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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SMIA-CB7VEF

FACILITY NAME
Caring Hearts Child Care
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
TAMS-A4MQBP
FACILITY ADDRESS
1854 Western Dr
FACILITY PHONE
(604) 944-9547
CITY
Port Coquitlam
POSTAL CODE
V3C 2X7
MANAGER
Terry Penner

INSPECTION DATE
January 28, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.33
ARRIVAL
03:00 PM
DEPARTURE
04:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
18

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSP). All areas of the facility 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: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation (CORRECTED DURING INSPECTION): During inspection Licensing observed a cupboard with alcohol and other equipment accessible to the children in the main playroom. An unlocked child proof lock was hanging on this cupboard's door handles. During inspection Licensee locked the cupboard with the child proof lock. This is a repeat contravention from routine inspection # SMIA-BZMSWA dated March 30, 2021.
Corrective Action(s): Ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Date to be Corrected: Daily and ongoing

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: During inspection Licensing observed:· Fire extinguishers needed servicing on January 4, 2022.· There were insufficient supplies in the emergency bag to recover from an emergency. Licensee stated that they are aware that emergency supplies needed to be replenished. This is a repeat contravention from routine inspection # SMIA-BZMSWA dated March 30, 2021.
Corrective Action(s): Licensee must ensure that they are following an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Date to be Corrected: February 4, 2022

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: Licensing observed there was no evidence of earthquake and fire drill being practiced. The Manager was unable to locate the records and informed Licensing that fire drill is practiced every month but not recorded. Licensing provided education on the intent of the Legislation for keeping current records.
Corrective Action(s): Please ensure that emergency drills are documented each time they are practiced.
Date to be Corrected: February 1, 2022

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 (CORRECTED DURING INSPECTION): Upon arrival, Licensing observed the Licensee pull into the facilities driveway and park the car. The licensee left three children in the parked car to go inside the facility to quickly pick up a pack of crackers. Licensing discussed with Licensee that children must be actively supervised at all times.
Corrective Action(s): A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.
Date to be Corrected: Daily and ongoing.

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: A care plan for one child was due to be reviewed on August 4, 2021. The staff were able to verbally explain the change in directions in the care plan but these changes were not documented in the child’s file.
Corrective Action(s): Please ensure all care plans are reviewed at least once every 12 months with the family and any person requested by the family.
Date to be Corrected: February 4, 2022


Comments

At the inspection dated January 28, 2022 there were eighteen children and two staff present. At this inspection the above noted contraventions were identified. Licensing conducted a walk-through of the entire facility.
The Manager will take action to bring the facility into compliance and provide a written response to the Licensing Officer by February 2, 2022. The Licensing Officer will review the response. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following were discussed with the Manager:
· Active supervision
· Accessibility and replenishing the Earthquake Emergency Kit with enough emergency supplies (food and water) for all children attending the facility.
· Maintaining and updating children records to indicate any changes to their daily needs or routines.
· Manager stated that he will declutter the items stored at the facility's entrance
The following education /discussions were provided:
· Bulletin-Children’s Records
· Bulletin-Program of Activities
· Bulletin- Your Checklist
· Reportable Incident Forms & Bulletin
· BCCDC Child Care Guidance (19 Jan 2022)
The inspection report was written off-site – details were reviewed with the Manager prior to writing the report. A copy of the routine inspection report and risk assessment sent to manager via email on January 31, 2022. Total time includes writing report in TriCities Health Protection office.
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
No action requiredNo action required

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