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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JBES-AF2Q5P

FACILITY NAME
Little Koala Montessori Academy - Abbotsford
SERVICE TYPES
302 Group Child Care (30 months to school age)
301 Group Child Care (under 36 months)
FACILITY LICENSE #
TBIU-9VLU66
FACILITY ADDRESS
2335 McCallum Road
FACILITY PHONE
(778) 856-1281
CITY
Abbotsford
POSTAL CODE
V2S 3N7
MANAGER
Helle Brix Pita

INSPECTION DATE
October 24, 2016
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
11:45 AM
DEPARTURE
01:45 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
11

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). Evidence for this report was based on the licensing officer’s observations, review of the facility records, and information provided by the facility staff at the time of inspection.

The following areas were reviewed:

· Licensing
· Physical Facility
· Staffing
· Policies and Procedures
· Care and Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting

As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection, and a 3 year ‘historical’ review of the facility’s compliance and operation.
Visit the CCFL website at www.fraserhealth.ca/your_environment/ccfl/ for:
· Additional resources, and
· Links to the Legislation (CCALA and CCLR)

Contraventions
Previous InspectionNot Applicable
Current InspectionItems 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 (CORRECTED DURING INSPECTION): Door to electrical room was accessible to children in care
Corrective Action(s): This door must remain locked at all times; Manager locked door immediately when it was brought to their attention
Date to be Corrected: October 24, 2016

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: Staff file review showed staff missing valid CRC letters from the Criminal Records Review Agency in Victoria
Corrective Action(s): All staff must have clear CRC letters from Victoria prior to being employed and working alone with children
Date to be Corrected: October 25, 2016

STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Staff files reviewed showed no immunization status information
Corrective Action(s): All staff files must contain all required documentation prior to employment and working with children
Date to be Corrected: October 25, 2016

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].
Observation: Staff files contain photocopy of Educator/Assistant certification however there is no confirmation that these certificates have been verified through the Early Childhood Registry
Corrective Action(s): Please ensure all ECE staff certification has been verified through the ECE registry
Date to be Corrected: October 25, 2016


Comments

Live 5210 resources provided and discussed with Manager

Thank you for your time and cooperation during today's inspection
If you have any questions or concerns please do not hesitate to contact your local licensing office

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, 2016

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