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

FACILITY NAME
A Place To Grow Childcare Centre
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
BHAN-7ZELSR
FACILITY ADDRESS
13730 94A Ave
FACILITY PHONE
(604) 585-5691
CITY
Surrey
POSTAL CODE
V3V 1N1
MANAGER
Danielle Jimeno

INSPECTION DATE
January 24, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
01:45 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:
-Doing some maintenance of personnel files so that information is easier to locate. Some options were discussed on how this could be done - i.e. checklist or separating information within the file.
-There is a new Manager for the facility, Licensing is aware of this change and the application for amendment was reviewed with the new Manager. Facility to submit form once the information is reviewed with the Non-Profit Director.

Contraventions
Previous Inspection - Not Applicable
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: Some of the equipment and flooring within the outdoor play area is very slippery as it is made of wood and the algae has started to grow on it, making it slippery. There are multiple stumps within the Toddler outdoor space that are very slippery. Additionally, the infant deck is also very slippery from the algae. The staff had indicated that when it rains, they tend to go for walks in the stroller because the flooring can be too slippery/hazardous for the young ones to play on. Some discussion was had around this concern as it does not meet the active play policy for the centre as the children are regularly sitting in strollers rather than getting some physical exercise outside. Some discussion was had around the wood flooring and alternate methods that could be used to fix or rectify this situation.
Corrective Action(s): Please ensure facility is healthy and safe.
Date to be Corrected: March 1, 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: There are some areas within the facility that are in need of some paint touch ups due where the paint has started to peel:
-Inside on many of the doors to rooms. (repeat)
-Outside on the large play equipment, platforms (some area within the structure have have peeling rubber). (repeat)
Some additional items were also noted:
-Flooring within the napping area/multipurpose room the carpet is starting to ripple
-Some mats in the toddler room have started to crack, not making it easy to clean.
Corrective Action(s): Please ensure facility is clean and in good repair.
Date to be Corrected: July 1, 2018

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: Facility has created a Standard of Practice for Active Play policy, however, it is unclear if they have provided the policy to parents. A Screen time policy has not been created yet. Some discussion was had around disbursing these policies to parents once completed. Please also submit your updated screen time policy to Licensing for review.
Corrective Action(s): February 1, 2018
Date to be Corrected:

RECORDS AND REPORTING: 19280 - CCLR s.58(3)(b) - The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child: (b) any medication administered to the child by the licensee, including the amount and the time at which the medication was administered.
Observation: There were two care plans that were reviewed that did not appear to be correct (as another care plan posted had conflicting information) and had some vague information (dosage of medication missing). One of these care plans were signed and dated by the parent. The other care plan, it was unclear when and with whom the care plans was created with as it was not signed and dated. The Manager advised Licensing that they would be reviewing this information with the parents to obtain more detailed
Corrective Action(s): Please ensure that care plans are easy to follow, detailed and reviewed/created with parents and updated yearly.
Date to be Corrected: January 26, 2018


Comments

Please provide a written response to indicate how you will address the violations noted on or before February 1, 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
Feb 01, 2018

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