PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation: During the routine inspection licensing verified the water temperature for the bathroom sink and kitchen sink where the children were observed to have their hands washed. The water of both sinks was noted to be 67.9 degrees Celsius. Children were observed to be supervised by staff when washing hands. Water was controlled by staff when children were having their hands washed.
The water temperature was identified on an inspection in 2020. This is a repeat contravention.
Corrective Action(s): Please ensure the water temperature is at or below 49 degrees Celsius.
Date to be Corrected: October 18, 2022
STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: During the routine inspection 3 staff files were reviewed and all 3 staff files were missing a record of immunization. Manager said she was not aware a record of immunization was needed. Licensing provided education and provided a copy of the Fraser Health Employee Immunization form via email.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: October 18, 2022
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: During the routine inspection it was noted that the fire extinguisher was overdue for inspection.
Corrective Action(s): Please ensure that the fire extinguisher is serviced annually.
Date to be Corrected: October 18, 2022
POLICIES AND PROCEDURES: 13060 - CCLR s.56(1)(d) - A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.
Observation: During the routine inspection it was noted that the facility did not have an Active Play and Screen Time policy. Manager stated that they do not offer screen time to children.
Corrective Action(s): Please ensure an Active Play and Screen Time policy is made available to staff and parents.
Date to be Corrected: October 18, 2022
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: During the routine inspection 8 children's files were reviewed and one child's file was missing an MSP number. The manager said the family are from a different country and do not have an MSP number.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: October 18, 2022
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 routine inspection 8 children's files were reviewed and one child's file was missing the following items:
- doctor's name and phone number
- emergency contact person
Manager said that the family is new to Canada and do not have a family doctor.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: October 18, 2022
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