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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SWAR-AW6QWZ

FACILITY NAME
Bright Angels Children's Centre II
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
SRID-7EUMMT
FACILITY ADDRESS
21176 Yeomans Cres
FACILITY PHONE
(604) 888-8786
CITY
Langley
POSTAL CODE
V1M 2P7
MANAGER
Chandani Liya Wijesinghe

INSPECTION DATE
February 20, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4
ARRIVAL
09:00 AM
DEPARTURE
11:47 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
63

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 (DLSOP).
Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection.

The following areas were reviewed:
Licensing
Physical Facility
Staffing
Policies and Procedures
Care and supervision/Hygiene and medication
Nutrition
Program
Child Records and reporting

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy is provided to the facility.
The Risk Assessment includes any non-compliance identified during the routine inspection and a 3 year ‘historical’ review of the facility’s compliance and operation and is used to determine inspection frequency.

Visit the CCFL website at http://www.fraserhealth.ca/childcare
for additional resources, and links to the Legislation (CCALA and CCLR)
Useful websites to consider:
Regulations and Act at www.health.gov.bc.ca/ccf
Criminal Records Checks at www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
Healthlink BC at https://www.healthlinkbc.ca/hlbc/files/documents/healthfiles/hfile69e.pdf
Appetite to Play at https://www.appetitetoplay.com

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
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 (CORRECTED DURING INSPECTION): Licensing observed the following:
- Tables were not washed prior to sanitizing in both programs. Licensing discussed with staff some best practice methods that can be used
- Children's food was not stored in the fridge (lunch kits without ice packs contained dairy products that require refridgeration). Staff corrected this at inspection by taking out all foods requiring refridgeration and storing in the fridge.
Corrective Action(s): Licensee and staff will develop a system of checking lunch kits at the time of children's arrival and placing necessary products in the fridge. Please ensure that a healthy and safe environment is provided for children at all times.
Date to be Corrected: N/A

STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: On review of staff files, Licensing observed that all ECE certified staff certificates have not been validated. This was discussed with the Licensee at the last inspection and guidance has been provided as to obtaining validation
Corrective Action(s): Please ensure that any ECE certified staff is validated through the ECE Registry
Date to be Corrected: March 6th 2018

STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: In discussion with staff, Licensing observed 1 staff member employed at the facility for 3 months has yet to practice a fire drill. Licensee stated that all new staff are orientated by reading through the facility policies and procedures but each program maintain their own drills. Licensing notes that the drills have been completed on a monthly basis yet this staff member was working part-time until just recently.
Corrective Action(s): Please ensure each staff member practices implementing the fire drill system on a monthly basis.
Date to be Corrected: March 6th 2018

STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: In discussion with staff, it was evident that the annual emergency evacuation drill had not been practiced. Licensee verified that and discussed concerns of evacuating the infant/toddler program. Licensing provided some ideas to ensure safe evacuation and the requirement for supplies.
Corrective Action(s): Please ensure the annual drill is practiced by all staff - Licensee stated that a drill will be practiced within the next 2 weeks.
Date to be Corrected: March 6th 2018

RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: Licensing reviewed a random selection of 20 children's files and observed 7 were missing digital images. It is noted that most have a sticky note to draw attention to the requirement but there is no effective system in place to follow up on completing that information.
Corrective Action(s): Discussed checklists to ensure a regular follow up of missing information. Please ensure all information is complete at the time of registration.
Date to be Corrected: March 6th 2018


Comments

The operation of the facility is in compliance with current regulations of the Community Care and Assisted Living Act (CCALA) and the Child Care Licensing Regulation (CCLR) apart from any listed above

On site today was the Licensee/Manager with 6 other staff and a total of 31 children
Staff to child ratio was in compliance with regulations
Programming is posted and available for parent review and children's art work is displayed in the facility.
Licensing observed the children in the group child care under 36 month program having snack time followed by free play.
The group child care 30 months to school age program were engaged in table top activities followed by snack time, circle and outdoor play.

Discussions with the Manager/Licensee/Staff:-
- Licensing reviewed the Infant/Toddler program with the Licensee and staff of that program and offered recommendations to develop and encourage independence at meal times using role modelling. Also discussed daily outdoor play in times of inclement weather.
- Licensing provided information regarding sanitizing products and provided the 'disinfectant guidelines handout'.
- Licensing recommends creating a checklist to attach to the front of each program file to ensure the correct documentation is in place for each child. Licensing provided the Childcare links - Children's Records.
- Discussed outdoor play space and availability of space being used today for the Group child care 30 month to school age program.
Staff Exemptions are in place until May 30th 2018
Licensing observed Staff engaged with children in both programs. Appropriate guidance techniques were being used and staff were observed to get down to the child's level to meet individual needs.

A response in writing is required to be submitted to Licensing by the date below, outlining how the contravention(s) have been addressed.
A follow up inspection may be conducted due to the number and nature of the contraventions.

This inspection report was written off site due to time constraints but the contents of the report were discussed with the Licensee/Manager and report will be mailed to the facility.
If you have any concerns or further questions regarding the content of this report, please contact your Licensing Officer. (Contact details provided)
Thank you for your time today

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
Mar 06, 2018

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