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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
ANAI-CYHVFQ
FACILITY NAME
Langley Meadows Community Association Out of School Program		SERVICE TYPES
305 Out of School Care
FACILITY LICENSE #
0782697
FACILITY ADDRESS
2244 Willoughby Way		FACILITY PHONE
(604) 308-8851
CITY
Langley		POSTAL CODE
V2Y 1C1		MANAGER
Deborah Jones
INSPECTION DATE
December 14, 2023		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.5
ARRIVAL
03:00 PM		DEPARTURE
03:30 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), Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standard of Practice (DOLSOP). All eight care categories were assessed 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
STAFFING: 12050 - CCLR s.19(1)(b) - 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: (b) character references in respect of the person.
Observation: Licensing inspected 2 staff file and noted that one did not contain character references.
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected:

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: Licensing inspected 2 staff files and noted that one did not contain immunization declaration
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected:

RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: Care plan not for a child with diagnosed allergy was not available for inspection.
Corrective Action(s): Ensure a care plan is developed in consultation with parent of child requiring extra support and any person requested by the parent.
Date to be Corrected:


Comments

Summary of Inspection:
At the inspection dated December 14, 2023 there were 12 children in care with 2 staff members. The Manager was not present at the time of inpsecton.
At the inspection, the above noted contraventions were identified.
Please provide Licensing with a written response, by the date noted below, stating how the identified contraventions will be addressed in order to ensure year round compliance.
As part of this Routine Inspection a Facility Risk Assessment Tool was completed. A copy of the report and the corresponding Risk Assessment was emailed to the Manager.
The following items were discussed:
-Staff records: ensuring all items required for a full staff files are present on site for inspection.
Licensee Resources:
- Visit the CCFL website at www.fraserhealth.ca/childcare for forms, resources and links to Legislation (CCALA and CCLR).
- For immediate assistance, reporting of serious incidents including COVID-19 concerns, you may call the duty line at 604-587-3936.
-Updated information on COVID-19 can be found at the BCCDC, Fraser Health and WorkSafe BC websites.

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
Dec 21, 2023
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Click here for a description of each "Category" of violation displayed.