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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
MPEE-CC5NTL

FACILITY NAME
Delta Christian Family Child Care
SERVICE TYPES
304 Family Child Care
FACILITY LICENSE #
PNEL-6XZU6F
FACILITY ADDRESS
11138 87th Ave
FACILITY PHONE
(604) 418-0662
CITY
Delta
POSTAL CODE
V4C 2Z5
MANAGER
Rosaliza David

INSPECTION DATE
March 01, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
10:10 AM
DEPARTURE
11:15 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) and 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: 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: Licensing observed the following in the inside play area:
- The Licensee is using a cloth change pad cover. The licensee cannot disinfect the surface between each child's diaper change. In discussion with the licensee it was suggested to have 1 cloth change pad cover for each child or just use the plastic change pad surface.

Licensing observed the following in the outdoor play area:
- 2 carpets rolled up and propped up against a tree
- 5' shelf unsecured. There are several light objects on it however the shelf is not sturdy and could fall down easily with light wind
- Large dresser mirror with rust propped against the shed
- Large clear garbage bag left on children's table
- Rusted metal shovel propped up against a tree
- 2x4 wooden plank propped up against the fence behind a tree
Corrective Action(s): Ensure a healthy and safe environment.
Date to be Corrected: March 8, 2022

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation: Licensing observed the following in the indoor play area:
- Paint chipped on the wall in the main play area
- Paint chipped on the wall in the hallway
- A clear plastic bag used to insulate the bathroom window

Licensing observed the following in the outdoor play area:
- The chain links for 2 of the swings are rusted
- There is a rusted tricyle
- Toy baby bath stand stored under the stairs is showing signs of wear and tear
- 3 adult chairs with paint chipped and several areas of rust
Corrective Action(s): Ensure all equipment, furniture and supplies are clean and in good repair.
Date to be Corrected: March 8, 2022

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 Downy fabric softener used as a door stopper.
Corrective Action(s): Ensure children do not have access to any object or substance that may be hazardous.
Date to be Corrected: March 8, 2022

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: A criminal record check for a person over the age of 12 who is ordinarily present has expired. The licensee provided proof of payment that a CRC application has been submitted.
Corrective Action(s): Ensure individuals over the age of 12 who are ordinarily present have obtained a valid CRC.
Date to be Corrected: March 8, 2022

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: A random selection of children's files were reviewed. Out of the 5 reviewed:
- 4 files did not contain the sex of the child.
- 1 file did not contain the child's immunization status
Corrective Action(s): Ensure a record showing the sex and immunization status is on file.
Date to be Corrected: March 8, 2022

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: A random selection of children's files were reviewed. Out of the 5 reviewed, 1 did not contain the date of enrolment.
Corrective Action(s): Ensure a record showing the date of enrolment is on file.
Date to be Corrected: March 8, 2022

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: A random selection of chidren's files were reviewed. Out of the 5 reviewed, 2 did not contain information for a medical practioner.
Corrective Action(s): Ensure a record showing the name and telephone number of a medical practioner is on file.
Date to be Corrected: March 8, 2022


Comments

Summary of Inspection:
At the inspection dated March 1, 2022 there were 3 children in care with the Licensee.
At this inspection the above noted contraventions were identified.
Action required by the licensee includes providing a written response by March 8, 2022 .
Actions required by Licensing include reviewing the written response.

The following education was provided:
Covid-19 vaccine status for staff
There was no documentation in the log book since September 2021. Licensing discussed the use of the log book and to ensure when documenting to include the 5 W's, (Who, what, where, when, why and sometimes how)

The following resources were mailed to the facility:
Fraser Health emergency consent cards
Fraser Health Registration forms

This report was written off site and a copy of both the report and Risk Assessment was emailed to the facility. This report is unsigned due to health and safety practices during COVID-19.
Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

Please contact me if you have any questions or concerns.

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 08, 2022

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