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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KMBH-AZWU7K

FACILITY NAME
Fraser Heights SMARTIES Group Daycare
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
BHAN-7F2QS9
FACILITY ADDRESS
15720 106th Ave
FACILITY PHONE
(604) 582-1335
CITY
Surrey
POSTAL CODE
V4N 1K5
MANAGER
Heather Querin

INSPECTION DATE
June 20, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.75
ARRIVAL
02:30 PM
DEPARTURE
04:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSP). 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
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)
If you have any questions regarding this report feel free to contact me.
While on site the following was discussed:
-Active Play and Screen time is available within the policies. LO recommended that the facility has a little blurb around whether children are allowed to bring in their own personal devices.
-A discussion was had around the storage of mats, the facility stores some of the mats within the washroom which is not considered to be the most sanitary method of storage. Some of the mats are starting to show their wear and tear as they are taped at the corner and will eventually be difficult to adequately clean. Manager stated that they have started to replace the mats, bits at a time.
-4 staff were on site along with 16 children in care.
-The facility has recently gotten a new fridge, there is no thermometer within the fridge in order to ensure that the fridge is temperature is 4 degrees Celsius or below. The facility used to have a thermometer in their old fridge. Currently there are not many items kept within the fridge.
-Fire drill log form provided at today's inspection.

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: 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: -The space in the yard has minimal shade. While on site today, the yard was in full sun and minimal shaded areas. A discussion was had with the Manager around having a shaded areas available for the children.
-There is a thorned bush that appears to be regularly trimmed but there are some areas where the thorns are accessible to the children in care.

Corrective Action(s): Please ensure a healthy and safe environment.
Date to be Corrected: June 27, 2018

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: -Outside within the outdoor space, there is paint peeling along the stairs
-The fence has started to lean onto the neighboring property, it has caused the wood to start separating in some areas. Licensing removed a rusted piece of metal that appeared to have been loosened because of the leaning fence. It is believe that it may be from the neighboring rose bush that is grows on the other side.
Corrective Action(s): Please ensure facility is clean and in good repair.
Date to be Corrected: June 27, 2018

STAFFING: 12040 - CCLR s.19(1)(a) - 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: (a) a criminal record check for the person.
Observation: The facility has a check list for staff files. The list does not appear to have been updated recently as it indicates that two staff's criminal record checks have shown to be expired. The Manager stated that updated criminal record checks have been obtained, however, the form was not updated.
Corrective Action(s): Please ensure that if a checklist is maintained in order to confirm that the facility has all require documents available, please ensure it is updated when documentation is updated.
Date to be Corrected: June 21, 2018

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Emergency drill was carried out within the last year, however, there is no record to show compliance. LO provided a fire drill log at the time of inspection.
Corrective Action(s): Please ensure records are kept for the yearly emergency drills in order for LO to confirm compliance.
Date to be Corrected: June 27, 2018

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: 5 children's files were reviewed 1 child was missing a photo. Upon review of the emergency cards, it was determined that there are 3 children who do not have photos. A discussion was had around the facility taking the photos as the facility sometimes waits more than 6 months for a photo from a parent.
Corrective Action(s): Please ensure children's files are complete.
Date to be Corrected: June 27, 2018


Comments

Please provide a written response to indicate how you will address the violations noted above on or before June 27, 2018.

Thank you for your time today!

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
Jun 27, 2018

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