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Annual Survey of Paint Condition for Group Child Care Service form - nyc 2025

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The document outlines the requirements for group child care services regarding the annual survey of paint condition, specifically focusing on lead-based paint hazards. It mandates that facilities with such paint must complete a survey and submit it along with inspection forms and facility drawings to the NYC Department of Health. Additionally, it specifies that if XRF testing has been conducted and results show the facility is 'lead-free', the annual survey is not necessary. The document includes sections for recording details about the child care service, inspection dates, and room conditions.

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Click ‘Get Form’ to open the Annual Survey of Paint Condition for Group Child Care Service form in the editor.
Begin by filling out the cover sheet. Enter your Permit Number, Date, Name of Child Care Service, Address, and Contact Information accurately.
Complete the section regarding the Annual Survey Conducted By. Include the date of the survey and total number of rooms inspected.
For each room in your facility, fill out a Room Inspection Form. Specify details such as Room Number, Room Name, Component, Color, Location, Condition, Type of Surface, and Date Repaired.
Review all entries for accuracy before signing and dating the form at the bottom. Ensure that all required information is included.
Once completed, submit your forms to the Bureau of Child Care via mail or fax as instructed on the document.

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