new york state department of health temporary residence … · temporary residence inspection...

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Number of Rooms

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Facility Code Operator's NameAddress

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INSPECTION BY:(Signature)

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LHD/HINNYSDOH

52743

Chapter 1 State Sanitary Code

Subpart 7-1 Temporary Residence Statutory authority: Public Health Law, § 225

http://www.health.ny.gov/regulations/nycrr/title_10

PUBLIC HEALTH HAZARDS 1. 7-1.4b(1) 2. 7-1.4b(2) 3. 7-1.4b(3) 4. 7-1.4b(4) 5. 7-1.4b(5) 6. 7-1.4b(6) 7. 7-1.4b(7) 8. 7-1.4b(8) 9. 7-1.4b(9) 10. 7-1.4b(10) 11. 7-1.4b(11) 12. 7-1.4b(12) 13. 7-1.4b(13) General 14. 7-1.3(a), (g) 15. 7-1.3(f) 16. 7-1.5(a),(b) 17. 7-1.5(c) 18. 7-1.7(a) 19. 7-1.7(b) 20. 7-1.7(b) Sewage 21. 7-1.10(a) 22. 7-1.10(a)(1), (2) 23. 7-1.10(b)

Fire Safety 24. 7-1.8(a) 25. 7-1.8(b) 26. 7-1.8(c) 27. 7-1.8(d) 28. 7-1.8(e) 29. 7-1.8(f) 30. 7-1.8(g) Water Supply 31. 7-1.9(b) 32. 7-1.9(d) 33. 7-1.9(d) 34. 7-1.9(g) Food Service 35. 7-1.11(b) 36. 7-1.11(c) Housing 37. 7-1.14 38. 7-1.15 39. 7-1.15 40. 7-1.16 41. 7-1.17 42. 7-1.18 43. 7-1.19

Reporting of Violations Any item with a shaded means that all or part of the item was found to be in violation at the time of inspection. STATUS CODE EXPLANATION (use is a local health department option)

1. No violations observed. 2. All or parts of the item are violations. 3. Item was not applicable/reviewed/evaluated/observed at the time of inspection. 5. Part or parts of the item were observed to be in violation which were corrected at the time of inspection. DOH-1312 (04/12)

new york state department of health temporary residence … · temporary residence inspection...

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