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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SCHE-AC4L2B
FACILITY NAME
Roots & Wings Montessori Heritage House		SERVICE TYPES
302 Group Child Care (30 months to school age)
303 Preschool (30 months to school age)
310 Multi-Age Child Care
FACILITY LICENSE #
NNAL-8KLMH5
FACILITY ADDRESS
15250 54A Ave		FACILITY PHONE
(604) 574-5399
CITY
Surrey		POSTAL CODE
V3S 8R7		MANAGER
Veronique Bodart
INSPECTION DATE
July 20, 2016		ADDITIONAL INSP. DATE (multi-day)
July 22, 2016		ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.75
ARRIVAL
02:00 PM		DEPARTURE
04:45 PM		ARRIVAL
09:15 AM		DEPARTURE
09:45 AM		ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DLSOP).
Please visit the website www.fraserhealth.ca for links to the legislation and other resources.
The following 10 areas were reviewed based on a checklist: Licensing, Physical Facility, Staffing, Policies & Procedures, Care & Supervision, Hygiene & Communicable Disease Control, Medication, Nutrition & Food Services, Program and Records & Reporting.
Evidence for this report is based on the Licensing Officer’s observations, review of facility records and information provided by the licensee/manager during this inspection.
As part of this routine inspection, a Facility Risk Assessment Tool was also completed. This tool is used to determine frequency of future inspections by assessing any non-compliance identified during the routine inspection and reviewing the past 3 year operating history of the facility. A copy of the form was provided with this inspection report.
At the time of this inspection all areas checked were found to be in compliance with the regulatory requirements except for the following:
Contraventions
Previous Inspection - Contraventions observed on FIR #SCHE - 9XKQHN have been corrected.
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: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: Indoor play materials are in good repair and easily accessible to children. There are a few items outdoors that needs attention. Two large wooden picnic tables are splintering with weather and peeling paint. Sections of black "garden cloth" are exposed throughout the yard and starting to create tripping hazards.
Corrective Action(s): Please ensure the outdoor area is maintained in good repair. Also discussed options to ensure the sidewalk around the building is not accessible while children are playing outdoors.
Date to be Corrected: Please submit the plan and timeline to correct these items by July 29/16.

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: A spray can with air freshener was accessible to children in the a low cupboard under the middle sink in the children's bathroom.
Corrective Action(s): Please ensure this item is not stored accessible to children.
Date to be Corrected: July 22/16

POLICIES AND PROCEDURES: 13050 - CCLR s.56(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: There is a record indicating that monthly fire drills have been practiced, however there is no record of practicing and recording the required emergency plan. Staff present during the routine inspection were not able to identify the secondary evacuation location should it be necessary to leave the building and property
Corrective Action(s): Please ensure the full emergency plan is reviewed with all staff and that the plan is practiced and documented as required.
Date to be Corrected: Please the required emergency plan is practiced at least once per year. The plan should be practiced before the end of 2016.

HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Individual towels are hung on labelled hooks in the bathroom on the lower level. Staff indicated that the towels are used throughout the day and laundered at the end of the week. A system of single use towels are used in the upstairs bathroom.
Corrective Action(s): Please ensure that single use towels are used in all children's washrooms
Date to be Corrected: July 25/16
Comments

Routine was conducted on July 20/16 and report reviewed with facility manager on July 22/16. Reviewed the changes in staff and programs since the last routine inspection (June 16/15). Attendance records indicate that the Multi Age program service type was not in operation since Sept/15. Status of this service type to be reviewed this fall.

Provided some resources related to "Live 5210" initiative regarding children's physical activity and nutrition.

Inspection report reviewed and discussed with facility manager. Also provided Risk Assessment Form with this report.

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
Aug 10, 2016
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