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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SMOY-BLYQQF

FACILITY NAME
ABC Academy - Children's Learning Center (After School Club & Preschool)
SERVICE TYPES
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
MLAO-BD9UTA
FACILITY ADDRESS
201 - 615 Eighth St
FACILITY PHONE
(604) 805-2402
CITY
New Westminster
POSTAL CODE
V3M 3S2
MANAGER
Afi Solange Segbeaya

INSPECTION DATE
February 20, 2020
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.5
ARRIVAL
10:15 AM
DEPARTURE
12:45 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
8

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act, Child Care Licensing Regulationand the applicable Director of Licensing Standards of Practice. All areas were inspected for compliance except for the facility's policies and procedures as there have not been any changes since the facility was licensed on September 1, 2020.

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: 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 (CORRECTED DURING INSPECTION): Licensing observed cleaning products being stored in the lower cabinet in the three washrooms. There are staff personal belongings stored in a open cabinet. These belongings were not inspected but there is the potential they contain items that needed to be made inaccessible to the chidlren such as medication.

Corrective Action(s): These items must be made inaccessible to children to prevent possible harm or injury.

Date to be Corrected: 20 February 2020

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: Licensing reviewed 5 staff files and noted one file was missing a criminal record clearance letter.

Corrective Action(s): The Manager indicated that the individual has applied however they have not received any reply. Any individual, over the age of 12 years, who is regularly on the premise must have a criminal record clearance prior to being in the program.

Date to be Corrected: 20 February 2020

STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: Licensing reviewed 5 staff files and noted one file was missing a resume.

Corrective Action(s): Ensure all files have a resume prior to the individual caring for children.

Date to be Corrected: 28 February 2020

STAFFING: 12110 - CCLR s.19(2)(b) - A licensee must not employ a person in a community care facility unless the licensee is satisfied, based on the information available to the licensee under subsection (1) and the licensee's or, in the case of an employee who is not the manager, the manager's own observations on meeting the person, that the person (b) has the personality, ability and temperament necessary to manage or work with children.
Observation: Upon review of 5 staff files Licensing noted one file does not have any evidence that the individual's references were verified.

Corrective Action(s): The Licensee has a system in place to demonstrate they have verified staff's references however it was missing in one file. Ensure references are verified for all staff.

Date to be Corrected: 28 February 2020

STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Upon review of 5 staff files and in discussion with the Manager there is one file that has a criminal record clearance letter that is addressed to another agency and/or employer.

Corrective Action(s): The Manager has applied to have the letter shared with their facility and is waiting for the results.

Date to be Corrected: 21 February 2020

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: Licensing reviewed 10 files and saw 5 files were missing the child's care card number.

Corrective Action(s): In discussion with the Manager these families have applied for a care card. The Manager will indicate in children's files this information and once the child has been issued a care card the child's file will be updated.


Date to be Corrected: 31 March 2020

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: 5 of 10 children's files were missing the name and number of a doctor.

Corrective Action(s): In discussion with the Manager the families do not have a family doctor. The Manager will indicate this on the children's files or ask the family to include the name of a medical clinic that they use. This information will be updated as needed.

Date to be Corrected: 31 March 2020

RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: One of the ten children's files (registration form and emergency consent card were reviewed) is missing authorization for the facility to call medical assistance in case of an emergency.

Corrective Action(s): Ensure all files have the above noted consent.

Date to be Corrected: 28 February 2020


Comments

At the inspection dated February 20, 2020, there were 4 staff and 8 children present. At this inspection the above noted contraventions were identified and any action required by the Licensee is included. As part of this routine inspection a Facility Risk Assessment Tool is completed and a copy is provided.

This report was reviewed with the Manager prior to signing.

Visit the Fraser Health community care facilities licensing web site at www.fraserhealth.ca/childcare for resources and web links to the legislation.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required

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