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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
DCHG-AV2TJQ

FACILITY NAME
Gilpin Neighbourhood Care
SERVICE TYPES
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
NGIL-9BETH3
FACILITY ADDRESS
5433 Ivar Pl
FACILITY PHONE
(604) 298-5355
CITY
Burnaby
POSTAL CODE
V5G 2C6
MANAGER
Nazanin Ashjai Asalami/Wan Yun Chang

INSPECTION DATE
January 10, 2018
ADDITIONAL INSP. DATE (multi-day)
January 11, 2018
ADDITIONAL INSP. DATE (multi-day)
January 15, 2018
TIME SPENT (HRS.)
4.5
ARRIVAL
02:45 PM
DEPARTURE
04:25 PM
ARRIVAL
09:40 AM
DEPARTURE
10:40 AM
ARRIVAL
02:30 PM
DEPARTURE
03:30 PM
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)

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
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: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation: A round table in Primary classroom was noted wobbly and not sturdy.

Corrective Action(s): Please ensure that all furniture are in good repair and sturdy
Date to be Corrected: March 31, 2018

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: Fire drill and emergency records were reviewed. There was no records about emergency drill (earthquake) was conducted. The OOS manager stated that they practiced every 3 months but did not record them.

Corrective Action(s): Please records all drills after practiced
Date to be Corrected: March 31, 2018

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: attendance sheets where reviewed. A system is in place to record children's daily attendance. However, I noted that there were times that OOS children were not sign out at the end of the day.

Corrective Action(s): Please ensure that the facility record the time of departure of all children.

Date to be Corrected: Jan 31, 2018

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: A child's file was reviewed on Jan 10, 2018. The last care plan on file was dated in year 2014 April. The last update of a support plan was date March 30 2016. This concern was discussed with the OOS manager as it appeared that the care plan was not up to date. The manager stated that there was no much changes and the staffs have reviewed the plan during meetings. The OOS manager found the most recent care plan dated July 2016 after this visit.
However, it appeared that this most recent care plan was written more than one year and here was no records of this care plan has been reviewed with the parent and the team.

Corrective Action(s): The manager stated that they will arrange meeting and review the plan with the team and parent.
Please ensure that the care plan is reviewed at least once a year and keep a record of those review dates and outcomes.

Date to be Corrected: Feb 15, 2018


Comments

On Jan 10, 2018, I observed the OOS program and met the OOS manager. Please see the above contraventions.

On Jan 11, 2018, I observed the preschool program and met the preschool manager. Their fire and emergency drills were reviewed. The manager stated that they alternated the drills with different groups. Since the preschool program has two groups and children are coming on different days, I asked the manager to ensure both groups conduct the fire drills monthly. The manager agreed.

This report was delivered and discussed with the OOS manager.

Please provide me a written response on how the above contraventions will be addressed by Jan 31, 2018

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
Jan 31, 2018

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