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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EGAU-CSKPRH

FACILITY NAME
Best Friends Children's Centre Inc
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
TDAH-9EAVJC
FACILITY ADDRESS
106 & 201 - 19141 Ford Rd
FACILITY PHONE
(604) 457-1211
CITY
Pitt Meadows
POSTAL CODE
V3Y 2P8
MANAGER
Danae Goosen

INSPECTION DATE
June 07, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.67
ARRIVAL
09:45 AM
DEPARTURE
12:25 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 care categories 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
LICENSING: 10020 - CCLR s.10(2)(a) - Licensees must not make any structural change to a community care facility unless the licensee first (a) submits plans for the change to a medical health officer.
Observation: Structural changes were made in two of the child care programs prior to submitting Licensing the floor plans. Licensing was not informed of the changes.
Corrective Action(s): Please do not make structural changes unless floor plans are submitted to Licensing and Licensing has given approval.
Date to be Corrected: June 9, 2023

STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: Staff from the school age program have not implemented the fire drill since Sept, 2022.
Corrective Action(s): Please ensure staff practice the fire drill monthly.
Date to be Corrected: Moving forward

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: One of the 30 months to school age programs was missing record of monthly fire drills for the last two months.
Corrective Action(s): Please ensure fire drill's are recorded monthly.
Date to be Corrected: Moving forward

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: There was no screen time policy.
Corrective Action(s): Please develop a screen time policy and share with families.
Date to be Corrected: June 13, 2023

MEDICATION: 16080 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: There was no medication for a child who required it as per their medical care plan.
Corrective Action(s): Please ensure medications are available for children who require it to address a medical condition.
Date to be Corrected: June 13, 2023


Comments

At this inspection, the above noted contraventions were identified. Licensing provided a date for addressing the contraventions and is requesting a written response by June 19th advising on compliance.

As part of this Routine Inspection, a Facility Risk Assessment Tool was completed.

The following was discussed:

Storage for emergency water
Diapering for toddler program

The following resources were provided:

Reportable Incident Forms X2
Child Care Links- Your Checklist X6
Bulletin- Water Safety
Bulletin- Summer Heat- Keeping children safe while in your care

The information contained in the report was discussed with the Manager and the report and risk assessment were written on-site. Licensing advised that copies of the report and risk assessment would be emailed to the facility.

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

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