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

FACILITY NAME
Sakura Childcare the First
SERVICE TYPES
310 Multi-Age Child Care
FACILITY LICENSE #
NGIL-ACGSRG
FACILITY ADDRESS
4237 Price Cres
FACILITY PHONE
(604) 657-7310
CITY
Burnaby
POSTAL CODE
V5G 2M9
MANAGER
Asami Yagita

INSPECTION DATE
June 08, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
09:35 AM
DEPARTURE
11:05 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
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 Licensing observed the following:
-construction paper on a high shelf and a keyboard on a high shelf. This is a repeat contravention from inspection # CLAN-C3YQJB, #CLAN-CF5TKW
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to the children in care.
Date to be Corrected: June 12, 2023

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11050 - CCLR s.14(1) - A licensee, other than a licensee who provides a care program described as Family Child Care or Child-minding, must have for each child at least 3.7 m2 of usable floor area in the community care facility, excluding (a) hallways, (b) built in storage areas, (c) bathrooms, and (d) fixed appliances, or, if not fixed, large appliances that are not normally moved from one area to another.
Observation: During the inspection Licensing observed an area that was blocked off in the play area. In discussion with the staff and Manager the area is being used for storage and disinfection. The children are not using this area. In reviewing the facility floor plan this area is not blocked off and designated for storage or disinfection. This area is part of the usable play space calculation.
Corrective Action(s): Please ensure all areas the facility is Licensed for are being used by the children in care. Please submit a written plan stating your intention for the use of the current blocked off space to ensure there is sufficient space for 8 children in care.
Date to be Corrected: June 22, 2023

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 a large bottle of concentrated bleach on the shelf. The bleach bottle did not have a safety cap and was within easy reach of the children. This was corrected during the inspection.
Corrective Action(s): Please ensure children do not have access to any objects or substances that may be hazardous to their health and safety.
Date to be Corrected: June 8, 2023

STAFFING: 12152 - CCLR s.19(5)(b) - Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (b) character references in respect of the person.
Observation: A minimum of two character references were not obtained for a volunteer. This is a repeat contravention from inspection #CLAN-BMTP95
Corrective Action(s): Please ensure volunteer records are complete.
Date to be Corrected: June 9, 2023

STAFFING: 12153 - CCLR s.19(5)(c) - Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Immunization status was not obtained for a volunteer.
Corrective Action(s): Please ensure volunteer records are complete.
Date to be Corrected: June 9, 2023

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Licensing observed that the fire extinguisher had not been serviced annually. The fire extinguisher had an expiry day of April 12, 2023. The fire extinguisher was within the area of being fully charged.
Corrective Action(s): Please ensure the fire extinguisher is serviced annually and a tag is attached to ensure you are prepared in case of an emergency.
Date to be Corrected: June 22, 2023

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: During the inspection Licensing observed that the record of fire drills had been recorded but on several pages the month or year were not listed.
Corrective Action(s): Please ensure to write the entire month and year when fire drills are practiced.
Date to be Corrected: June 22, 203

RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: Licensing observed four children's records. Two children were missing their date of enrollment. This is a repeat contravention from inspection #CLAN-C3YQJ8
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: June 22, 2023

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: Two care plan was not reviewed annually with the parent or any person requested to by the parent. No date was written on the care plan to document this
Corrective Action(s): Please ensure to write the date on the children's care plans and ensure they are signed by parents or guardians.
Date to be Corrected: June 9, 2023


Comments

At the inspection dated June 8, 2023 there were 7 children, 2 staff and the Manager arrived during the inspection. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by June 22, 2023 unless otherwise specified in the report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following was discussed during the inspection:
-The reportable incident reporting procedure.
-The current cleaning protocols that are in place
- Items with a Drug identification number (DIN) were observed in the first aid kit. Written permission to apply these items must be received from a parent or guardian prior to application.
-The maintenance plan for fixing tables and marks in the wall was discussed
-Taking the first aid kit and emergency medication to the outdoor play area
-Updating some of the children's photos.

The inspection findings were reviewed with the Manager at the inspection. A copy of these documents were sent to the Manager. 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 complianceNo action required
Due Date
Jun 22, 2023

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