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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
TBOS-CLESTV

FACILITY NAME
CEFA Early Learning Abbotsford – Highstreet
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
KWAM-BFVVEW
FACILITY ADDRESS
B235 - 3122 Mt Lehman Road
FACILITY PHONE
(604) 425-3800
CITY
Abbotsford
POSTAL CODE
V2T 0C5
MANAGER
Tanzeem Masroor Siddiqui

INSPECTION DATE
November 22, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.25
ARRIVAL
11:15 AM
DEPARTURE
02:45 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
63

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 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 (CORRECTED DURING INSPECTION): During the inspection licensing observed;
-One classroom had a drying rack stored on the window sill next to a toilet. This was not secured and could easily fall onto a child, and storage of a plunger stored accessible to children. These were corrected during inspection.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Date to be Corrected: Corrected during inspection

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: During the inspection licensing observed:
-In two classrooms there were unlabelled bottles of cleaner. One cleaning bottle, which was identified for sanitizing the diaper change table was empty.
-In two group child care (30 months to SAC) classrooms there was no sturdy change surface available near a basin for washing hands. Both classrooms had children who require diaper changes.
-One classroom had two areas on the wall with visible damage accessible to children in care.
-The outdoor play area had no shade or shelter available at the time of the inspection. The manager said they did have sails up for the summer, however they had been removed for the winter.
Corrective Action(s): Please ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Date to be Corrected: December 1, 2022

MEDICATION: 16010 - CCLR s.53(1)(a) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.
Observation: Medication for one child was expired. In addition, no medication administration form for the medication was contained in the care plan.
Corrective Action(s): Please ensure that the medication is not expired, and the medication is administered to the child in the amount and at the times specified by the child's parent, or in the child's record or care plan.
Date to be Corrected: November 23, 2022


Comments

Summary of Inspection:
During today’s inspection, there were 63 children, 16 staff, 2 students and the facility manger present.
At this inspection the above contraventions were identified. Written response is required.
The following was discussed:

BCCDC guidance for disease prevention was discussed.
The wood logs in the outdoor area maintenance was discussed.
Discussion regarding practicing the emergency plan at least once per year.

Resources given today:

Bulletin: Reportable Incidents
Lead in the water information sheet
DOLSOP: Safe Play Spaces

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

Further websites:
BCCDC for Communicable disease information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19



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
Dec 01, 2022

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