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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BVBNX8

FACILITY NAME
Inspirations Montessori School
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
NGIL-A7LR53
FACILITY ADDRESS
7980 Gray Ave
FACILITY PHONE
(604)
CITY
Burnaby
POSTAL CODE
V5J 4A1
MANAGER
Szu-Yi (Zoey) Kuo

INSPECTION DATE
November 06, 2020
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:35 AM
DEPARTURE
12:05 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), the Child Care Licensing Regulations (CCLR) and the relevant Director of Licensing Standards of Practice (DLSP). All areas of the facility were inspected for compliance.

Contraventions
Previous Inspection - Not Applicable
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: Licensing observed that one of the staff certificates was not posted.
Corrective Action(s): Please ensure all staff certificates are posted in a prominent place.
Date to be Corrected: Nov 27, 2020

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation: During the inspection the following was observed inside the facility:
-an electrical outlet cover was missing in the main classroom area
-Items in bags were being stored on top of the diaper changing mat. This could cause the potential from cross contamination from bacteria on the diaper changing mat to the bags.
-only one bleach bottle was being used to disinfect both the tables and the diaper changing surface. This could cause the potential for cross contamination.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to the children in care.
Date to be Corrected: November 9, 2020

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: During the inspection licensing observed that several chairs had peeling paint. This could potentially cause a splintering hazard or harbour bacteria.
Corrective Action(s): Please ensure equipment in the facility is in good repair.
Date to be Corrected: Nov 20, 2020

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: Licensing observed the following inside the facility washroom:
-essential oils
-toilet bowl cleaner
These items were within easy reach of the children.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: November 6, 2020

STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: During the inspection one employee record was not on site. The serious health and safety risk was discussed with the Manager as there was no criminal record check for the employee.
Corrective Action(s): Please ensure employee records are on site at all times.
Date to be Corrected: Nov 9, 2020

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: During the inspection the emergency supplies were reviewed. More food is required to be added to the emergency kit.
Corrective Action(s): Please ensure you have sufficient emergency supplies for 8 children in care. Licensing recommends enough food and supplies for a period of 72 hours for 8 children in care.
Date to be Corrected: November 27, 2020

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Licensing observed there were no records of fire drills for January to March 2020 and October 2020. In addition there was no record of an emergency drill being completed. In discussion with the staff she stated the drills were completed but were not recorded.
Corrective Action(s): Please ensure that a record of fire and emergency drills is completed.
Date to be Corrected: November 27, 2020

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: During the inspection 5 children's records were reviewed. One child was missing an emergency contact other than the parents.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: Nov 27, 2020


Comments

At the inspection dated November 6, 2020 there were 5 children, 1 staff and the Manager was present during the inspection. At this inspection the above noted contraventions were identified. Please ensure a written response is submitted to licensing by November 27, 2020 stating how you have addressed the above noted contraventions. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following resource was given to the Manager:

· Resource Package for Child Care facilities COVID-19 prevention

The following was completed with the Manager at the inspection:

· The COVID-19 Infection control assessment checklist

The following was discussed with the Manager at the inspection:

-posting the COVID-19 policy as a requirement of The Centre for Disease Control and Worksafe BC
-removing items that contain a drug identification number (DIN) from the first aid kit, as written permission from a parent or guardian is required prior to application
-having updated emergency cards on site

The inspection findings were reviewed with the Manager at the inspection. The inspection report and the risk assessment were completed at the Burnaby Health Protection office. The report was written in .5 hours and this is included in the report. A copy of these documents were sent to the Manager.

If you have any questions regarding this report please contact me.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Nov 27, 2020

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.