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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
NSAO-CJVRRL

FACILITY NAME
Merseyside Montessori School
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
2582103
FACILITY ADDRESS
401 Ewen Ave
FACILITY PHONE
(604) 517-1117
CITY
New Westminster
POSTAL CODE
V3M 5B5
MANAGER
Jeremy Meausette

INSPECTION DATE
October 04, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:35 AM
DEPARTURE
12:00 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 (DoLSoP).
All care categories 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: 10060 - CCLR s.11(3) - When advertising or otherwise offering services to the public, a licensee must identify the care program being offered.
Observation: Upon reviewing registration files, Licensing observed that 2 care programs were being offered to families: preschool and group child care, although the facility is only licensed for Group Child Care (30 mos to SA).


Corrective Action(s): Registration forms should reflect the licensed service type.

Date to be Corrected: October 7, 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: Within the outdoor play space, Licensing observed the following:
-a ladder against the wooden fence
-a bench that was up right and leaning against the outdoor storage
-not enough pea gravel under and around play structures to cushion falls and reduce injuries

As per the Manager, the ladder is tied to the fence, but is willing to store it away. The Manager has also stated that more pea gravel has been ordered.

Corrective Action(s): Ensure that a healthy and safe environment is provided at all times.

Date to be Corrected: October 10, 2022

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: Licensing observed cleaning and sanitizing supplies both in the kitchen and washroom that are accessible and hazardous to children. Manager has stated that the washroom door stays open but is considered the 3rd bathroom for the group and that children know not to enter the kitchen area with a visible barrier.

Corrective Action(s): Ensure that these hazardous subtances are stored out of children's reach or stored in a child-proof manner.

Date to be Corrected: Immediately

STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Upon reviewing staff files, 1 staff's ECE certification has expired. As per the staff, they have submitted their application renewal to the ECE Registry on Sept.6. The Manager is aware that an exemption can be requested for this staff, but has not done so.

This is a repeat contravention.

Corrective Action(s): Ensure that staff certifications are current.

Date to be Corrected: October 14, 2022

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: Licensing observed that a fire drill was not recorded for the month of September 2022. The Manager confirmed that one had been done, but not recorded.

Corrective Action(s): Ensure that a fire drill is recorded monthly.

Date to be Corrected: October 7, 2022

POLICIES AND PROCEDURES: 13060 - CCLR s.56(1)(d) - A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.
Observation: As per the Manager, there is no Active Play Policy or Screen Use Policy available at the facility.

Corrective Action(s): Develop and implement both an Active Play Policy and Screen Use Policy.

Date to be Corrected: October 14, 2022

RECORDS AND REPORTING: 19060 - CCLR s.57(1)(a)(b)(c) - A licensee must keep current records for each child showing (a) the information set out in subsection (2), (b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and (c) the consents referred to in subsection (3).
Observation: Upon reviewing 5 children's files, Licensing observed 2 children were missing start dates and 2 children were missing sexes.

Corrective Action(s): Ensure that all children's files are complete with the required information.

Date to be Corrected: October 14, 2022

RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: As per the Manager, an updated care plan is not in place for a child requiring extra support who has returned to the program since after the Summer. The Manager is in consultation with the child's parents to review the previous care plan and to develop and implement an updated one.

Corrective Action(s): Review care plans annually and ensure a care plan is available at the facility.

Date to be Corrected: October 24, 2022


Comments

At today’s inspection, there were 14 children,1 practicum student, 4 staff, and the Manager present.


At this inspection, the above noted contraventions were identified and the Licensee is required to submit a compliance plan by the date below.

As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy was provided to the facility along with this report.
The Risk Assessment includes any non-compliance identified during the routine inspection and a 3 year ‘historical’ review of the facility’s compliance and operation and is used to determine inspection frequency.

The following was discussed:

-Use of logbook
-Washroom supervision plan during outdoor play
-Storage of children's food
-Hygiene and sanitization practices
-Licensing Duty line: #604 587 3936 for emergencies if area Licensing Officer can’t be contacted.
-Regular review of BCCDC website for COVID-19 updates (see link below)

The following resources were provided at the time of inspection/by email:

-Information about Active Play and Screen Time Policy
-DolSop: Safe Play Space

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

Further websites:
Criminal Records Checks at:
www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
Appetite to Play at: https://www.appetitetoplay.com
Healthlink BC at: https://www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19


The contents of this inspection report were reviewed with the Manager prior to the inspection report being written off-site, therefore no signature attached. Licensee was made aware. A copy of the report was provided by mail.
If you have any questions, please contact your Licensing Officer.
Contact details were provided by email.

Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required

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