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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CFMMRC

FACILITY NAME
South Slope Out of School Care
SERVICE TYPES
305 Out of School Care
FACILITY LICENSE #
NGIL-65ANSZ
FACILITY ADDRESS
4446 Watling St
FACILITY PHONE
(604) 419-0806
CITY
Burnaby
POSTAL CODE
V5J 5H3
MANAGER
Shiyan Buksh-Lal

INSPECTION DATE
June 21, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
02:45 PM
DEPARTURE
04:00 PM
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 (DLSP). All areas of the facility were inspected for compliance.

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: During the inspection Licensing observed the following:
-several electrical outlet covers including a power bar had missing outlet covers. This is a repeat contravention from inspection # CLAN-C4TPQC
-no soap was available for use in the boys washroom as the dispenser was empty. Please ensure this is corrected by June 22, 2022
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: July 6, 2022

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: During the inspection the following was observed:
-In the boys washroom there was a partial piece of floor tile that was loose and missing drywall and paint on one of the corners. This is a repeat contravention from inspection # CLAN-C4PTQC
-the landscape fabric under the swings was showing. This could present a potential hazard.
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: September 6, 2022

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: The hot water tap in the classroom was measured at 54.2 Degrees Celsius. The legislative requirement is 49 Degrees Celsius.In discussion with the Manager she states the children sometimes wash their hands in the classroom. Please ensure active supervision is provided until this is corrected
Corrective Action(s): Please ensure the water is heated to no more than 49 Degrees Celsius to comply with the legislation.
Date to be Corrected: June 29, 2022

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 staff qualifications checklist was reviewed. Two staff members were missing a criminal record check. In checking the information online this was highlighted but no dates for the criminal record check were listed. The risk to health and safety of the children in care was discussed.
Corrective Action(s): Please ensure the staff qualifications checklist is updated to include the record of criminal record checks that are completed.
Date to be Corrected: June 22, 2022

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: The staff qualifications checklist was reviewed. A certificate was listed for one staff and the Manager. In discussion with the Manager the certificate was a total of 8 hours in duration. She stated that other courses were taken but no proof was provided on the staff qualifications checklist. This information does not support the 20 hour qualification that is required to work as a Responsible Adult.
Corrective Action(s): Please ensure the staff qualifications list is updated to reflect that the minimum requirements for staffing are met
Date to be Corrected: June 29, 2022

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: Licensing reviewed the record of fire drills completed. Three dates were not recorded for the months of August, April and May. This is a repeat contravention from inspections #SMOY-AZFUH4, #CLAN-B9XUKZ, #EGAU-BME2T2. In addition the emergency evacuation drill was not recorded. This is a repeat contravention from inspection # #SMOY-AZFUH4, #CLAN-B9XUKZ, #EGAU-BME2T2, #CLAN-C4PTQC.
Corrective Action(s): Please ensure you record fire drills on a monthly basis and an emergency evacuation drill on an annual basis.
Date to be Corrected: July 6, 2022

RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Licensing observed the attendance for the month of June. Multiple departure times were missing. This is a repeat contravention from inspection #CLAN-B9XUKZ.
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: June 22, 2022

RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: Licensing reviewed two care plans. The care plans were not reviewed annually with the parent or any person requested to by the parent.
Corrective Action(s): Please ensure care plans are reviewed on an annual basis and that this is dated and signed by the families.
Date to be Corrected: July 6, 2022


Comments

At the inspection dated June 21, 2022 there were 10 children and 3 staff and the Manager was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by July 6, 2022 unless otherwise specified in the report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following education/recommendations were provided:
-The reportable incident reporting procedure.
-The current communicable disease prevention protocols that are in place
-active supervision and resilient surfacing.

The inspection findings were reviewed with the Manager at the inspection. A copy of these documents were sent to the Manager. If you have any questions regarding this report please contact me.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Jul 06, 2022

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