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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CF9SS5

FACILITY NAME
'CCAA' Infant and Toddler Child Care Centre
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
ACAK-8Q2PVJ
FACILITY ADDRESS
3978 Brandon St
FACILITY PHONE
(604) 322-0288
CITY
Burnaby
POSTAL CODE
V5G 2P5
MANAGER
Mo (Jessica) Zhou

INSPECTION DATE
June 10, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
10:00 AM
DEPARTURE
11:00 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 (DLSP). All areas of the facility were inspected for compliance.

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
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: During the inspection the following was observed:
-The cubbies were not secured to the wall and were easy to move
-A table and two shelves were placed against the wall. Further up on the wall were two open windows. The windows were open wide. This could present a potential climbing and falling hazard. Limiting the width that the windows are open was recommended. Window limiters were also recommended for use.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: June 13, 2022

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Licensing observed the following:
-crayon on the wall, and visible dirt on ledges and walls in the classroom
-peeling paint at the bottom of the fence and on the fence separating the daycare from another yard. Peeling paint on the fence is a repeat contravention from inspection #CLAN-BBPQPA
Corrective Action(s): Please ensure the facility is clean and in good repair.
Date to be Corrected: June 17, 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: The children's sunblock was placed in their cubbies.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are harmful to their health and safety
Date to be Corrected: June 10, 2022

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11220 - CCLR s.23(2) - A licensee must have first aid kits that are readily accessible to all employees, including while care is provided off the community care facility premises.
Observation: The first aid kit was reviewed at the inspection. Items such as a triangular bandage and an ice pack were missing.
Corrective Action(s): Please ensure the first aid kit is complete to be prepared in case of an emergency.
Date to be Corrected: June 13, 2022

STAFFING: 12050 - CCLR s.19(1)(b) - 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: (b) character references in respect of the person.
Observation: Two staff records were reviewed. One staff record was missing characters references.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: June 24, 2022

STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: A record of the person's work history was not obtained for one or more employee.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: June 24, 2022

STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: During the inspection after reviewing records it was observed that an emergency plan was not completed for the previous or current year
Corrective Action(s): Please ensure the emergency plan is completed once a year and that this is recorded after completion.
Date to be Corrected: June 24, 2022

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Licensing reviewed the tag attached to the fire extinguisher. The fire extinguisher was due for servicing on February 11, 2022. This is a repeat contravention from inspection #CLAN-BLCS9L
Corrective Action(s): Please ensure the fire extinguisher is serviced prior to the expiry date to ensure you are prepared in an emergency.
Date to be Corrected: June 24, 2022


Comments

At the inspection dated June 10, 2022 there were 4 children and 2 staff were present. The Manager was not present during the inspection. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by June 24, 2022 unless otherwise specified in the report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following education/recommendations were provided:
-The reportable incident reporting procedure.
-The current communicable disease prevention protocols that are in place

The inspection findings were not reviewed at the inspection. A copy of these documents were sent to the Manager. If you have any questions regarding this report please contact me.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceFollow-up Inspection Required
Due Date
Jun 24, 2022
Approximate Follow Up Date

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