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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-C9NRZB

FACILITY NAME
Burnaby South Child Care Centre
SERVICE TYPES
301 Group Day Care <36 mos
310 Multi-Age Child Care
FACILITY LICENSE #
3283060
FACILITY ADDRESS
5455 Rumble St
FACILITY PHONE
(604) 257-4465
CITY
Burnaby
POSTAL CODE
V5J 2B7
MANAGER
Mary Buick

INSPECTION DATE
December 10, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:35 AM
DEPARTURE
12:05 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 care categories were inspected for compliance with the exception of reviewing the physical emergency supplies as a dated list of supplies was provided.

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: In the classroom a sink and the surrounding counter top was observed. The sink, including inside the sink and the counter top were covered with toys in bins. In discussion with the staff she stated that this was an area where the staff wash the toys each day. No other sink in the room was available for hand washing.
Corrective Action(s): Please ensure that the sink is not used for storing materials to be washed. Ensuring staff have access to a hand sink is a preventative measure against communicable diseases.
Date to be Corrected: December 11, 2021

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: Furniture, equipment, and/or fixtures were in disrepair, including:
-cabinets had wear marks and the raw wood was exposed
-a plastic mat had puncture marks. This could potentially harbour bacteria.
Corrective Action(s): Please ensure the facility furniture, equipment and fixtures are in good repair.
Date to be Corrected: December 27, 2021

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: During the inspection Licensing observed the following inside the facility:
-several pieces of furniture and equipment in the toddler room abutted the wall. These were next to four low open windows. The windows were open larger than 4 inches. This could present a climbing or falling hazard. Recommendations were discussed. Please correct this by December 15, 2021
-an indoor play kitchen had rusty hooks. Rust can cause a potential health hazard.
-two blind cords were located next to a low shelf and a window ledge. This could present a potential hazard

Licensing observed the following outside the facility:
-a gate was rusty. This is a repeat contravention from inspection #CLAN-BQTMSH. The staff stated that the gate had been fixed but the paint had worn off. Rust can cause a potential health hazard
-several bars in the playground were covered in rust. Rust can cause a potential health hazard.
Corrective Action(s): Please ensure children do not have access to any object or substance that is hazardous to their health and safety.
Date to be Corrected: January 3, 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: During the inspection the staff checklist was observed. One staff did not have character references.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: December 27, 2021

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: Immunization status was not obtained for one employee.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: December 27, 2021

STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: Licensing observed that the November fire drill was not recorded. In discussion with the staff the fire drill for November was not completed as other drills were completed.
Corrective Action(s): Please ensure fire drills are completed and recorded for each month of the year.
Date to be Corrected: December 27, 2021

MEDICATION: 16020 - CCLR s.53(1)(b) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (b) readily accessible to employees.
Observation: Medication was not readily accessible to employees. A child requires medication in an emergency. The child was in the outdoor play area and the emergency medication was stored in the kitchen. The serious health and safety risk was discussed with the staff. This is a repeat contravention from inspection #CLAN-BHEPZQ
Corrective Action(s): Please ensure emergency medication is readily accessible to employees.
Date to be Corrected: December 10, 2021

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: Five children's records were reviewed. One children's record was missing a medical practitioner.
Corrective Action(s): Please ensure children's records are complete. A medical clinic can be used in the place of a doctor if needed.
Date to be Corrected: December 27, 2021

RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: A child requires medication in an emergency. No care plan was observed in the facility to outline the course of action recommended by health care professionals for a child requiring additional support.
Corrective Action(s): Please ensure a care plan is created and posted in the facility to ensure the child receives medication in the event of an emergency.
Date to be Corrected: December 20, 2021


Comments

At the inspection dated December 10, 2021 there were 8 children, two staff and the Director were present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by December 27, 2021 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 and forms
-The current COVID-19 protocols that are in place
-Information about preventing lead in water

The inspection findings were reviewed with a staff member as the Manager was absent. Due to the COVID-19 pandemic the inspection report and the risk assessment were completed at the Burnaby FHA office. The report was written in 1 hour and this is not included in the report. 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 complianceNo action required
Due Date
Dec 27, 2021

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