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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
DCAR-B9LTYU

FACILITY NAME
Little Leaders Childcare Centre Inc.
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
TBIU-9HBUT3
FACILITY ADDRESS
#4 - 33575 Mayfair Avenue
FACILITY PHONE
(604) 776-1404
CITY
Abbotsford
POSTAL CODE
V2S1P6
MANAGER
Sukhbinder Gill

INSPECTION DATE
February 21, 2019
ADDITIONAL INSP. DATE (multi-day)
February 21, 2019
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
10:00 AM
DEPARTURE
12:00 PM
ARRIVAL
03:30 PM
DEPARTURE
04:00 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
22

Introduction

An unscheduled/scheduled 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). Inspection completed with the content of the report shared with the manager. Arranged time to provide completed report 3:30 pm.

Contraventions
Previous InspectionContraventions observed on FIR #SCLY-ARKQUN have been corrected.
Current InspectionItems reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: Licensing observed the following items during an inspection of the outdoor play area:
> a board leaning against the fence ( described to be used as a bump / ramp for children's play) poses risk of injury should it fall onto a child
> a plastic toy storage bin has a cracked lid consisting of sharp edges.
Corrective Action(s): Please develop a system which when implemented ensures outdoor play materials and equipment are safely stored and in good repair.

Date to be Corrected: Feb 21, 2019

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): Licensing observed the following hazards accessible to children during today's inspection :
> liquid detergent stored under the sink this area is not secured with a safety latch
> exposed electrical outlet
> medication stored within a child's lunch kit , the manager advised that it would otherwise be placed within the door of the fridge.
Corrective Action(s): Please ensure children do not have access to objects or substances which may be hazardous to their health and or safety. The Manager secured the items during the inspection.Please provide your plan of medication storage include how you will ensure medications which are required to be refrigerated remain inaccessible to children.
Date to be Corrected: Feb 28, 2019

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11450 - DLSOP Safe Play Space (maintenance of equipment [b1]) - [bullet 1] Thorough daily, monthly and annual inspection programs must be performed regularly. If needed repairs/replacement cannot be made immediately, equipment must be removed from service until repaired or the licensee must ensure that additional safety precautions are put into action. Checklists will assist in reminding staff of the types of checks to be performed and in ensuring that proper maintenance and repair are completed. Daily: check the play space for garbage, broken glass, animal feces and other hazardous items. This is especially important if the play space is located in an area to which the public has access, such as parks or schools. Monthly: check the play space in greater detail, including a check of the landscaping and fencing and overall condition of equipment to ensure that they do not pose any hazards to children. Annually: conduct a detailed audit of the play space, landscaping, and all equipment.
Observation: Checklist pertaining to outdoor play area inspections is not consistently completed , manager stated that the play area is checked however the log is not completed. Reviewed expectation that when checks are completed that broken equipment and or items requiring repair would be identified.
Corrective Action(s): please develop a system that captures ongoing maintenance of outdoor play area in order to ensure the space is safe for use.
Date to be Corrected: Feb 28, 2019

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: At review of 5 staff files 1 was found to not have obtained Criminal Record Check ( CRC ) clearenace as required to be processed through the Criminal Records Review Agency.
Corrective Action(s): please ensure a system is in place which captures screening requirements for staff. Reviewed requirements with the facility manager.
Date to be Corrected: Feb 28, 2019

STAFFING: 12070 - CCLR s.19(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Staff working in the position of Early Childhood Assistant who has not received ECA Certificate issued through the ECE Registry.
Staffing exemption process reviewed
Corrective Action(s): Ensure staff hold the required qualifications for the position held and obtain certificates as required to be issued through the ECE Registry.
Date to be Corrected: Feb 28, 2019

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: Immunization status missing for 1 of the 5 staff files reviewed.
Corrective Action(s): please ensure staff have provided information pertaining to Immunization status.
Date to be Corrected: Feb 28, 2019

STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: In review of the emergency plan it was determined that a written record of review is not maintained , this was found to be a repeated contravention as noted within the Sept 25, 2017 inspection report.
Corrective Action(s): Please ensure a system is developed which when implemented captures annual / monthly review dates. The Child Care Checklist is provide to you as a resource and example of a self monitoring tool.
Date to be Corrected: Feb 28, 2019

NUTRITION AND FOOD SERVICES: 17120 - CCLR s.48(6) - A licensee must make available to parents information on the food and drink given to children.
Observation: Facility provides morning snack to children , staff included food is generally consistent however information is not documented / provided to families on what was served to their children.
Corrective Action(s): Please ensure families are provided with information related to the food given to their children.
Date to be Corrected: Feb 28, 2019


Comments

Summary of Inspection
At the inspection dated Feb 21, 2019 there were 22 children and 5 staff present. At this inspection the above noted contraventions were identified.
Licensee to provide a written response to today's inspection and include systems that have been developed in order to operate in compliance with the CCLR and CCALA. Licensee plans to submit a staffing exemption ( process discussed ) Licensing to assess the staffing exemption once received and provide a decision to the Licensee. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.
The following education/recommendations were provided:
Ø Promoting Active Play in the program
Ø Temporary Placements
Ø Active Supervision
Ø Lead in the Water
Child Care Checklist provided - recommended to be regularly implement in order to self identify areas which may require attention.
2 Fridges on site , one missing a system to capture temperature of food storage. Discussed food storage and ensuring leftovers are sealed.
Manager to further explore bleach alternatives and ensure instructions for use are followed for proper effectiveness i.e ) contact time , clear rinse
Thank you for your time during today's inspection.

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 28, 2019

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