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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
IRAD-CL8RV5
FACILITY NAME
Peregrine House School		SERVICE TYPES
302 Group Child Care (30 months to school age)
305 Group Child Care (School Age)
301 Group Child Care (under 36 months)
FACILITY LICENSE #
DMIL-A6CT9D
FACILITY ADDRESS
20381 66th Ave		FACILITY PHONE
(604) 357-4755
CITY
Langley		POSTAL CODE
V2Y 1P3		MANAGER
Nadin Elkhalil
INSPECTION DATE
November 16, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
10:10		DEPARTURE
12:10		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 care categories were inspected for compliance.
Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
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: Review of 6 staff files found 2 were not obtained, 1 was obtained from the RCMP and 2 were shared from another organization.
Corrective Action(s): Please ensure to obtain appropriate CRC for all staff.
Date to be Corrected: November 30, 2022

STAFFING: 12151 - CCLR s.19(5)(a) - 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 (a) a criminal record check for the person.
Observation: Review of volunteer file observed a Criminal Record Check was not obtained.
Corrective Action(s): Please obtain a CRC for volunteer.
Date to be Corrected: November 30, 2022

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: Review of volunteer file observed the immunization was not not obtained.
Corrective Action(s): Please ensure to obtain immunization for volunteer.
Date to be Corrected: November 30,2022
Comments

At the inspection dated November 16, 2022 there were 17 children and 6 staff present. At this inspection the above noted contraventions were identified. The Manager will take action to bring the facility into compliance and provide a written response to the Licensing Officer. The Licensing Officer will review the response. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following education/recommendations were provided:

- Hand wash towels are to be single use.
- Appropriate information for allergies and care plans.


The following resources were provided:
- Reportable Incident Forms
- Reportable Incident Bulletin


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
Provide a written response to LicensingNo action required
Due Date
Nov 30, 2022
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Click here for a description of each "Category" of violation displayed.