`FIFEMARSNAI:. MENT OF
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LFARE
ire Safety InsPection for State Daycare Licensing
M ew Daycare License Applicant ■ D.
ycare License Renewal Applicant
Date.e 1b 1,�,
Name of Facility
NumberAddress a) Es TAe)rkl� VL)
State- Zipp
City C) pi
Facility Phone r
Note; The licensing authority is the Idaho Department
mg ncyulremenIS {COWL,)
Are sleeping rooms provided with at least one em7choredin
egress window having at least a minimum single
opening of 5.7 square feet, minimum height 24 in
minimum width 20 inches, and maximum finisher
1over
44 inches?�"/Note:
An approved exit door is acceptable in lieu of
Also, an approved piece of furniture or platform, if a
place, can be approved to sit in front of a window, if the sil/height
is over 44 inches
Are approved egress windows from sleeping areas operable
from the inside without the use of separate tools?
V
Where children are located on a story below the level of exit
discharge (basement), are there at least two exits provided, one
of which is directly to the outside?
Note: More than one exit from the basement opening directly to the
outside may be required, depending on the structure of the building.
Daycare is prohibited on any upper floor beyond the first floor.
Exception: Daycare is permitted at the second floor lever provided
that the building has two (2) exits, one (1) of which must open
directly to the outside and be in compliance with building codes.
Is the facility in compliance?
Fire Extinguishers
For DAYCARE LENT£Rs:
Is there a portable fire extinguisher (minimum 2A-10BC)
mounted securely in the kitchen area and one other approved
location that is visible, does not exceed five (5) feet from the
floor to the top of the extinguisher, and not more than seventy
five (75) feet travel distance, and is it maintained properly?
Note: Fire extinguishers shall be maintained properly.
For GROUP DAYCARE FACILITIES and FAMILY DAYCARE HOMES:
Is there a portable fire extinguisher (minimum 2A-IOBC)
mounted securely in the kitchen area that is visible, does not
exceed five (5) feet from the floor to the top of the
extinguisher, and not more than seventy five (75) feet travel
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distance, and is it maintained properly?
Note: Fire extinguishers shall be maintained property.
Is there a hood -type fire suppression system installed in the
kitchen area, if required?
In facilities over three thousand (3,000) square feet are
additional fire extinguishers present and approved by local fire
official or designee?
In Facilities greater then twenty thousand (20,000) square feet
in area or when the number of children under the age of
eighteen (18) month exceeds one hundred (100) is there an
automatic sprinkler system?
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Is there an
Telephone
Smoke Detectors
s there a smoke detector installed in the basement having a
stairway which opens from the basement into the facility (such
detectorshall be connected to a sounding device or other
detectorto provide an alarm which will be audible in the
sleeping area)?
Are approved smoke detectors provided on the ceiling or wall
outside each separate sleeping area or in the immediate vicinity
of bedrooms?
Is there a smoke detector in each room used for sleeping j
purposes? I/�
Is there a smoke detector in each story within the facility I
Fire Safety and Evacuation Plan
Note: Each daycare center, group daycarefacility orfamily doycore home voluntarily licensed by the Department,
must have an approved fire safety and evacuation plan prepared. Fire evacuation and safety plans must include the
elements listed below.
' Procedures and policies that accounts for ali employees and
children after an evacuation is completed. l�
Identifies evacuation routes, locations of facility exits, and
assembly point for an evacuation.
Includes location of smoke detectors, fire alarm appliances and I l/
fire extinguishers.
A schedule of fire and emergency evacuation drills and annual EE
reviews that all employees and children participate in with
records of those drills available for reference and review. V
For Facilities with an Mccuoancy Load of Fif4y or More
Note: in addition to the requirements above, those facilities with an occupancy load of fifty (50) ormore
occupants must also meet the criteria outlined below.
Do
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it
doors
swing in the
direction
of egress?
Do
exit
doors
from rooms
having an
occupant
load to fifty
or
Are Exit signs installed at required exit doorways and where
to clearly indicate the d
for facilities with over fifty (50) children, is an approved fire
alarm system installed?
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Occupant Load
Note: Occupant load is determined by the local fire official or designee. Only those areas used for daycare
purposes will be used when determining occupant load.
F35.
ine occupant load, calculate the square footage of
etween the interior face of the exterior walls,
daycare use, and divide by the occupant load
5. Allowances for interior walls or partitions and
have been taken into account in the occupant load
ept fixed seating. The occupant load for fixed
seating is determined by counting the seats.
Enter Occupant load:
Is the facility in compliance?
Note: This inspection is for the purpose of meeting only the requirements of the Department of Health and
Welfare. The operator/owner may also be required to meet; zoning, building code, fire code or other agency
regulations within their local jurisdiction to conduct this type of business. In addition, a separate Health and
Safety inspection is required on all facilities that are required to be licensed.
REMARKS:
Facility passes fire inspection: Ye No Occupant Load:
�gesidential ❑ Commercial
INSPECTION MADE BY:_ _Keiu/u .L'4
TITLE AND AGENCY: e Y I [% I `Alt, 7 Du21(b 1�
Signature of Inspector: A �/ )%Date:— ��— ZD Z
Name of facility operator/owner (please print): i C I C9 yi P�
Signature of facility operator/owner: Date: }A
Idaho Department of Health and Welfare Daycare Licensing Fire Safety lnspettion Form -Revised June 20, 2016
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