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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
TBOS-BYSRDC

FACILITY NAME
First Step Daycare Centre
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
TBIU-B23SQA
FACILITY ADDRESS
32659 South Fraser Way
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Aalia Rahguzar

INSPECTION DATE
March 04, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
10:15 AM
DEPARTURE
11:15 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE
15

Introduction

An unscheduled Follow-up to 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 -
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 inspection of the IT playground, garbage, and a bin full of water were accessible to children. It was observed that staff complete an outdoor parameter check prior to outside time, however the IT staff was working alone, which may pose a challenge to identify and address hazards while maintaining active supervision outside.
-During inspection of 3-5 outdoor play area, a fence wire at the bottom of the chain link fence had previously been cut, with the sharp edge accessible to children. Manager stated they were aware of this and have plans for it to be fixed by Monday
-In 3 rooms the refrigerator did not contain a thermometer, and there was no system to ensure the temperature is maintained at 4 degrees Celsius or lower where children's food and bottles are stored.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times.
Date to be Corrected: March 8, 2021

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation: Toys and equipment were being stored in the vestibule that exits to the infant play yard.
Corrective Action(s): Please ensure the exit is clear for easy access to the playground.
Date to be Corrected: March 5, 2021

STAFFING: 12040 - CCLR s.19(1)(a) - 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: (a) a criminal record check for the person.
Observation: 4 staff files were reviewed, 1 staff file did not contain CRC results, application noted to have been sent to the Criminal Records Review Program on January 26, 2021 however results were not yet received. Discussed sharing results from previous employer while waiting for results to arrive.

Corrective Action(s): Please ensure screening is complete including CRC results
Date to be Corrected: March 5, 2021

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: 4 staff files were reviewed, 1 staff file did not contain Immunization status. Licensee stated she would have this completed today.
Corrective Action(s): please ensure screening including immunization status
Date to be Corrected: March 5, 2021

RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation (CORRECTED DURING INSPECTION): During review of children's records, 2 children's records did not contain date of enrolment.
Corrective Action(s): Please ensure children's records include date of enrolment.
Date to be Corrected: Corrected during inspection


Comments

Summary of Inspection:
The COVID-19 Pre-screening was conducted at the door.
During today’s inspection, there were 15 children, the facility manger, and 3 staff present.
At this inspection the above noted contraventions were identified. Licensee is required to submit a corrective action plan to address the contraventions.
The following was discussed:
Licensee stated that the School Age Care classroom had not previously been in use, although it would be in use this afternoon with new enrolment. Systems for cleaning and sanitization were discussed.
A kettle was observed on the kitchen counter, accessible to children as they passed by to go outside. The kettle had not been in use. However, It was discussed that a system for supervision should be in place, while the kettle is in use.
The process for applying for an exemption request was reviewed with manager.
Resources given today:
Updated BCCDC Guidelines
Sunscreen use resource
Business card was given

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

Further websites:
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19

The contents of this inspection report was reviewed with the manager prior to the inspection report being written off-site, therefore no signature attached.
A copy of the report was provided to the facility by email to the address given today.
If you have any concerns or further questions regarding the content of this report, please contact your Licensing Officer.

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 08, 2021

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