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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
DCAR-AX3NXG

FACILITY NAME
Happy Days Family Daycare
SERVICE TYPES
304 Family Child Care
FACILITY LICENSE #
ROLE-7M7PP2
FACILITY ADDRESS
5724 Janis St
FACILITY PHONE
(604) 824-5992
CITY
Chilliwack
POSTAL CODE
V2R 3H6
MANAGER
Janice Struiksma

INSPECTION DATE
March 21, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
09:15 AM
DEPARTURE
11:00 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
7

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSP). 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
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)

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): 2 exposed electrical outlets observed in areas accessible to children posing risk of injury should they access them, the licensee covered the outlets during the inspection
Corrective Action(s): please ensure the environment is monitored prior to children's attendance to sure it is healthy and safe for use.
Date to be Corrected: March 21, 2018

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: observed a worn and soiled couch within the main day-care area for children's use , several toys and toy storage bins were cracked posing a pinching hazard.
Corrective Action(s): develop a system to ensure equipment and furniture are clean and maintained in good repair.
Date to be Corrected: March 29, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation (CORRECTED DURING INSPECTION): A television was placed on a lower plastic table with cord hanging down underneath , the TV easily swayed and could cause injury to a child should it fall. After the unsteadiness was demonstrated that licensee removed the TV to an area off limits to children.
Corrective Action(s): please ensure equipment is sturdy in order to prevent possible injury.
Date to be Corrected: March 21, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11150 - CCLR s.16(2) - Subsection (1) does not apply to a licensee who provides a care program described as Family Child Care, but the licensee must provide an indoor and outdoor play area for children.
Observation: Licensee stated that the backyard is used only during Spring and Summer months as it can get very wet. The licensee instead frequents a nearby local park. Discussed ensuring children have daily / regular access to the on site yard which was submitted as part of the application at time of licence issuance
Should any changes occur to what was initially approved ( Schedule B ) of the CCLR this information would need to be communicated to Licensing. A Fully fenced yard is available for children's use which as discussed will require to be made free from hazards prior to use.
Corrective Action(s): Provided a copy of Bulletin : Outdoor Play Area Away for your consideration - should you wish to make application gain approval for the permanent use an off site play area. please provide your decision along with the corrective actions to occur within the yard prior to use.
As discussed it is appropriate to access local parks , go for walks in addition to having regular access to the on site yard.
Date to be Corrected: April 12, 2018

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: Indoors
Lotions and spray of sunscreen ( products carry a warning to keep out of reach of children ) located within the washroom accessible to children,These products were also noted to be unlabelled. The licensee stated that they were recently donated by a family however not used.
Outdoors
stairs to deck area did not consist of a gate items stored on deck such as propane tank , electrical cord , ashtray
shed was observed to be unlocked many items stored within include gasoline , tools
plastic bags located within the yard.
gate at stairs leading to the day-care area - was observed to be worn and consisted of protruding nails at the top portion
many items stored under the deck ( window screen , lumber , ) which could be accessed by children
Licensee stated that the yard has not been in use due to poor weather and that the children have been frequenting a local park.
Corrective Action(s): please ensure children do not have access to products which may be hazardous to their health or safety. Discussed developing a checklist to ensure self monitoring of the facility both indoors and outdoors occurs prior to children's arrival.

Date to be Corrected: March 21, 20178

STAFFING: 12160 - CCLR s.20(1) - The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.
Observation: CRC observed to be expired for person over the age of 12 living within the home , discussed renewal process.
Corrective Action(s): please ensure persons ordinarily present on the premises holds a valid criminal record clearance completed through the CRRP which is located in Victoria.
Date to be Corrected: March 25, 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: Record of fire drills could not be viewed with exception to Jan & Feb of the 2018 calendar year. Licensee stated that her practice is to discard all previous years.
Corrective Action(s): Please ensure records are retained in order to demonstrate compliance with legislation but also to ensure ongoing evacuation occurs.
Date to be Corrected: March 22, 2018

NUTRITION AND FOOD SERVICES: 17020 - CCLR s.48(1)(b) - A licensee must (b) promote healthy eating and nutritional habits.
Observation: Licensee stated that families provide lunches but that snacks have been provided on occasion , several clear plastic bins within the fridge contained spoilt / moldy food items , a block of cheese was moldy. The licensee included these items were not served to the children but belong to her family.
Corrective Action(s): please ensure a system is developed in order to monitor food storage practices which are healthy and safe.
Date to be Corrected: March 21, 2018

RECORDS AND REPORTING: 19050 - CCLR s.56(1)(f) - A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Observation: Licensee produced a minor incidents book however there were no entries , the book was dated 2013
Discussed the practice of documenting internal incidents , unexpected events or illnesses. The licensee did not appear familiar with this practice.
Corrective Action(s): please ensure a system is developed and implemented to capture non-reportable incidents , examples provided to demonstrate the importance documentation.
Date to be Corrected: March 21, 2018

RECORDS AND REPORTING: 19060 - CCLR s.57(1)(a)(b)(c) - A licensee must keep current records for each child showing (a) the information set out in subsection (2),
(b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and
(c) the consents referred to in subsection (3).
Observation: Children have been in care for many years , registration files including photos are several years old , information provided by families on many forms are found to be no longer relevant to the care of the child.
Corrective Action(s): please ensure a system is in place to maintain current records of children in your care.
Date to be Corrected: March 31, 2018

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: A child in care did not have a registration file on site, the licensee was unsure if this had been completed.
Corrective Action(s): ensure a record is maintained for each child in your care in order that you may access emergency & relevant information pertaining to the care of the child.
Date to be Corrected: March 22, 2018


Comments

Smoking Area
Discussion held pertaining to a designated smoking area , licensee stated that the designated smoking area is on the front porch. Licensee was of the understanding that this was permitted with a statement placed in the parent handbook. Reviewed Section 13 ( 3) of the CCLR which states that there can be no smoking on the premises of a community care facility. Site plans submitted at time of application and Fire Safety Plan highlight the front porch area as part of the premises and named emergency exit for children
.Please provide Licensing with your plan to address the designated smoking area , it may be suitable to continue with a previous plan as emailed to CCFL on Feb 22, 2010 whereby smoking occurs outside of operating hours or off site on the sidewalk.
Programming
Observed children participating in Snack , Art activities , free play. Many stored items throughout the lower level of the home
( designated daycare space ) Items within the washroom , shower , nap area , over abundance of books spilling off shelves , papers stacked on surfaces.
Discussed reorganizing equipment and supplies in order to provide children with program opportunities.

Policies
Licensee unable to access the center's policies during today's inspection however states that both Screen Time and Active Play policies have been developed. In discussion of these 2 new policies the licensee was encouraged to expand the content in reference to the Director of Licensing Standard of Practice ( DOLSOP ) The licensee was not familiar with Screen Time Restrictions for younger children or the requirement to access the outdoors or engage in active play for 1 hour daily. Please ensure a current copy of the facilities policies / parent handbook is available for review at all times.
A Copy of the DOLSOP - Active Play was provided to the licensee as a resource.

First Aid
The licensee recently renewed her first aid , new requirements are to print off certification however the licensee was unable to complete. Licensing viewed a current certificate electronically and will accept this as evidence of renewal until such times as the certificate can be printed.

Written response time frame extended as requested by the Licensee due to Spring Break.
Thank you for your time during today's inspection. Should you have any questions please do not hesitate to contact me( Business Card provided. )



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 09, 2018
Approximate Follow Up Date
16 May, 2018

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