ELBA NELLY RAMIREZ DE CASTILLO

License #DCFH.57501 · WATERBURY, CT · Capacity 6

Lifetime deficiency profile

47 total deficiencies

Top rules cited at this facility

47 citations across this facility's inspection history. Top 10 below — click any rule to read the plain-English summary, evidence inspectors look for, and how to fix.

RuleTimes citedSample narrative
19a-87b-10(b)(2) 5 The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registere…
19a-87b-10(b)(1) 4 For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home. — 053-Enrollmen…
19a-87b-10(b)(3)(A) 4 For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child…
19a-87b-10(b)(3)(B) 4 For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the c…
19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l) 4 For each child enrolled, the provider shall maintain on file a complete immunization record. — 055-Immunizations
19a-87b-10(b)(3)(C) and/or 19a-87b-10(b)(3)(D) 3 For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying any activity away from the family child care home, including days and times, and…
19a-87b-10(d)(3) 2 The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is …
19a-87b-9(d)(4)(D) 2 Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that ma…
19a-87b-9(k) 2 The provider shall have a working telephone at the family child care home, with emergency numbers posted in a readily accessible location in an area where family child care services are provided which is known to the pro…
19a-87b-17(b)(3) 2 Except for nonprescription topical medications, no medication, prescription or nonprescription, shall be administered to a child without the written order of an authorized prescriber and the written permission of the chi…

↑ Each rule code links to its CT most-cited rules breakdown — director-friendly summaries with evidence checklists.

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Unknown source cadence · Retrieved by AccreditReady May 11, 2026 · Source: Connecticut Office of Early Childhood