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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AFUN-D33PUW
FACILITY NAME
Alexandra Neighbourhood House Children's Centre		SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
305 Group Child Care (School Age)
310 Multi-Age Child Care
FACILITY LICENSE #
BHAN-883M8E
FACILITY ADDRESS
16824 32nd Ave		FACILITY PHONE
(236) 773-0500
CITY
Surrey		POSTAL CODE
V3Z 1C7		MANAGER
Pam Nelson
INSPECTION DATE
March 04, 2024		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
02:30 PM		DEPARTURE
04:30 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 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
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 was not displayed in a prominent place within the facility.
Corrective Action(s): Ensure the name of the manager is displayed in a prominent place.
Date to be Corrected:

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation: The outdoor play area had the following safety concerns identified during the inspection;
- sandboxes not regularly covered
- some debris and garbage observed on several outdoor play areas
The indoor programs had the following safety concerns identified during the inspection;
- bathroom stools require cleaning
- some carpets damaged posing a tripping hazard
- some fridges where good is stored requires cleaning
Corrective Action(s): Ensure a healthy and safe environment is provided at all times.
Date to be Corrected:

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: Fire drill records were reviewed during the inspection and several program had missed a few months of either recording or conducting fire drills.
Corrective Action(s): Ensure employees conduct and record monthly fire drills.
Date to be Corrected:

NUTRITION AND FOOD SERVICES: 17120 - CCLR s.48(6) - A licensee must make available to parents information on the food and drink given to children.
Observation: The program provides morning and afternoon snack to the children. The information of the food provided is not made available to the parents of the children in care. The LO reviewed this requirement with staff and the management team at the facility.
Corrective Action(s): Ensure food or drink provided to children is made available to the parents.
Date to be Corrected:


Comments

On the inspection date of March 5, 2024 there were 61 children and 16 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. This inspection report was completed off site, reviewed with the manager and then emailed to the facility the following day.
Discussions took place regarding the following topics:
Maintenance Practices
Outdoor Active Play spaces
Temporary Placement Applications
Active Supervision
Health and Hygiene Preventative Practices

The following resources were provided:
Reportable Incident Bulletin
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
Mar 19, 2024
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.