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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JKIM-CZCU2V

FACILITY NAME
Creation Station Day Care
SERVICE TYPES
302 Group Day Care >30 mos
305 Group Child Care (School Age)
FACILITY LICENSE #
0982919
FACILITY ADDRESS
5545 Ladner Trunk Rd
FACILITY PHONE
(604) 940-8077
CITY
Delta
POSTAL CODE
V4K 1X1
MANAGER
Merril Marocchi

INSPECTION DATE
January 10, 2024
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
08:00 AM
DEPARTURE
10:00 AM
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 areas of the facility were reviewed for compliance.

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected.
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: LO observed and discussed the following today:
-Outdoor Play Space: a gap /opening in the bottom part of a chain link gate. The opening was larger than 9cm but smaller than 23cm posing potential risk for entrapment.
- Large climbing dome is available for the School Age children within their outdoor play area. There were not sufficient space around for proper use of the equipment, i.e. 6 ft in all directions.
Corrective Action(s): Ensure that a healthy and safe environment is provided at all times while children are in care.
Date to be Corrected: Jan 15, 2024

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: 3 staff files were reviewed; a minimum of two character references were not obtained for one staff member.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Jan 15, 2024

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], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation (CORRECTED DURING INSPECTION): 3 staff files were reviewed; 1 staff's certificate was not validated through the ECE registry.
Corrective Action(s): Ensure that all staff files are complete.
Date to be Corrected: Jan 10, 2024

STAFFING: 12280 - CCLR s.34(4)(a) - Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (a) the care program is described as Multi-Age Child Care, Group Child Care (Under 36 Months), Group Child Care (30 Months to School Age) or Group Child Care (School Age).
Observation: Mixing of groups longer than 30 minutes (at the beginning and/or end of the day). Children from GCC (302) and GCC (305) were combined in a single group from 7:00 am-8:30 am.
Corrective Action(s): Ensure that children from different service types are only mixed for the first and/or last 30 minutes of the day.
Date to be Corrected: Jan 10, 2024

RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: The care plan was not reviewed annually with the parent.
Corrective Action(s): Ensure that care plan of the child is reviewed yearly with the parent.
Date to be Corrected: Jan 15, 2024


Comments

At this inspection dated January 10, 2024 there were 10 children and 3 staff present. At this inspection the above noted contraventions were identified. Licensee is required to provide a written response by below date, including how areas found to be in noncompliance are addressed. The contravention noted in this report were reviewed with staff during today's inspection. This inspection report was completed off site and emailed along with the Risk Assessment to the facility the same day.

LO observed and discussed the following with staff on-site:
- To keep a log for outdoor play areas for all inspections, repairs and maintenance
- First Aid: to replenish the first aid kit with extra supplies
- Staff files, i.e. references, driver's licence
- Care plans
- Children's records
- Fire extinguisher service due
- Outdoor equipment and furnishings
- Emergency supplies
- Staff:Child Ratio

Thank you for your time during today's inspection. Please do not hesitate to reach out if you have any questions, or need additional support. ( business card provided)
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
Jan 19, 2024

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