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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CGEE-BSW3CP

FACILITY NAME
St. Alban's The Martyr Day Care
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
3274013
FACILITY ADDRESS
7717 19th Ave
FACILITY PHONE
(604) 522-6228
CITY
Burnaby
POSTAL CODE
V3N 1E8
MANAGER
Pam Venketaya

INSPECTION DATE
August 27, 2020
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
02:00 PM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
7

Introduction

All areas of the community care facility were inspected for compliance during a routine inspection to assess compliance w/ the:
• Community Care & Assisted Living Act (CCALA)
• Child Care Licensing Regulation (CCLR)
• relevant Director of Licensing Standards of Practice (DLSP)

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 (CORRECTED DURING INSPECTION): A makeshift handwashing station has been set up outside for chlidren to use before snack/lunch outside:
- the water jug was filled by the garden hose
- a bucket of warm soapy water was adjacent to the jug
- a communal cloth towel was used by children
Corrective Action(s): As per the BC Centre for Disease Control & the BC Ministry of Health's "Coronavirus COVID-19 Hand Hygiene" (http://www.bccdc.ca/Health-Professionals-Site/Documents/COVID19_Handwashing%20Poster_MD%20offices.pdf):
- water/soap or alcohol-based hand sanitizer will clean hands; however, water/soap must be used for visibly soiled hands
- handwashing must occur w/ warm water
- liquid or foam soap must be used
- lathering must occur for 20-30 seconds before rinsing
- paper towel must be used to dry hands

If the above steps can't be achieved using the makeshift handwashing station:
- children must wash their hands inside the facility, or
- supervised use of alcohol-based hand sanitizer (≥ 60% alcohol) must occur
Date to be Corrected:

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: 2 employees lacked a CRC.
Corrective Action(s): W/o a valid CRC, employees can't work alone w/ children or assist w/ toiletting.
Date to be Corrected: 10/Aug/2020

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: 2 employees lacked their immunization status.
Corrective Action(s): All requirements of s. 19 must be obtained by employee's 1st day of employment.
Date to be Corrected: 03/Sep/2020

STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: 2 employees' CRCs expired in early 2020.
Corrective Action(s): W/o a valid CRC, employees can't work alone w/ children or assist w/ toiletting.
Date to be Corrected: 10/Sep/2020

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: An employee stated that the facility practiced implementing the emergency plan in Oct/2019, but there was no documented evidence of this.
Corrective Action(s): Once the facility has practiced implementing the emergency plan, they must document it.
Date to be Corrected: 30/Oct/2020


Comments

Summary of FIR #CGEE-BSW3CP (27/Aug/2020)

5 violations were observed today, in which 1 violation was corrected during inspection & corrective action for the other 4 violations includes:
• obtaining employee documentation
• documenting the practiced implementation of the emergency plan

Licensees & employees play a key role in protecting children from, & minimizing the impact of infection & illness. FHA discussed hand washing, cleaning, & physical distancing as per the BC Centre for Disease Control & the BC Ministry of Health's "COVID-19 Public Health Guidance for Child Care Settings" (http://www.bccdc.ca/Health-Info-Site/Documents/COVID_public_guidance/Guidance_Child_Care.pdf).

The inspection was reviewed w/ the licensee; however, this report & the Facility Risk Assessment Tool were written @ the Burnaby Health Protection office on 21/Aug/2020.

Please visit https://www.fraserhealth.ca/childcare for additional resources & links to the provincial legislation.

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
Sep 03, 2020

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