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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
DCHG-AGFQY7

FACILITY NAME
Educare Children's Centre
SERVICE TYPES
310 Multi-Age Child Care
FACILITY LICENSE #
ACAK-8RSS5S
FACILITY ADDRESS
5715 Royal Oak Ave
FACILITY PHONE
(604) 808-7623
CITY
Burnaby
POSTAL CODE
V5H 3M5
MANAGER
Chi Hua (Kay) Chen

INSPECTION DATE
December 08, 2016
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5.5
ARRIVAL
09:15 AM
DEPARTURE
04:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
7

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 (DOLSP). Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
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: The covered play area (garage) was inspected. A tall shelve was not secured to the wall and was wobbly. It is a potential that this shelve may fall.
Corrective Action(s): Please secure all tall shelves to ensure the environment is safe.
Date to be Corrected: Dec 12 , 2016

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: Writer observed that the washroom floor was dusty, window sill was covered with debris and stains. It appeared that the area has not been cleaned on a regular basis.
Corrective Action(s): Please ensure that facility is maintained in a good repair and is clean.

Date to be Corrected: Dec 16. 2016

STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Manager's file was reviewed and discussed. Their immunization status was missing from file.
Corrective Action(s): Please ensure that the facility has obtained all staff's immunization status prior to commence to work.
Date to be Corrected: Dec 16, 2016

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Emergency supplies were reviewed and discussed. It appeared that only two children's emergency supply kit were provided by the parents. Some items i.e. a flash light, two diapers, several packs of bars and a few clothes were in the facility emergency supply kit. It appeared that they were not sufficient for children and staff during an emergency situation.

Corrective Action(s): Please ensure that the facility provides sufficient food and water and other necessary items. So that the staff can still provide care to children during an emergency. If the facility has a plan to store the supplies upstairs, please make sure the staff have access to them and the items are designated for day care use.

Date to be Corrected: Dec 16, 2016

HYGIENE AND COMMUNICABLE DISEASE: 15050 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: The manager stated that children dry their hands using a same towel.

Corrective Action(s): Please use single disposable towels or individual towels to dry hands. Towel should not be shared among children to prevent the spread of communicable diseases and to promote personal hygiene.

Date to be Corrected: Dec 9, 2016

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: 7 children's files were reviewed. It appeared that they are organized and complete except that two children's start dates were missing from files.

Corrective Action(s): The licensee provided and recorded one child's start date on their registration form. Please record the other child's start date.

Date to be Corrected: Dec 16, 2016.

RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Attendance sheet was reviewed with the licensee and manager. Some dates were left blank on the sheet for absentees. It appeared that there was some inconsistency in terms of how to record absentees.

Corrective Action(s): Please come up with a consistence plan on how to maintain the accuracy of attendance.

Date to be Corrected: Dec 16, 2016


Comments

This inspection was conducted in the presence of the licensee and the manager.

LIVE 5210 starter kit, Regulation amendment and the Active Play standard of practice was discussed.

Writer will send an email about our website and links to the Active Play standard of practice and a copy of immunization information sample form.

The manager explained that a child was new to the country and did not provide their medical number and the name of medical practitioner. Writer advised that private medical insurance number and walk in clinic information are acceptable. The manager agreed to follow up with the family.

Please be reminded that the facility must record the date that a child is no longer attending the day care.

A staff's file was reviewed. It appeared that this staff's criminal record check was done for another child care facility. Writer explained to the Licensee that the facility must apply for a criminal record check again once this staff has been hired. so that the facility can own the check. Licensee agreed to follow up.

Other staff's files (i.e. on call) were not available to writer. The licensee stated that the facility did not keep their files on site and the on call staffs would carry their files with them when they came to work. Their files should kept in the facility and should be available upon request.
Their files must include the following:
1. resume 2. first aid certificate (if left alone with children) 3. certificate/diploma 4. Criminal record check 5. two character references 6. immunization status


The licensee stated that they have a plan to remove a old TV in the garage.

The outdoor back yard was not inspected due to the accumulation of snow and slippery condition. Children were playing in the garage at this time.

There are two bedrooms in the facility (ground floor) were locked and not accessible for children. The licensee explained that one bedroom is used by the licensee and one bedroom is used by their family member or friends. One other room (adjacent to the garage) has become a children nap room. It appeared that the floor plan has been changed. Writer will check the facility file to ensure this change has been approved.

This facility is licensed for a Multi age program (not a family or an In home Multi age program). Writer commented that all family members and friends or guests who stay in the facility should be screened and have a valid criminal record check to ensure health and safety of children. Writer will consult with Child Care Licensing Manager for advice and provide information for licensee.

Please send me an email by Dec 16, 2016 on how you have addressed all the contravention items and other concerns list under the comment section of this report.

Writer will conduct a follow up inspection to ensure compliance of the Regulation.

Licensing thank you for your time during the inspection. Please contact me if you have any questions.

Note: Writer was away between 12:40pm - 2:25pm.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Due Date
Dec 16, 2016
Approximate Follow Up Date

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