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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-B56PD8

FACILITY NAME
Pomegranate Childcare
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
NGIL-AKNMVX
FACILITY ADDRESS
7289 Gray Ave
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Xiao Jun Xu

INSPECTION DATE
October 02, 2018
ADDITIONAL INSP. DATE (multi-day)
October 02, 2018
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.5
ARRIVAL
09:45 AM
DEPARTURE
12:15 PM
ARRIVAL
02:00 PM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# CHILDREN ENROLLED

Introduction

An unscheduled follow up inspection to inspection # dated August 29, 2018 was conducted. Areas of non-compliance identified at the time of previous inspection were reviewed for compliance.
Visit the FH: CCFL website at http://www.fraserhealth.ca/health-info/health-topics/child-care for:
· Additional resources, and
· Links to the Legislation (CCALA and CCLR)
If you have any questions regarding this report feel free to contact me at 604-918-7658 or at christine.lawson@fraserhealth.ca

Contraventions
Previous Inspection - Contraventions observed on FIR ##CLAN-B44PS9 have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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: Licensing observed the following outside the facility:
-a fence and gate has missing wooden panels
-Prickly weeds and a holly bush are accessible to children.
-The stairs leading to the upper deck are accessible to children
-An extension cord and holiday lights were hanging at a low level, and the plugs were wrapped in plastic (wet from rain).
In conversation with the director we discussed suggestions on how to make the stairs inaccessable. Licensing and the director also discussed the concern with the holly bush berries being toxic to humans.

Corrective Action(s): Please ensure a health and safe environment is provided at all times to children. This is a repeat contravention
Date to be Corrected: October 9, 2018

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: During the inspection licensing observed the following outside the facility:
-A lawnmover was accessable to children
-Many small pieces of wood in a pile with rusty nails sticking out were at the children's level
-A rusty nail was sticking out at the side of the house. Although pointing down, these are still accesible to a small child.

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Corrective Action(s): Please ensure children do not have access to any object or substance that is hazardous to their health and safety. This is a repeat contravention.
Date to be Corrected: October 9, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11450 - DLSOP Safe Play Space (maintenance of equipment [b1]) - [bullet 1] Thorough daily, monthly and annual inspection programs must be performed regularly. If needed repairs/replacement cannot be made immediately, equipment must be removed from service until repaired or the licensee must ensure that additional safety precautions are put into action. Checklists will assist in reminding staff of the types of checks to be performed and in ensuring that proper maintenance and repair are completed. Daily: check the play space for garbage, broken glass, animal feces and other hazardous items. This is especially important if the play space is located in an area to which the public has access, such as parks or schools. Monthly: check the play space in greater detail, including a check of the landscaping and fencing and overall condition of equipment to ensure that they do not pose any hazards to children. Annually: conduct a detailed audit of the play space, landscaping, and all equipment.
Observation: Licensing observed there is no documentation on inspecting the outdoor play area. Licensing and the director discussed the importance of completing a playground inspection on a daily basis.
Corrective Action(s): Please ensure the outdoor play area is inspected on a daily basis.
Date to be Corrected: October 9, 2018

STAFFING: 12040 - CCLR s.19(1)(a) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.
Observation: In revieving the staff files one staff file was missing a criminal record check from the criminal record review board specific to this facility. The director stated that the staff member has applied to have her criminal record result shared.
Corrective Action(s): Please ensure all staff records are complete. This is a repeat contravention.
Date to be Corrected: October 16, 2018

STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: Licensing inspected the emergency supplies and noticed there was not enough food or supplies for the children in care. The director stated that she had spoken with the parents about bringing more emergency supplies for the children.
Corrective Action(s): Please ensure the supplies in the emergency kit are sufficient for the amount of children in care. This is a repeat contravention.
Date to be Corrected: October 16, 2018

POLICIES AND PROCEDURES: 13110 - DLSOP Active Play - [The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.] This policy should also be shared with parents/families.
Observation: The director stated that she has developed an active play policy but she had not shared it with the parents.
Corrective Action(s): Please ensure the active play policy is shared with parents and families. This is a repeat contravention.
Date to be Corrected: October 9, 2018

POLICIES AND PROCEDURES: 13120 - DLSOP Active Play - The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.
Observation: Licensing observed there was no screen use policy. The director stated she has completed this policy but she has not shared it with the parents and families.
Corrective Action(s): Please ensure the sceen use policy is shared with the parents and families. This is a repeat contravention.
Date to be Corrected: October 9, 2018

RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Licensing observed attendance from the previous week. Many children were not marked as absent. On Tuesday October 2nd two children were signed in but four children were present. The director completed this during the inspection.
Corrective Action(s): Please ensure all of the attendance records are complete. This can pose a serious health and safety risk when evacuating in case of an emergency. This is a repeat contravention
Date to be Corrected: October 2, 2018


Comments

Licensing spoke with the director today about the follow up inspection. Due to the risk in the playground outside the facility, licensing has asked the director to continue to make the playground inaccessible until all of the health and safety concerns outside the facility are addressed. A copy of the Director of Licensing Standards of Practice safe play space was given to the director today. This report was reviewed with the director prior to signing.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Due Date
Oct 09, 2018
Approximate Follow Up Date
16 Oct, 2018

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