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-BAWVBY

FACILITY NAME
Pomegranate Childcare
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
NGIL-AKNMVX
FACILITY ADDRESS
7289 Gray Ave
FACILITY PHONE
(778) 885-6311
CITY
Burnaby
POSTAL CODE
V5J 3Z1
MANAGER
Xiao Jun Xu

INSPECTION DATE
April 04, 2019
ADDITIONAL INSP. DATE (multi-day)
April 11, 2019
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.75
ARRIVAL
03:15 PM
DEPARTURE
05:00 PM
ARRIVAL
02:00 PM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
8

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: During the inspection two staff certificates were posted in the facility. One staff certificate was not posted. This was corrected during the inspection. This is a repeat contravention from inspection # CLAN-B44PS9
Corrective Action(s): Please ensure all staff certificates are posted in a prominant place in the facility.
Date to be Corrected: April 4, 2019

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 sharp shovel under the deck. This could cause a potential cutting hazard. This is a repeat contravention from inspection # CLAN-B44PS9
-The garage door was unlocked. Sharp garden tools and a car were acessible to the children.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to children in care.
Date to be Corrected: April 4, 2019

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 two dents were noted on the walls and the paint was removed. The drywall was exposed. In addition Licensing noted that the washroom had dirt and debris on the floor.
Corrective Action(s): Please ensure the facility is clean and in good repair
Date to be Corrected: April 4, 2019

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 the following was noted inside the facility
-a bottle of bleach was under the sink and this was accessible to children. This could cause a potential poisoning hazard.(corrected during the inspection)
-a bleach bottle was within easy reach of the children in the bathroom. This could cause a potential poisoning hazard. (corrected during the inspection).
Corrective Action(s): Please ensure children do not have access to any objects that are hazardous to their health and safety.
Date to be Corrected: April 4, 2019

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: Licensing reviewed three ataff records out of three . One staff member was missing their immunization status.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: April 18, 2019

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: Three staff records out of three were reviewed. Two staff members had a criminal record check that were not site specific. This is a repeat violation from inspection # GSIU-AP8PZX
Corrective Action(s): Please ensure criminal record checks are current and site specific.
Date to be Corrected: May 2, 2019

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 that fire drills were completed and recorded on a monthly basis until October 2018. In discussion with the Manager she stated fire drills are practiced monthly but she did not record them.
Corrective Action(s): Please ensure fire drills are recorded when they are practiced.
Date to be Corrected: April 8, 2019

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: During the inspection the attendance was observed. Four children out of eight children were not signed in. This is a repeat contravention from inspection # CLAN-B44PS9 and inspection # GSIU-AP8PZX
Corrective Action(s): Please ensure the children's attendance records are complete.
Date to be Corrected: April 5, 2019


Comments

At the inspection dated April 4 , 2019 there were 8 children and 3 staff present. At this inspection the above noted contraventions were identified. Please ensure a written response is provided to Licensing by April 26, 2019 that outlines how you have addressed the above noted contraventions. A follow up inspection will be completed at a later date. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following education/recommendations were provided:

· Promoting Active Play in the program
· Active Supervision
· Lead in the Water

The following resources were provided:
· Reportable Incident Bulletin


The inspection was completed on April 4, 2019 and this report was reviewed with the Manager prior to signing on Thursday April 11, 2019.

Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

If you have any questions regarding this report feel free to contact me.

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
Apr 26, 2019
Approximate Follow Up Date

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