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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
TBOS-CB9RUN

FACILITY NAME
Smiles 4 Miles
SERVICE TYPES
311 In-Home Multi-Age Child Care
FACILITY LICENSE #
KWAM-B9VR4T
FACILITY ADDRESS
31105 Heron Ave
FACILITY PHONE
(778) 551-3260
CITY
Abbotsford
POSTAL CODE
V2T 5K5
MANAGER
Munreet Kaur Brar

INSPECTION DATE
February 02, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
10:30 AM
DEPARTURE
12:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
8

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. COVID-19 Pre-screening was completed at the door.

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: 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: Items stored in the hallway hampered easy access through to the exit in the event of an emergency. Licensee moved some of the items located in the hallway during inspection.
Corrective Action(s): Please ensure the furniture and supplies are located so not to block or hamper an exit in the case of a fire or other emergency.
Date to be Corrected: February 7, 2022

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11130 - CCLR s.15(3) - A licensee providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.
Observation: Facility nap room contained insufficient room for children under 36 months to rest due to storage items.
Corrective Action(s): Please ensure there is a separate sleeping area available away from activity area.
Date to be Corrected: February 7, 2022

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 (CORRECTED DURING INSPECTION):
-Lighter located in cubby easily accessible to children. (corrected during inspection)
-two children were seen leaning on a table where 1 leg was bent, and unstable. (Corrected during inspection)
-Garbage bucket stored in bathroom shower, partially filled with substance inside was accessible to children while washing hands for snack. (corrected during inspection)

Corrective Action(s): Please ensure children do not have access to any object or substance that may be hazardous to the health and safety of a child.
Date to be Corrected: Corrected during inspection

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation (CORRECTED DURING INSPECTION): Faucet in the bathroom was tested at 51.7 degrees Celsius. Licensee corrected this at the time of inspection. This is a repeat contravention.
Corrective Action(s): Please ensure that any heated water accessible to children is heated to no more than 40 degrees Celsius.
Date to be Corrected: Corrected during inspection

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Emergency Supplies are insufficient to implement the emergency plan. Emergency evacuation kit included expired food and water, and were insufficient for eight children and one or more staff for 72 hours.
Corrective Action(s): Please ensure to provide an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Date to be Corrected: February 11, 2022

POLICIES AND PROCEDURES: 13060 - CCLR s.56(1)(d) - A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.
Observation: Policies were not available for review at the time of the inspection.
Corrective Action(s): Please ensure to keep current records of written policies and procedures that are intended to guide employees in the care and supervision of children.
Date to be Corrected: February 4, 2022

RECORDS AND REPORTING: 19050 - CCLR s.56(1)(f) - A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Observation: Facility log book had been in use regularly until the end of November. December onward there were no further entries. In addition to the log book, licensee provided a print-out of daily health assessments for children in care from November to February, however no log of minor accidents, illnesses and unexpected events involving children that did not require medical attend and were not reportable in schedule H.
Corrective Action(s): Please ensure to keep log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in schedule H.
Date to be Corrected: Feb 3, 2022

RECORDS AND REPORTING: 19051 - CCLR s.56.1(2)(a) - A licensee must keep (a) a copy of the written statement, referred to in section 19 of the Act, that the licensee delivers to persons who prepay part of the cost of services
Observation: Record of written statements of deposits, and repayment agreements were not on file.
Corrective Action(s): Please ensure to keep a written statement, referred to in section 19 if the Act, that the licensee delivers to persons who prepay part of the cost of services.
Date to be Corrected:

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): Of 10 facility files reviewed, 4 files did not include the date of enrolment. Licensee corrected during inspection
Corrective Action(s): Please ensure to keep for each child a record showing the date of enrolment in the community care facility.
Date to be Corrected: Corrected during inspection


Comments

Summary of Inspection
During today’s inspection, there were 8 children, and the licensee present. Licensee's family were present on site.

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:
-Cleaning and sanitization practices, in addition to creating systems to maintain wear and tear on the facility space.
-The importance of knowing and understanding the Licensing Legislation. Licensee hand available a copy of the Community Care and Assisted Living Act, the Director of Licensing Standards of Practice, however did not have a copy of the the Child Care Licensing Regulations (CCLR). Licensing provided a link to the CCLR in email today.
-Licensing noted the fire extinguisher would expire in 3 days.
-Diaper change pad or table should be provided in the facility in the event the children in care are in need of change. The licensee stated she has no children in need of diapering at this time, however will ensure the change pad is more easily accessible.

Resources given today:

-Reportable Incident Bulletin
-Reportable Incident form
-Active Supervision resource

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 Licensee 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.
+1.0 hour for report written in office

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 11, 2022

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