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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BYQT7J

FACILITY NAME
Fair Haven Children's Centre (Burnaby)
SERVICE TYPES
302 Group Day Care >30 mos
301 Group Day Care <36 mos
FACILITY LICENSE #
3200092
FACILITY ADDRESS
4375 Rumble St
FACILITY PHONE
(604) 437-0171
CITY
Burnaby
POSTAL CODE
V5J 2A2
MANAGER
Anna Tran

INSPECTION DATE
February 26, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
11:00 AM
DEPARTURE
02:00 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 with the exception of the policies and procedures.

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: During the inspection licensing observed the following inside the facility:
-a large shelf over 4 feet tall was not anchored to the wall.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to the children in care.
Date to be Corrected: March 19, 2021

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 the following inside the facility:
-washroom doors had duct tape. Duct tape is difficult to clean
-the vinyl floor was lifting in several places. This could cause a potential tripping hazard
-peeling paint in the nap room. This is a repeat contravention from inspection # SMOY-A7M QRJ and inspection # CLAN- B8YUD3
-The counter by the sink is cracking. This could potentially harbour bacteria.

During the inspection licensing observed the following outside the facility:
-the wood is rotting at the base of some sections of the fence
Corrective Action(s): Please ensure the facility is clean and in good repair.
Date to be Corrected: May 26, 2021

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:
-chemical plant food in an unlocked cupboard in the children's washroom. This was located at the children's level. This could cause a potential poisoning hazard.
Licensing observed the following outside the facility:
-Rusty padlocks on the shed, rusted pots and a muffin tin, a tambourine, and cymbals. This could cause a potential health hazard. This is a repeat contravention from inspection #CLAN-BKMNHE
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: March 5, 2021

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 the staff qualifications checklist was reviewed. Two staff members currently working at the facility had ECE certificates posted in the facility but did not have their qualifications listed and their filies were not observed on site.
Corrective Action(s): Please ensure staff records, and the staff qualifications list if used, are up to date and on site.
Date to be Corrected: March 5, 2021

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: Licensing observed that there was no food or water in the emergency evacuation kit for the 0-36 month children. In discussion with the staff she stated that the food and water were expired and they were in the process of replacing it.
Corrective Action(s): Please ensure that the emergency evacuation kit has all of the supplies that are needed to be prepared and be able to respond in an emergency.
Date to be Corrected: March 12, 2021

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 reviewed the attendance records for both the 0-36 month old room and the 30 months to school age room. Several sign out times were missing for the month of February. This is a repeat contravention from inspection # CLAN-B8YUD3 and inspection #CLAN-BKMNHE.
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: March 9, 2021

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: Seven children's records were reviewed. One child was missing a photo.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 19, 2021

RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: Three children's care plans were reviewed. An annual review form is placed at the beginning of the file to indicate when the plan has been reviewed. Two care plans were not recorded as being reviewed in 2020.
Corrective Action(s): Please ensure care plans are reviewed at least once a year and dociumentation is provided to indicate this
Date to be Corrected: March 19, 2021


Comments

At the inspection dated February 26, 2021 there were 30 children and 8 staff members were present. At this inspection the above noted contraventions were identified. Please ensure a written response is submitted to licensing by March 19, 2021 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 was reviewed and discussed with the staff:

-The reportable incident reporting procedure.
-The current COVID-19 protocols that are in place

Licensing was unable to review the inspection findings with the Manager at the inspection as the Manager was absent. Due to the COVID-19 pandemic the inspection report and the risk assessment were completed at the Burnaby FHA office. The report was written in 1 hour 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
Mar 19, 2021

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