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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
MZIN-CCCUFS
FACILITY NAME
LAEL ACADEMY		SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
NGIL-AQXUT9
FACILITY ADDRESS
5467 Hardy Ct		FACILITY PHONE
(236) 521-6951
CITY
Burnaby		POSTAL CODE
V5G 0A6		MANAGER
Anushka Lakhani
INSPECTION DATE
March 07, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
02:45 PM		DEPARTURE
03:45 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), the Child Care Licensing Regulations (CCLR) and the relevant Director of Licensing Standards of Practice (DLSP). All areas of the facility 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
LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: During inspection, Licensing observed that the name of the facility manager is not identified and displayed in a prominent place in the facility.
Corrective Action(s): Ensure that the name of the facility manager is posted and displayed in a prominent place in the facility.
Date to be Corrected: Mar. 11, 2022

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 inspection, Licensing observed that soiled diapers were in a plastic bag which was hanging from the bathroom cabinet handle and was accessible to children.
Corrective Action(s): Ensure a healthy and safe environment is provided at all times. After this item was pointed out, a staff threw the plastic bag with the soiled diapers inside in the covered container located in the bathroom.
Date to be Corrected:

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): During inspection, Licensing observed diaper cream stored in a way that is accessible to children in the bathroom.
Corrective Action(s): Ensure diaper creams are stored in an area not accessible to children.
Date to be Corrected:

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(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 observed that there is no sheet available to record and date the annual emergency drill practice. A staff confirmed that although there is a sheet available to record fire drills, emergency drills are not recorded and dated but has been practiced.
Corrective Action(s): Ensure annual emergency drills are recorded and dated.
Date to be Corrected: Mar. 11, 2022
Comments

At the inspection dated Mar. 07, 2022 there were 8 children and 2 staff present. At this inspection, the above noted contraventions were identified. Actions required by the licensee includes a written response. The contraventions noted in this report were reviewed with the facility during the inspection.

A COVID-19 Risk Screening was also completed on-site.

As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following education/recommendations/discussions were provided:
- Reportable Incident procedures, which is to be reported within 24 hours. Child care staff are asked to call their Licensing Officer to make the report. If the Licensing Officer is unavailable, please call 604.587.3936 and ask to speak with the Duty Line Licensing Officer. This telephone number is staffed during regular business hours.
- Continue to document minor incidents using the incident log bound book, and take note of any illness and unexpected events involving children not requiring medical attention, and that are not reportable incidents as described in Schedule H and staff to initial after each documentation
- Continue to clean and sanitize the facility including toys and equipment
- Hand hygiene procedures
- Continue to have indoor ventilation
- Check the expiry date of items in the emergency supplies kit
- Indoor and outdoor active supervision

The following resources were provided:
- Business card
- Reportable Incident Bulletin
- Reportable Incident forms
- Your Checklist Child Care Links
- Annual emergency drill record sheet sample (electronic copy)

Licensing would like to thank the facility for their time and assistance during today’s inspection.

The report was written off-site and a copy was sent to the facility.

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

Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Mar 14, 2022
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Click here for a description of each "Category" of violation displayed.