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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
MGIL-B6BQGP

FACILITY NAME
AHP Matthew Preschool
SERVICE TYPES
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
NNAL-8F9UDP
FACILITY ADDRESS
Rm# 122 - 13367 97th Ave
FACILITY PHONE
(604) 502-6343
CITY
Surrey
POSTAL CODE
V3T 1A4
MANAGER
Shindella Dalal

INSPECTION DATE
November 08, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
10:45 AM
DEPARTURE
11:30 AM
ARRIVAL
DEPARTURE
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 (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 - Not Applicable
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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: 3 staff did not have immunization status documented on the staff checklist.
Corrective Action(s): Please ensure all staff have immunization status documented on file.
Date to be Corrected: Nov 15, 2018


Comments

At the time of the inspection 4 children and 1 staff were present.

The following discussions were had regarding:

- Importance of supervision and ensuring it is maintained at all times.
- Flushing of taps for the reduction of lead in drinking water
- Reportable Incidents and reporting within 24 hours (section 52, 55 & Schedule H). Contact Licensing Duty Line (604.587.3936), should you not directly speak to your Licensing Officer.

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.