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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KSEY-AAXQKT
FACILITY NAME
SFU Childcare Society (Kahpoo Room)		SERVICE TYPES
301 Group Day Care <36 mos
FACILITY LICENSE #
3277012
FACILITY ADDRESS
8888 University Dr		FACILITY PHONE
(778) 782-4750
CITY
Burnaby		POSTAL CODE
V5A 1S6		MANAGER
Jolanta Drozdzenska
INSPECTION DATE
June 15, 2016		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
10:30 AM		DEPARTURE
11:45 AM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
14
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 (DLP). 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)
Inspection report was reviewed with staff before report was signed and printed.
Licensing would like to thank the staff and children of SFU - Kahpoo Program for their time and assistance during today’s inspection.
Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
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: During inspection Licensing reviewed Emergency Drill record and noted that no drill was recorded for the month of April.
Staff stated that an emergency drill had been recorded in the month of April but had not been recorded.
Corrective Action(s): Ensure all emergency drills are recorded as proof that they were conducted.
Date to be Corrected: June 30, 2016

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: During inspection Licensing randomly three child files and noted that one child is missing their immunization status.
Corrective Action(s): Ensure all required documentation is on site for children enrolled.
Date to be Corrected: Sep. 01, 2016
Comments

During inspection Licensing reviewed staff documentation and noted all required documentation is located at head office.

During inspection Licensing observed the following activities/ equipment accessible to children: Indoors: dramatic play with real kitchen accessories; dollhouse; children have been creating with clay etc.

During inspection children were outside where they had access to: painting on canvas; chalk art; water play; digging with real shovels in the sand area; playing with cars in the sand area.

Licensing observed vegetable and herb gardens that children can water & interact with,

Licensing observed staff engaged with children in their activities as well as getting down to their level to assist with any challenges they were having.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Sep 01, 2016
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Click here for a description of each "Category" of violation displayed.