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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SREL-BCGQYB

FACILITY NAME
Brainbox Montessori Learning Academy
SERVICE TYPES
301 Group Child Care (under 36 months)
310 Multi-Age Child Care
FACILITY LICENSE #
LSEO-AJYPR4
FACILITY ADDRESS
20688 56th Ave
FACILITY PHONE
(778) 957-6588
CITY
Langley
POSTAL CODE
V3A 3Z1
MANAGER
Jia Liu

INSPECTION DATE
May 24, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.75
ARRIVAL
11:15 AM
DEPARTURE
02:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
17

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 (DLSOP).
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
Policies and Procedures
Care and supervision/Hygiene and medication
Nutrition
Program
Child Records and reporting

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy is provided to the facility.
The Risk Assessment includes any non-compliance identified during the routine inspection and a 3 year ‘historical’ review of the facility’s compliance and operation and is used to determine inspection frequency.

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




Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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 was on site for Jan-May 2019, but record was not available for July-Dec 2018. The Manager stated fire drills are conducted monthly. In addition, the fire extinguisher was due for service in Nov 2018. A record of the annual emergency drill was also not available for review.
Corrective Action(s): As per discussion, please ensure drill records are available for a full year and extinguisher is serviced to ensure facility is able to respond appropriately in case of an emergency.
Date to be Corrected: May 27,2019 for extinguisher servicing

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: A review of 4 staff files indicated record of validation of qualification certificate is missing for one staff, and a resume is missing for one staff. Also noted there were 2 reference checks for one staff, and that best practice is to have 3 reference checks.
Corrective Action(s): As per discussion, please ensure all staff screening documentation is completed prior to employment of staff.
Date to be Corrected: May 31,2019

HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: The bedding on sleeping cots is kept on and is in contact with each other as the cots were stacked on top of each other.
Corrective Action(s): Ensure bedding is not in contact with each other to prevent spread of illness.
Date to be Corrected: May 24,2019

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: The attendance record for the Multi-Age Program was incomplete for date of inspection as no children were signed in on the record, there were 8 children in care. Further review of attendance records for the month indicated that at times time of arrival and departure is missing for children.
Corrective Action(s): As discussed please ensure attendance record is complete and current and that facility will be able to ensure the whereabouts of all children in case of an emergency evacuation.
Date to be Corrected: May 24,2019


Comments

The operation of the facility is in compliance with current regulations of the Community Care and Assisted Living Act (CCALA) and the Child Care Licensing Regulation (CCLR) apart from any listed above

On site today there were 9 children in care in the Group Child Care (under 36 mos) Program with 3 staff. In the Multi-age Program there were 8 children with one staff.

Discussions regarding the following took place with the Manager:
- Active supervision
- Lead in drinking water
- Reportable Incident (RI) reporting
- Temporary Placement

Resources provided:
- Safety alert- active supervision bulletin
- RI Bulletin
- RI forms

At present there is no staff exemption in place.

A response in writing is required to be submitted to Licensing by the date below, outlining how the contravention(s) have been addressed.
A follow up inspection may be conducted due to the number and nature of the contraventions.

This inspection report was reviewed with the Licensee/Manager
If you have any concerns or further questions regarding the content of this report, please contact your Licensing Officer. (Contact details provided)

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
May 31, 2019

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