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

Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKIM-CUPTWD

FACILITY NAME
Learning Ladder Childcare
SERVICE TYPES
311 In-Home Multi-Age Child Care
FACILITY LICENSE #
MLAO-8BNU25
FACILITY ADDRESS
8455 116th St
FACILITY PHONE
(604) 594-0596
CITY
Delta
POSTAL CODE
V4C 5V5
MANAGER
Sara Jawaid

INSPECTION DATE
August 14, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
02:45 PM
DEPARTURE
03:45 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), Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSOP). All care categories were assessed 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
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: DOLSOP Safe Play Space – Spaces (i.e. holes or openings) poses a risk for potential entrapment.
The fence ( facing the neighbour's fence) is weaken, rotted and broken at the bottom, exposing large gaps and number of nails. LO discussed about ensuring that outdoor play area is safely enclosed at all times in a way that is free from hazard and in good repair.
Corrective Action(s): Ensure that a healthy and safe environment is provided at all times while children are in care.
Date to be Corrected: Aug 31, 2023

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: LO observed and discussed the following with the Manager:
- There were not sufficient playground surfacing around the play equipment, i.e. slide and swings. LO discussed about ensuring that sufficient and appropriate protecting surfacing is available to reduce the risk of injury from falls.
- Indoor Blinds: there were couple of broken and damaged slats at the bottom of the blinds exposing sharp edges to the children.
Corrective Action(s): Ensure that all furniture, fixture and equipment within the facility are clean and in good repair.
Date to be Corrected: Aug 31, 2023

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: LO noted that fire drill for August 2023 was not recorded accurately. The Licensee stated that fire drill was practiced with the children.
Corrective Action(s): Ensure that current records of all drills ( monthly fire drills and yearly emergency drill) are kept.
Date to be Corrected: Ongoing

HYGIENE AND COMMUNICABLE DISEASE: 15010 - CCLR s.14(4)(a) - A licensee, other than a licensee who provides a care program described as either Preschool (30 Months to School Age) or Group Child Care (School Age), must have in a community care facility a sturdy surface for changing diapers, located outside the food preparation area, next to (a) a covered container for soiled clothing.
Observation: The garbage bin within the washroom had no lid. LO discussed about using a bin with cover to avoid children from accessing soiled diapers/pull ups.
Corrective Action(s): Ensure that a covered container for soiled clothing is available.
Date to be Corrected: Aug 18, 2023

HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Children are not using single use towels to dry their hands after hand hygiene. The facility has assigned 1 cotton towel to each child to be used, i.e. 1 towel per child /per day. If cotton towels are used, ensure that sufficient single use towels are available after each hand washing.
Corrective Action(s): Ensure that children use single use towels to dry their hands after each hand washing.
Date to be Corrected: Aug 18, 2023

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: LO noted missing attendance record, i.e. children's time of departure on various dates.
Corrective Action(s): Ensure that accurate time of arrival and departure is recorded daily.
Date to be Corrected: Aug 16, 2023


Comments

On the inspection date of August 14, 2023 there were 6 children and the Licensee present. At this inspection the above noted contravention was identified. The Licensee is required to take corrective action to bring the facility into compliance and submit a written response to LO by below date for review. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was emailed along with the inspection report.
The following items were discussed today:
-Records and Reporting
-Hygiene Practices
-CRC

Resources shared:
-DOLSOP Safe Play Space (via email)

Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).
If you have any further questions or concerns, please feel free to contact your Licensing Officer. ( business card provided)

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Aug 31, 2023

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