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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SSAU-CVMNFB

FACILITY NAME
Springtree Montessori School
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
NGIL-AYURS3
FACILITY ADDRESS
6693 Brantford Ave
FACILITY PHONE
(778) 862-9399
CITY
Burnaby
POSTAL CODE
V5E 2R9
MANAGER
Chai-Nin Maria Meng

INSPECTION DATE
September 13, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
09:45 AM
DEPARTURE
10:40 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
5

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 relevant Director of Licensing Standards of Practice (DOLSOP). 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
STAFFING: 12040 - CCLR s.19(1)(a) - 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: (a) a criminal record check for the person.
Observation: Licensing reviewed 2 staff files of which one had an expired Criminal Record Check
Corrective Action(s): Please ensure all staff files are complete
Date to be Corrected: September 29th, 2023

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: Licensing reviewed 2 staff files of which 1 file was missing immunization status
Corrective Action(s): Please ensure staff files are complete
Date to be Corrected: September 29, 2023

HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Licensing observed children are not using single use towels to dry their hands after hand hygiene. They are using a shared towel.
Corrective Action(s): Please ensure children use a single use towel to dry hands after hand hygiene.
Date to be Corrected: September 14th, 2023

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: Licensing reviewed 6 children's files of which 1 is missing date of enrolment
Corrective Action(s): Please ensure all children's files are complete
Date to be Corrected: September 29, 2023

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Licensing reviewed 6 children's files of which 2 were missing teh name and telephone number of an emergency contact.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: September 29th, 2023

RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: Licensing reviewed 6 children's files and noted 1 child required life saving medication. There was no care plan developed for this child.
Corrective Action(s): please ensure a care plan is developed in consultation with parents for the child requiring support.
Date to be Corrected: September 29, 2023


Comments

At the inspection on September 13th, 2023 there were 5 children, 1 staff, and an art teacher present.
Manager was not on site during inspection.
At this inspection, the above noted contraventions were identified.

Discussion was had about the following:
- CRC renewal
- Development of a care plan (resource emailed )

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


Please contact me if you have any questions or concerns.
During the inspection, Licensing reviewed any findings with the staff, Sze Ming Li.
This report and risk assessment were written on site and emailed to the facility.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Sep 29, 2023

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