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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CGEE-CKBTP3

FACILITY NAME
PALS Autism Society
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
MLAO-B9UT6Y
FACILITY ADDRESS
101 Third St
FACILITY PHONE
(604) 251-7257
CITY
New Westminster
POSTAL CODE
V3L 2P9
MANAGER
Jasline Malhi

INSPECTION DATE
October 18, 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

All care categories were inspected during an unscheduled routine inspection to assess compliance w/:
• the Community Care & Assisted Living Act (CCALA)
• the Child Care Licensing Regulation (CCLR)
• relevant Director of Licensing Standards of Practices (DLSP)

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: REPEAT VIOLATION from FIR #CGEE-BRCMVF (08/Jul/2020) & FIR CGEE-C9KTAN (10/Dec/2021): A few fire drills were missed this year.
Corrective Action(s): Fire drills must be practiced monthly, even on the same month as the annual emergency drill & shortened months.
Date to be Corrected: 30/Nov/2022

STAFFING: 12210 - CCLR s.23(1)(a) - A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: REPEAT VIOLATION from FIR #CGEE-C9KTAN (10/Dec/2021): The lone 1st aid certified employee is absent today.
Corrective Action(s): Children must have @ all times immediate access to ≥ 1 1st aid/CPR certified employee. The course must meet all requirements of CCLR Schedule C (s. 23 [1st aid]).
Date to be Corrected: 01/Nov/2022

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: REPEAT VIOLATION from FIR #CGEE-BGUVXT (11/Oct/2019): 4/5 children lacked their immunization status.
Corrective Action(s): All requirements of s. 57(2) must be obtained before children's 1st day of care. CCFL provided the Head of School w/ FHA CCFL's "Child Immunization Status Declaration" form.
Date to be Corrected: 25/Oct/2022

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: REPEAT VIOLATION from FIR #CGEE-BGUVXT (11/Oct/2019) & FIR #CGEE-C9KTAN (10/Dec/2021): Only children's AM arrival & PM departure times are documented, which makes them appear to be in care all day.
Corrective Action(s): If a child attends in the AM & PM, they must be signed:
- IN upon arrival
- OUT upon transfer of care to school (09:00)
- IN upon arrival (15:00)
- UPON upon departure
Date to be Corrected: 18/Oct/2022

RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: 0/5 children had written parental consent to call a doctor or ambulance in the event of an accident or illness.
Corrective Action(s): All requirements of s. 57 must be obtained by children's 1st day of care.
Date to be Corrected: 21/Oct/2022

ADDITIONAL CCALA SECTIONS: 50002 - CCALA s.1 - Despite subsection (1), a medical health officer may grant an exemption to section 1 of the Act in respect of the definition of "child" such that a youth who, but for the youth's age, would be a child requiring extra support may be considered a child for the purpose of recieving care in a care program.
Observation: There is no exemption in place for a youth w/ extra support needs to receive care.
Corrective Action(s): An approved exemption request is required for this youth to continue receiving care; otherwise, care must be terminated.
Date to be Corrected: 21/Oct/2022


Comments

Summary of FIR #CGEE-CKBTP3 (18/Oct/2022)

CCFL observed 6 violations, in which corrective action includes:
• practicing the fire drill monthly
• ensuring that ≥ 1 1st aid/CPR-certified employee is available to children @ all times
• obtaining children documentation
• applying for an exemption to permit a youth requiring extra support to continue receiving care

CCFL reviewed the inspection w/ the Head of School; however, she completed this report & the risk assessment offsite & emailed them to the manager & the Head of School.

Websites of interest:
• Appetite to Play: www.appetitetoplay.com
• COVID-19 Public Health Guidance for Child Care Settings: www.bccdc.ca/Health-Info-Site/Documents/COVID_public_guidance/Guidance_Child_Care.pdf
• Criminal Records Review Program: www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
• HealthLinkBC Files: www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
• Resources for licensees/managers: www.fraserhealth.ca/health-topics-a-to-z/child-care/resources-for-child-care-operators
• Sneezes & Diseases: https://sneezesdiseases.com/assets/uploads/1589214601pDsukixOst24Mk9wayE3eA9Jjji7.pdf

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 25, 2022

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