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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
EGAU-CGWSLQ

FACILITY NAME
Windy Willows Environmental Centre Inc
SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
TDAH-9M4SG6
FACILITY ADDRESS
19089 Advent Rd
FACILITY PHONE
(604) 710-6845
CITY
Pitt Meadows
POSTAL CODE
V3Y 2C5
MANAGER
Mandy MacDonald

INSPECTION DATE
August 02, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
10:30 AM
DEPARTURE
11:30 AM
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.

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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: Licensing reviewed three staff files and observed that record of a criminal record check (CRC) clearance letter was missing for one staff. On file was a CRC from a different province. A staff member said they will ensure the application is submitted by the end of the day.
Corrective Action(s): Please ensure all person's complete their CRC through the Criminal Record Review Program prior to employment.
Date to be Corrected: Aug 2, 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: Licensing reviewed three staff files and observed that record of work history was missing for one staff.
Corrective Action(s): Please obtain a record of the person's work history (resume) prior to employment.
Date to be Corrected: Aug 5, 2022

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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation (CORRECTED DURING INSPECTION): Licensing reviewed three staff files and observed that record of certificate validation was missing for one staff.
Corrective Action(s): Please ensure certificates are verified.
Date to be Corrected:


Comments

At this inspection, the above noted contraventions were identified. Licensing provided a date for addressing the contraventions and is requesting to be advised once the CRC is received.

The name of the facility Manager isn't been updated on this inspection report.

As part of this Routine Inspection, a Facility Risk Assessment Tool was completed.

The following was discussed:

Staff immunization.
Inquiring whether the light bulbs in the bathroom are shatter proof.

The information contained in the report was discussed with a staff member and the report and risk assessment were written off-site. Licensing advised that copies of the report and risk assessment would be emailed to the facility.

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

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