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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
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FACILITY NAME
Little Footprints Daycare (Nordel)
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
LSEO-AXVMGV
FACILITY ADDRESS
11838 88th Ave
FACILITY PHONE
(604) 328-2091
CITY
Delta
POSTAL CODE
V4C 3C5
MANAGER
Jennifer Johnson

INSPECTION DATE
September 26, 2018
ADDITIONAL INSP. DATE (multi-day)
September 27, 2018
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
03:15 PM
DEPARTURE
04:45 PM
ARRIVAL
03:00 PM
DEPARTURE
03:30 PM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
25

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). 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
· Policies and Procedures
· Care and Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of this 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 www.fraserhealth.ca/childcare for:
· Additional resources, and
· Links to the Legislation (CCALA and CCLR)

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: 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: The name of the manager is not displayed.
Corrective Action(s): Ensure the name of the manager is displayed in a prominent place.
Date to be Corrected: October 5, 2018

LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: Four staff work at the facility. One staff certificate was not posted in the facility.
Corrective Action(s): Ensure educators or assistants certificates are displayed in a prominent place.
Date to be Corrected: October 5, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11180 - CCLR s.16(4)(a) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (a) suitable for the age and development of the children.
Observation: The program in operation in the Gym area did not have indoor toys and equipment available or set up for the children in care. Tables were set up with one art resource and one manipulative. Upon review of the play materials and equipment it was noted that not enough resources were available to meet the CCLR requirements of Schedule G based on the number of children in care.
Corrective Action(s): Ensure play materials and equipment are set up on a consistent and daily basis that is suitable for the age and development of the children in care which is outlined in CCLR Schedule G.
Date to be Corrected: October 1, 2018

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: Four staff files were reviewed and two staff did not have valid CRC's available. The other two staff did not have facility specific CRC's available.
Corrective Action(s): Ensure staff files are complete with valid CRC's.
Date to be Corrected: October 1, 2018

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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: Four staff files were reviewed and three staff did not have confirmation of the certificates being verified through the ECE Registry.
Corrective Action(s): Ensure all staff files are complete including validating ECE certificates.
Date to be Corrected: October 1, 2018

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: A child in care with a care plan in place to administer an epi-pen in the event of an analytic reaction did not have the medication available on site.
Corrective Action(s): Ensure prescribed medication is accessible to employees to use in the event of an emergency.
Date to be Corrected: September 28, 2108

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: Five children's files were reviewed and several photo's were outdated or missing.
Corrective Action(s): Ensure children's files are current and updated on a regular basis including photo's.
Date to be Corrected: October 5, 2018

RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Five children's files were reviewed and one child did not have a record of immunization status.
Corrective Action(s): Ensure children's files are complete including immunization status.
Date to be Corrected: October 5, 2108

RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Attendance records were reviewed. The attendance for both programs are maintained in the Gym program area and not assessable to the youth room program.
Corrective Action(s): Ensure accurate attendance records are maintained in both programs that includes the arrival, departure and absence of the children in care.
Date to be Corrected: October 1, 2018


Comments

Multi day inspection as the inspection report was complete at the LO's office and delivered and reviewed with the Licensee contact the following day.

New school age program up and running and first routine inspection. LO observed drop off and arrival of School-Age children by staff from two different local schools.
One group walked from the school and one group arrived in the program vehicle. The children were observed engaged in snack, art activities, gross motor experiences and free play. The Manager was not available during today's inspection and staff relayed that she was at another location in the afternoon. Staff were observed to be engaged and attentive to the children in care.

A log book for minor incidents was in place but had not noted events to date. LO discussed the importance of maintaining the log for both programs. Attendance too was discussed to be required for both programs as the current practice of one attendance is not sufficient to ensure the safety of the children in care.

The Gym facility resources located in a cart and stored outside of the gym is broken and resulted in reduced equipment in the Gym area for the children in care. LO discussed this with the Licensee contact at the time of the report delivery to ensure adequate toys and equipment is available during the operation of the program. Due to the space being a shared area, significant challenges arise surrounding this being maintained on a regular basis.

Outdoor experiences could not be confirmed during today's inspection and LO encourages the facility to record when they are using the approved outdoor away place space to ensure compliance for active play.
Supervision practices, water tap flushing and Reportable Incident processes were reviewed with the Licensee contact at time of report delivery.

Thank you for your time and cooperation today.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Due Date
Oct 05, 2018
Approximate Follow Up Date
12 Oct, 2018

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