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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CBPVB4

FACILITY NAME
Inspirations Montessori School
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
NGIL-A7LR53
FACILITY ADDRESS
7980 Gray Ave
FACILITY PHONE
(604)
CITY
Burnaby
POSTAL CODE
V5J 4A1
MANAGER
Szu-Yi (Zoey) Kuo

INSPECTION DATE
February 15, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
02:35 PM
DEPARTURE
03:50 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 care categories 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: Licensing observed one staff certificate was not posted in the facility. This was corrected during the inspection. This is a repeat contravention from inspection #CLN-BVBNX8
Corrective Action(s): Please ensure all staff certificates are posted in the facility.
Date to be Corrected: March 1, 2022

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:
-chairs were showing signs of wear and require repainting. This is a repeat contravention from inspection #CLAN-BVBNX8
-Peeling paint on the fence. This is a repeat contravention from inspection # CLAN-BEJP7N. Please complete by April 16, 2022
Corrective Action(s): Please ensure the facility is in good repair
Date to be Corrected: March 1, 2022

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: The following was observed during the inspection:
-A broken metal door stopper was in tiny pieces on the counter top in the washroom (removed during inspection)
-A pencil sharpener had a long cord that was not secured (this was observed near a child's sleep mat)
-A phone cord was located on a child's tool bench
-Medications such as: Advil cold and sinus, allergy pills and vitamins were on a counter top in the play area (removed during inspection)
-Two children were observed eating whole grapes at snack time. These present a potential choking hazard. The Manager has spoken to families.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are harmful to their health and safety
Date to be Corrected: February 15, 2022

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Licensing observed the emergency supplies more food and water is required. In discussion with the Manager she stated she ordered the supplies last week. This is a repeat contravention from inspection # CLAN-BVBNX8
Corrective Action(s): Please ensure you have sufficient supplies for all of the children in care to be prepared in case of an emergency.
Date to be Corrected: March 1, 2022

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: Four children's records were reviewed. One child's record was missing a photo.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 1, 2022

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: The care plan was not reviewed annually as it was signed but no date was recorded. This was corrected during the inspection.
Corrective Action(s): Please ensure care plans are reviewed annually and the date is recorded.
Date to be Corrected: March 1, 2022


Comments

At the inspection dated February 15, 2022 there were 7 children, and 2 staff and the Manager was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by March 1, 2022 unless otherwise specified in the report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following education/recommendations were provided:

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

The following information will be sent to the Manager:

-Two sink dishwashing method handout
-Director of Licensing Standards of Practice-Safe Play Spaces

The inspection findings were reviewed with the Manager at the inspection. 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 .75 hours and this is not 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 complianceNo action required
Due Date
Mar 01, 2022

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