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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BMUPQ4

FACILITY NAME
Kingsway Christian Children's Centre - Clubhouse
SERVICE TYPES
305 Group Child Care (School Age)
303 Preschool (30 months to school age)
FACILITY LICENSE #
3201817
FACILITY ADDRESS
4045 Kingsway
FACILITY PHONE
(604) 437-3393
CITY
Burnaby
POSTAL CODE
V5H 1Y9
MANAGER
Marie Sanders

INSPECTION DATE
March 12, 2020
ADDITIONAL INSP. DATE (multi-day)
March 19, 2020
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.25
ARRIVAL
10:30 AM
DEPARTURE
11:30 AM
ARRIVAL
02:00 PM
DEPARTURE
03:15 PM
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
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 the inspection several electrical outlet covers were missing.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: March 20, 2020

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: The following was observed inside the facility:
-tiles were coming off of the wall
-there were cracks and gaps in the floor tile
-a door knob was broken
-tables were showing signs of wear
-an outlet was taped

Corrective Action(s): Please ensure the facility is in good repair
Date to be Corrected: April 16, 2020

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: During the inspection a portion of the climber was blocked off with yellow caution tape. One of the boards was missing from the climbing structure.
Corrective Action(s): Please ensure the climber is repaired. Until this time please provide active supervision around the climbing structure to ensure the children's health and safety.
Date to be Corrected: April 16, 2020

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: During the inspection the following was observed inside the facility:
-a door handle leading to a storage room was broken. Within the storage room there were art materials that contained aerosal cans with various chemicals. These were at the children's level and were accessible as the door was open. Recommendations were made to ensure these chemicals are out of reach of the children. Please correct by March 20, 2020

The following was observed outside the facility:

-Rust was located on the bolts attaching the climber and the fencing. The could cause a potential health hazard. Please correct by
April 16, 2020

Corrective Action(s): Please ensure children do not have access to any objects or substances that are harmful to their health and safety
Date to be Corrected: March 20, 2020

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: One of the staff records did not have a site specific Criminal record check (CRC). In discussion with the Manager she stated she has applied for the CRC but is still awaiting the result.
Corrective Action(s): Please ensure site specific CRC's are in place prior to an employee commencing work at the facility.
Date to be Corrected: April 2, 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: In discussion with the preschool staff they stated that an annual emergency evacuation drill has been completed for the year. No documentation on the date of completion was observed. This is a repeat contravention from inspection #DCHG-AHZUNR
Corrective Action(s): Please ensure to record the date when the annual emergency drill was completed.
Date to be Corrected: April 2, 2020

RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Fifteen children'srecords were reviewed. Two children's records were missing their gender (sex).
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 2, 2020

RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: Sixteen of the children's records were reviewed. Two children's records were missing photos.
Corrective Action(s): Please ensure children's records are complete
Date to be Corrected: April 2, 2020

RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: One of the children's records noted that a child required medication in an emergency. A care plan was not observed in the child's file.
Corrective Action(s): Please ensure a care plan is created to ensure the health and safety of a child who requires medication in an emergency.
Date to be Corrected: March 26, 2020


Comments

At the inspection dated March 12, 2020 there were 3 children, 2 staff and the Manager was present. At this inspection the above noted contraventions were identified. Please send a written response to licensing by April 2, 2020 identifying how the above noted contraventions have been corrected. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following education/recommendations were provided:
· Any items having a drug identification number (DIN) require written permission prior to application.
· Lead in the water
· Promoting Active Play in the program
· Temporary Placements
· Active Supervision
The following resources were provided:
· Reportable Incident Bulletin


This report was completed on March 12, 2020 and was reviewed with the Manager prior to signing on March 19, 2020

The preschool program was observed playing in another care programs playground. Please ensure the preschool program engages in active play within the program they are licensed for.

Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

If you have any questions regarding this report feel free to contact me.

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
Apr 02, 2020

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