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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SWAR-D29PX6
FACILITY NAME
St Mary's School		SERVICE TYPES
303 Preschool
305 Group Child Care (School Age)
FACILITY LICENSE #
LBJE-6ABN5Z
FACILITY ADDRESS
8909 Mary St		FACILITY PHONE
(604) 792-7715
CITY
Chilliwack		POSTAL CODE
V2P 4J4		MANAGER
Johanna Chiappetta
INSPECTION DATE
February 08, 2024		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.5
ARRIVAL
10:20 AM		DEPARTURE
11:10 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 (DoLSoP).
All care categories 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
STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: On review of four staff files, two were missing certificate validations.
Corrective Action(s): Manager said she will obtain validations for the two staff.
Date to be Corrected:

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: Review of school age and preschool drill records, Licensing observed that the emergency evacuation drill was not recorded. Manager said that they have yet to practice the drill but have a policy and procedure in place.
Corrective Action(s): Please practice emergency drill on an anual basis and record appropriately. Please provide a corrective action plan.
Date to be Corrected:


Comments

At today’s inspection there were 9 children and 2 staff present.
At this inspection the above noted contraventions were identified.
The Licensee is required to address the contraventions to bring the facility back into compliance and provide a written response to Licensing by the date below.

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy was provided to the facility along with this report.
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.

The following was discussed:
- Valid CRC/s are available and reviewed expiry dates.
- Active Play promotion and outdoor play
- Emergency evacuation plan
- Licensing Duty line: #604 587 3936 for emergencies if area Licensing Officer can’t be contacted.
- Regular review of BCCDC website for COVID-19 updates (see link below)


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

Further websites:
Criminal Records Checks at:
www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
Appetite to Play at: https://www.appetitetoplay.com
Healthlink BC at: https://www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
BCCDC for Covid-19 information: Child Care (bccdc.ca)

The contents of this inspection report were reviewed with the facility and a copy provided.
If you have any questions, 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
Feb 22, 2024
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.