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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NSAO-CVGRVK

FACILITY NAME
Merseyside Montessori School
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
2582103
FACILITY ADDRESS
401 Ewen Ave
FACILITY PHONE
(604) 517-1117
CITY
New Westminster
POSTAL CODE
V3M 5B5
MANAGER
Jeremy Meausette

INSPECTION DATE
September 08, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.33
ARRIVAL
11:40 AM
DEPARTURE
02:00 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 (DoLSoP). 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
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation (CORRECTED DURING INSPECTION): Licensing observed the 2 emergency exit doors blocked by equipment (tables, chairs, shevling, bedding mat and laundry baskets). As per the Manager, thet ables and chairs are moved to that corner during yoga time. Upon notifying the Manager, all the equipment was removed and no longer block the exits.
Corrective Action(s): Please ensure equipment is stored in a way as to not block exits.
Date to be Corrected: Corrected During Inspection.

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 the following:
-Outdoors: pile of equipment to be repaired that has been blocked off by 2 barriers. As per the Manager and staff, the program has made it aware to children not to enter the area. Licensing and Manager discussed either storing the items elsewhere that is not accessible to children or discarding the equipment.

-Third washroom: cleaning supplies that are accessible. As per the Manager, this washroom is only for staff. Licensing discussed that with the capacity of 25, this third washroom is designated for children use as well. This is a repeat contravention. Upon notifying the Manager, the cleaning supplies were stored elsewhere. Corrected During Inspection.
Corrective Action(s): Please ensure that children do not have access to any hazardous items.
Date to be Corrected: Friday, September 22, 2023

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: Upon reviewing 4 staff files, 1 staff has an expired criminal record check on file.
Corrective Action(s): Please ensure staff have a valid criminal record check.
Date to be Corrected: Monday, September 11, 2023

STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Upon reviewing 4 staff files, 1 staff file contains an expired validation.
Corrective Action(s): Please ensure staff files are complete with current documentation.
Date to be Corrected: Friday, September 22, 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 emergency supplies and food are stored in multiple different areas. Licensing explained that emergency supplies and food must all be stored in one large container that is transportable. During an emergency, these supplies will need to be readily available and transportable.
Corrective Action(s): Please store emergency supplies and food together and in a way that is transportable.
Date to be Corrected: Friday, September 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: A fire drill was not recorded for August 2023. As per staff, a drill was conducted, but not recorded.
Corrective Action(s): Please ensure fire drills are conducted and recorded on a monthly basis.
Date to be Corrected: Friday, September 22, 2023

RECORDS AND REPORTING: 19060 - CCLR s.57(1)(a)(b)(c) - A licensee must keep current records for each child showing (a) the information set out in subsection (2), (b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and (c) the consents referred to in subsection (3).
Observation: After discussion with the Manager, 1 child in attendance does not have a registration file. An emergency consent card for the child was also not available. Licensing explained that registration forms must be on-site before children attend the facility.
Corrective Action(s): Please ensure each child has a registration file on-site.
Date to be Corrected: Monday, September 11, 2023

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: Upon reviewing 5 children's files, 1 child is missing a specific enrollment date. On file, only the month and year are indicated.
Corrective Action(s): Please ensure children's files are complete with the required information.
Date to be Corrected: Friday, September 22, 2023


Comments

At today’s inspection, there were 11 children, 1 practicum student, and 3 staff. The Manager came part way through the inspection.

At this inspection, the above noted contraventions were identified and the Licensee is required to submit a compliance plan by the date below.

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy was provided to the facility along with this report.
The Risk Assessment includes any non-compliance identified during the routine inspection and a 3 year ‘historical’ review of the facility’s compliance and operation and is used to determine inspection frequency.

The following was discussed:
-Daily outdoor safety checks
-Use of logbook
-Field Trips and Outings, including safety measures to be considered and obtaining parental consent
-System for replenishing First Aid kit
-Polysporin, antiseptic cream, and alcohol wipes not to be used on children
-Laundering of nap time items
-Storage of cleaning supplies
- Licensing Duty line: #604 587 3936 for emergencies if area Licensing Officer can’t be contacted.
- Regular review of BCCDC website for COVID-19 updates (see link below)


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

Further websites:
Criminal Records Checks at:
www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
Appetite to Play at: https://www.appetitetoplay.com
Healthlink BC at: https://www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19

The contents of this inspection report were reviewed with the staff. A copy of the report was provided by email and mail.
If you have any questions, please contact your Licensing Officer.

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
Sep 22, 2023

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