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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KMBH-ANRTP8
FACILITY NAME
Bright Angels Childrens Center		SERVICE TYPES
302 Group Child Care (30 months to school age)
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
BHAN-7FCU4Y
FACILITY ADDRESS
14219 88th Ave		FACILITY PHONE
(604) 599-1943
CITY
Surrey		POSTAL CODE
V3W 3L5		MANAGER
Liya Wijesinghe
INSPECTION DATE
June 28, 2017		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.75
ARRIVAL
01:45 PM		DEPARTURE
03:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSP). Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)
If you have any questions regarding this report feel free to contact me.
While on site, the following was discussed:
-Standard of Practice for Active Play and Screen time policies. These policies will be reviewed during next inspection.
-Advised the staff of the requirement to verify and staff who hold a certificate. This verification needs to be done by visiting the ECE registry website and proof of verification must be put within the staff's file.
-There is a care plan on site for a child, the directions were created by the parent and are a bit confusing. Licensing recommended that the facility draft up easy to read instructions and in addition, provide a photo of the child with the care plan was also recommended. This is so any sub staff know which child may require extra support.
-The substitute for the facility has an expired First Aid, please ensure that the staff will need to renew prior to being left alone with the children.
-The Licensee's CRC has expired, Licensing recommended that the Licensee renew, however, the staff stated that the Licensee does not work at the facility and is never alone with the children.
-Facility has an old Licence posted with the name of an old Manager. Licensing will be sending an updated Licence and have the Manager information removed.
-A discussion was had in regard to criminal record checks being site specific.

Contraventions
Previous Inspection - Contraventions observed on FIR #KMBH-ACANZM have been corrected except for those noted on supplementary pages.
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: Manager's name is not posted for the general public to see. This was noted in the previous inspection. There is a name of the Manager on the License, however, it is not the current Manager.
Corrective Action(s): Please ensure the Manager's name is posted
Date to be Corrected: July 3, 2017

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: The following pieces of equipment and furniture are in need of repair:
Indoors
-Multiple book shelves are in disrepair areas that are concealed with duct tape and rough edges.
-Some tables within the facility are in disrepair with the plastic seam around the edges coming off, exposing the wood.
-There is an easel that is taped as it is in disrepair.
-The partitions that divide the space are made of wood and it has started to crack, exposing some rough edges. Some areas are covered with duct tape.
Outside
-The paint on the play structure is starting to peel in multiple areas (on the stairs, the landing, etc).
-There is wood that encompasses play structure in order to keep in the pea gravel. There are some areas where the wood is rough and breaking (far right areas in particular).
Corrective Action(s): Please ensure facility is clean and in good repair.
Date to be Corrected: October 1, 2017

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: The last emergency drill was conducted in February 2016. The Staff stated that they were waiting to conduct it over the summer months.
Corrective Action(s): Please ensure that emergency drills are conducted yearly.
Date to be Corrected: August 15, 2017
Comments

All appears to be in compliance with the CCLR, except for the items noted above. No written response is required for today's inspection.

Thank you for your time today.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
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Click here for a description of each "Category" of violation displayed.