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

FACILITY NAME
Fraser Montessori Daycare
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
ACAK-8UDTKQ
FACILITY ADDRESS
6269 14th Ave
FACILITY PHONE
(604) 307-2949
CITY
Burnaby
POSTAL CODE
V3N 1Y7
MANAGER
Reeta Chand

INSPECTION DATE
March 31, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
08:20 AM
DEPARTURE
10:50 AM
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 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
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 inside the facility:
-a toilet brush in the washroom. Some of the children are still crawling and may acces the toilet brush.
-one of the doors in the playroom was unlocked. A kitchen was accessible.
-a electrical outlet cover was missing
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: April 1, 2021

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: Licensing observed the following inside the facility:
-Foam mats located on the floor had several puncture marks. These puncture marks could harbour bacteria. This is a repeat contravention from inspection # CLAN-B9KRVY.
- paint chips were noted on the baseboards and some of the walls. This is a repeat contravention from inspection # CLAN-BKP2AW
Corrective Action(s): Please ensure the facility and equipment are in good repair
Date to be Corrected: April 15, 2021

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: Licensing observed rust on an exterior fence. Options for repairing the fencing were discussed. Rust can cause a potential health hazard. This is a repeat contravention from inspection #CLAN-BKP2AW.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: April 8, 2021

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: During the inspection the policies and procedures were reviewed. An emergency plan was not present. In addition the fire extinguisher was expired. It was noted that the fire extinguisher was within the area of fully charged.
Corrective Action(s): Please ensure an emergency plan is created that sets out procedures to: prepare, mitigate, respond and recover in the event of an emergency. Please ensure the plan is available at the facility for staff and licensing to review. In addition please ensure the fire extinguisher is serviced on an annual basis to be prepared in an emergency.
Date to be Corrected: April 15, 2021

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Five children's records of seven were reviewed. One child was missing an emergency contact.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 15, 2021

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: During the inspection five children's records were reviewed of seven. Three children were missing a photo.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 15, 2021


Comments

At the inspection dated March 31, 2021 there were 6 children, 1 staff member and the Manager was present. At this inspection the above noted contraventions were identified. Please ensure the above noted contraventions are corrected by April 15, 2021 . 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. Forms were given
-The current COVID-19 protocols that are in place
-Active supervision
-Adding a pressure dressing to the first aid kit
-Adding more food to the emergency kit to be prepared for a period of 72 hours

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 1 hour and this is 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
Apr 15, 2021

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