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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SMIA-CN7S5B

FACILITY NAME
Caring Hearts Child Care
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
TAMS-A4MQBP
FACILITY ADDRESS
1854 Western Dr
FACILITY PHONE
(604) 944-9547
CITY
Port Coquitlam
POSTAL CODE
V3C 2X7
MANAGER
Terry Penner

INSPECTION DATE
January 17, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.92
ARRIVAL
02:55 PM
DEPARTURE
04:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
11

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). All areas of the facility were inspected for compliance.

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: During inspection Licensing observed:
-An open bag of ice/snow salt was stored at the facility's entrance.
- In both play areas, children had access to several long and short pieces of loose wooden mouldings with nails attached. Licensing was concerned that it posed as an immediate safety hazard and must be removed. The licensee said that they were kept there as both playrooms were being renovated, but that they will be removed so that children don't have access to them.
- One of the play areas was unusable as it was cluttered with lots of toys and equipment stored and strewn across the floor.The licensee stated that this room is currently being reorganized by sorting through all of these toys and equipment. The licensee stated that the play area will be ready for use by this weekend. The licensing officer requested a plan be submitted to Licensing on the completion date.
Corrective Action(s): Licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Date to be Corrected: 23 January 2023

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 inspection Licensing observed:
-Two drawer front faces were unattached due to loose hinges.The Licensee fixed one drawer face during the inspection.
- Black mold was visible on the freezer door seal. Licensee said that this freezer will be removed on the weekend as the has purchased a new freezer. Licensing observed a new freezer in the facility.
-One door panel on a cupboard used for food/snack storage was missing. The licensee explained that it fell off during play and that she plans to repair it by the weekend.
-The refrigerator interior had visible food & liquid stains and items that needed to be thoroughly cleaned.
-Facility's overall general cleanliness and clutter was discussed with Licensee. She stated that the facility is cleaned daily but the daycare's recent reorganization has resulted in clutter. The importance of maintaining a standard of general cleanliness was discussed.
Corrective Action(s): Please ensure that the facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Date to be Corrected: 23 January 2023

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: During inspection the secondary emergency exit was blocked with numerous items i.e.unused toys & equipment, recycling items, ladder, garbage,gardening equipment & supplies,folded carpet/mats,etc. The licensee said an alternate secondary egress is currently used. Licensing observed alternate secondary egress was also blocked. Licensing discussed the importance of not storing items in emergency evacuation routes as it can obstruct emergency evacuation.
Corrective Action(s): A Licensee must not obstruct an exit used for evacuation in the event of a fire or other emergency.
Date to be Corrected: 18 January 2023

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 Licensing Officer reviewed 2 staff files. 1 staff's criminal record check had expired last month.
Corrective Action(s): Please ensure that all staff have a current record of a criminal record check.
Date to be Corrected: 10 February 2023

RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: Care plans were not available for three children
Corrective Action(s): A current care plan must be available for all children who require extra support.

Date to be Corrected: 23 January 2023

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: Child's care plan was not reviewed annually with the parent or any person requested to by the parent. Licensee said it was recently renewed, however Licensing was not able to see the evidence in child's file.This is a repeat contravention from routinue inspection # SMIA-CB7VEF dated 28 January 2022.
Corrective Action(s): Please ensure that all care plans are reviewed annually.
Date to be Corrected: 23 January 2023


Comments

At the inspection dated January 17,2023 there were eleven children,one staff and the licensee present. At this inspection the above noted contraventions were identified. Licensing conducted a walk-through of the entire facility. Photographs were taken during this inspection. The Manager will take action to bring the facility into compliance and provide a written response to the Licensing Officer by January 19,2023 . The Licensing Officer will review the response. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following resources were provided and discussed:
Storage of toys and equipment in a way that does not pose a risk to children in an event of an earthquake or an emergency evacuation
Importance of having a system of maintaining the overall cleanliness of the facility, de-cluttering, and conducting routine repairs and maintenance.
Care plan for children requiring additional support. HealthLinkBC bulletin on Anaphylaxis was provided.
CCFL Bulletin- Checklist was provided
Food and drinks for staff personal consumption must be inaccessible to children.

The inspection report was written off-site and details were reviewed with the Manager prior to writing the report. A copy of the follow up to routine inspection report is provided to the Licensee via email on January 18,2022. Total time includes writing report in office.
Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required

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