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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AFUN-BGCUTU

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
(778) 927-0571
CITY
Delta
POSTAL CODE
V4C 3C5
MANAGER
Rachel Norberg

INSPECTION DATE
September 25, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
02:15 PM
DEPARTURE
04:15 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 areas of the facility 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: 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: Five staff files were reviewed and one staff did not have their Certificate posted within the facility. LO discussed this requirement with the manager during the inspection.
Corrective Action(s): Ensure certificates are displayed in a prominent place in the facility.
Date to be Corrected: October 9, 2019

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 (CORRECTED DURING INSPECTION): One first aid kit in the facility was identified to have products with expiry dates and medicinal ingredients in it to use in the event of a minor injury. LO discussed with the manager the requirement to either have parental permission to use this product or remove the product and use soap and water for minor injuries. The Manager removed the items from the first aid kit.
Corrective Action(s): Ensure children to not have access to hazardous substance that may be a risk to their health and safety.
Date to be Corrected:

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: Five staff files were reviewed and one staff did not have evidence of immunization status.
Corrective Action(s): Ensure all staff files are complete including immunization status.
Date to be Corrected: October 9, 2019

RECORDS AND REPORTING: 19050 - CCLR s.56(1)(f) - A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Observation: Log book was reviewed during the inspection. Only a few entries and not being maintained on an ongoing basis. LO discussed with the manager the requirement for documenting items in the facility log book.
Corrective Action(s): Ensure logs of minor injuries, accidents, illnesses and unexpected events are recorded regularly.
Date to be Corrected: October 9, 2019

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 during the inspection. Several times arrival and departure times were not recorded. Additionally the programs split into three area's within the facility with inaccurate information being recorded. LO discussed with the manager the requirement for accurate attendance records to be maintained.
Corrective Action(s): Ensure accurate attendance records are maintained at all times.
Date to be Corrected: September 26, 2019


Comments

Summary of Inspection
On the inspection date of September 25, 2019 there were 35 children and 4 staff present. At this inspection the above noted contraventions were identified. Actions required by the licensee include a corrective action plan required to be submitted and actions required the LO include to review and monitor the corrective action plan. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.
The following education/recommendations were provided:
Promoting Active Play in the program
Staffing Renewal of Certificates and Validation Procedure
Active Supervision
Lead in the Water

The following resources were provided:
Reportable Incident Bulletin
Reportable incident forms
Licensing Officer’s Business Card

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

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Oct 09, 2019

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