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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AFUN-D3PRNA

FACILITY NAME
Rainbow Home Child Care
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
NKAR-CCYPMW
FACILITY ADDRESS
16597 20th Ave
FACILITY PHONE
(639) 590-3153
CITY
Surrey
POSTAL CODE
V3Z 1B9
MANAGER
Xin Cao

INSPECTION DATE
March 25, 2024
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
12:30 PM
DEPARTURE
02:00 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
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 following observations were noted at the time of the inspection and reviewed with the staff and manager;
- cabinet with cleaning products assessable to children in care
- table surfaces observed with dirt and debris on them
- table surface used for eating not effectively cleaned and sanitized
Corrective Action(s): Ensure a healthy and safe environment is provided at all times.
Date to be Corrected:

STAFFING: 12050 - CCLR s.19(1)(b) - 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: (b) character references in respect of the person.
Observation: A minimum of two character references were not obtained for one employee.
Corrective Action(s): Ensure all staff files are complete which includes references.
Date to be Corrected:

STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: A record of the person's work history was not obtained for one employee.
Corrective Action(s): Ensure all staff files are complete including resumes.
Date to be Corrected:

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: Immunization status was not obtained for one employee.
Corrective Action(s): Ensure all staff files are complete including immunization status.
Date to be Corrected:

CARE AND/OR SUPERVISION: 14060 - CCLR s.39(1) - A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.
Observation: At the time of the inspection four children were on a different level of the home with no adult supervision. The LO reviewed this observation in depth with the staff and Licensee at the time of the inspection.
Corrective Action(s): Ensure children are supervised at all times.
Date to be Corrected:

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: Staff did not encourage or instruct children to wash hands. This is a repeat contravention.
Corrective Action(s): Ensure children are encouraged to wash their hands and practices the rules of health and hygiene on a consistent basis.
Date to be Corrected:

NUTRITION AND FOOD SERVICES: 17010 - CCLR s.48(1)(a) - A licensee must (a) ensure that each child has healthy food and drink according to the Canada's Food Guide.
Observation: Some children were observed not eating healthy food or drink according to Canada's Food guide for lunch on the day of this inspection.
Corrective Action(s): Ensure children have access to and eat healthy food and drink according to Canada's Food Guide.
Date to be Corrected:


Comments

On the inspection date of March 25, 2024 there were 7 children and 2 staff present. At this inspection the above noted contraventions were identified. Actions required by the licensee include a corrective action plan developed and submitted and actions required the LO include to rview and monitor 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 on site, reviewed with the manager and then emailed to the facility the same day.
Discussions took place regarding the following topics:
Promoting Active Play in the program
Staff files
Active Supervision
CRC expiry dates reviewed
Health and Hygiene Preventative Practices
Reportable Incident Online Reporting process

The following resources were provided:
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
Apr 08, 2024

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