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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
TBOS-C8WT35

FACILITY NAME
Small Beginnings Preschool - Little Leaders Childcare
SERVICE TYPES
303 Preschool (30 months to school age)
FACILITY LICENSE #
TBIU-BQTMXK
FACILITY ADDRESS
2975 Bradner Rd
FACILITY PHONE
(604) 856-1017
CITY
Abbotsford
POSTAL CODE
V4X 1K6
MANAGER
Cierra Defehr

INSPECTION DATE
November 18, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.75
ARRIVAL
01:30 PM
DEPARTURE
02:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
9

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), and the Child Care Licensing Regulations (CCLR), and the Director of Licensing Standards of Practice (DoLSoP). 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: 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: The fire drills were recorded for the month of October only.
Corrective Action(s): Please ensure that each employee practices implementing the fire drill system at least once each month.
Date to be Corrected: November 19, 2021

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: Twelve children's records were reviewed. One record did not contain the Medical Services Plan number for one child in care.
Corrective Action(s): Please ensure to keep the MSP number on record.
Date to be Corrected: Nov 19, 2021

RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: Three staff records were reviewed. Manager stated the staff had updated her certification, and the validation, and another staff CRC had been renewed, and were kept with the licensee. The CRC for the staff was obtained during inspection, however the other staff file containing the updated certification, and validation were not located.
Corrective Action(s): Please ensure to keep records in a single place at the community care facility.
Date to be Corrected: Nov 26, 2021


Comments

Summary of Inspection:
During today’s inspection, there were 9 children, and the facility manger present.
At this inspection the above noted contraventions were identified. Licensee is required to submit a corrective action plan to address the contraventions.

The following was discussed:

BCCDC guidance for mask use.
Discussion regarding care plans for children with allergies.
Discussion about ensuring records for fire drills and evacuation plans are posted and kept on file.


Resources given today:

Bulletin: Reportable Incidents
Reportable incident forms
Child Care Links: Your checklist

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

Further websites:
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19

The contents of this inspection report was reviewed with the manager prior to the inspection report being written off-site, therefore no signature attached.
A copy of the report was provided to the facility by email to the address given today.
If you have any concerns or further questions regarding the content of this report, please contact your Licensing Officer.

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
Nov 25, 2021

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