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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CU5TQ9

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
July 27, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
08:30 AM
DEPARTURE
09:30 AM
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
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: Licensing observed that the facility has installed two large cabinets and counters and the children no longer have access to this useable play space. Licensing was not informed of this structural change prior to implementing and this may impact the usable floor space used to determine the licensed capacity for the children in care.
Corrective Action(s): Please ensure to contact Licensing prior to making any structural change to the facility. A new floor plan is required to be submitted and a follow up inspection will be completed at a later date.
Date to be Corrected: August 31, 2023

LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: One staff has her ECEA certificate. The ECEA certificate was not posted in a prominent place in the facility
Corrective Action(s): Please ensure staff certificates are posted in a prominent place.
Date to be Corrected: August 10, 2023

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: The following was observed during the inspection:
-Two shelves over 4 feet were not anchored
-An air conditioner was not anchored
-A staff bag was accessible. This may present a potential hazard. Please correct this by July 28, 2023
-The landscape fabric under the swings in the outdoor play area was showing. This is a repeat contravention from inspection #CLAN-CFMMRC
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to the children in care
Date to be Corrected: August 31, 2023

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: Licensing reviewed the staff qualifications checklist. A employee that is left alone with the children is listed as a student. It is unclear if the student possesses the sufficient 20 hours required to qualify as a responsible adult. No documentation was provided.This is a repeat contravention from inspection # CLAN-CFMMRC
Corrective Action(s): Please ensure to update the staff qualifications list to verify staff are trained and meet the criteria to qualify as a responsible adult.
Date to be Corrected: July 28, 2023

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: Licensing reviewed the policies and procedures. Policies for behavioural guidance, screen use and active play were not observed.
Corrective Action(s): Please ensure to have a complete list of policies on site to comply with the legislative requirements.
Date to be Corrected: July 28, 2023

MEDICATION: 16010 - CCLR s.53(1)(a) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.
Observation: Licensing observed the following:
-A child requires medication due to an allergy. The medication authorization form listed the wrong form of medication.
-Items with a drug identification number (DIN) were observed in the first aid kit. Medical authorization forms to apply these products was not provided by the parents
Corrective Action(s): Please ensure that medical authorization is provided by parents and that the information is accurate and up to date.
Date to be Corrected: July 28, 2023


Comments

At the inspection dated July 27, 2023 there were 7 children, and the Manager was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by August 10, 2023 unless otherwise specified in this report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was provided to the Manager.

The following was discussed with the Manager:
· Reportable Incidents
· Lead in the Water

This report was reviewed with the Manager by phone call after the inspection. A copy of these documents were sent to the Manager. If you have any questions regarding this report please contact me.

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
Take corrective action to bring facility into complianceNo action required
Due Date
Aug 10, 2023

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