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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BYJS8Q

FACILITY NAME
Seeds Family Day Care
SERVICE TYPES
304 Family Child Care
FACILITY LICENSE #
3283124
FACILITY ADDRESS
4378 Sardis St
FACILITY PHONE
(604) 435-0846
CITY
Burnaby
POSTAL CODE
V5H 1K7
MANAGER
Shu-Mei Shih

INSPECTION DATE
February 24, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
10:30 AM
DEPARTURE
01:00 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 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: 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: Licensing observed paint chips and visible dirt on a section of the walls.
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: March 24, 2021

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: Licensing observed disinfectant spray on the counter in the washroom. This was within easy reach of the children. This could cause a potential blinding hazard.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: February 25, 2021

STAFFING: 12160 - CCLR s.20(1) - The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.
Observation: Licensing reviewed the facility records. Four criminal record checks for persons over 12 years old who are ordinarily present, have expired.
Corrective Action(s): Please ensure criminal record checks are current. Please ensure you apply for criminal record checks prior to the expiry date.
Date to be Corrected: March 19, 2021

STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: The record of fire drills was reviewed. A fire drill was not practiced for the month of January and this was not recorded.
Corrective Action(s): Please ensure fire drills are completed on a monthly basis.
Date to be Corrected: March 19, 2021

POLICIES AND PROCEDURES: 13040 - CCLR s.56(1)(a) - A licensee must keep current records of each of the following: (a) written policies and procedures for the safe release of children.
Observation: The policies and procedures were reviewed during the inspection. A screen use policy was not observed.
Corrective Action(s): Please ensure a screen use policy is availble for review.
Date to be Corrected: March 19, 2021

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: Four children's records of seven were reviewed. One child was missing a record of immunization status..
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 19, 2021

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: During the inspection the licensing officer asked the Licensee for the attendance records. An attendance record for January was observed. The attendance record has not been completed for the month of February. The serious risk to the health and safety of the children in care was discussed.
Corrective Action(s): Please ensure attendance records are completed on a daily basis.
Date to be Corrected: February 25, 2021

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Four children's records of seven were reviewed. One child was missing a telephone number and name of a medical practitioner. This is a repeat contravention from inspection # CLAN-B87URJ and inspection # CLAN-BH6NA5
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 19, 2021

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: Four children's records of seven were reviewed. One child was missing a photo. This is a repeat contravention.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 19, 2021


Comments

At the inspection dated February 24, 2021 there were 4 children, the Licensee and a family member was present. At this inspection the above noted contraventions were identified. Please ensure a written response is submitted to licensing by March 19, 2021 stating how you have addressed the above noted contraventions. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Licensee

The following was reviewed and discussed with the Licensee:

-The reportable incident reporting procedure
-Adding more items to the first aid kit and ensuring there is a full first aid kit and all of the emergency cards any time you are offsite.
-The current COVID-19 protocols that are in place

The inspection findings were reviewed with the Manager at the inspection. Due to the COVID-19 pandemic the inspection report and the risk assessment were completed at the Burnaby FHA office. The report was written in 1 hour and this is included in the report. A copy of these documents were sent to the Licensee.

If you have any questions regarding this report please 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
Mar 19, 2021

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