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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-B5KV4G

FACILITY NAME
Hillview Parent Participation Preschool
SERVICE TYPES
303 Preschool
FACILITY LICENSE #
3201961
FACILITY ADDRESS
#8 - 4340 Carson St
FACILITY PHONE
(604) 431-0119
CITY
Burnaby
POSTAL CODE
V5J 2X9
MANAGER
Lynda Malins

INSPECTION DATE
October 15, 2018
ADDITIONAL INSP. DATE (multi-day)
October 16, 2018
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
5
ARRIVAL
09:15 AM
DEPARTURE
11:00 AM
ARRIVAL
09:35 AM
DEPARTURE
11:05 AM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
21

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). 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
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting
As part of the 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 http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)
If you have any questions regarding this report feel free to contact me at 604-918-7658 or by email at christine.lawson@fraserhealth.ca

Contraventions
Previous Inspection - Contraventions observed on FIR #GSIU-AL6PB5 have been corrected except for those noted on supplementary pages.
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: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation: Licensing observed that one of the emergency exit doors was blocked with a large blue recycling bin. In discussion with the Manager she mentioned there was another exit outside the other preschool next door. We discussed the concern with having the exit partially blocked. The Manager will contact the school board to make arrangements to move the large blue recycling bin so it does not block one of the exit doors.
Corrective Action(s): Please ensure equipment is moved to a location that does not block an exit that is used in the case of fire or emergency.
Date to be Corrected: October 22, 2018

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: Licensing observed a hot pot of coffee in a coffee maker on a table. The coffee pot was within easy reach of the children. This could pose a serious scald or burn hazard to the children in care. I discussed this with the Manager . An information pamphlet called Hot Water Burns Like Fire, was shared with the Manager.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: October 16, 2018

STAFFING: 12151 - CCLR s.19(5)(a) - Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (a) a criminal record check for the person.
Observation: A parent was volunteering in the preschool during the time of the inspection. In reviewing the criminal record checks on file the parent did not have a criminal record check. In consultation with the Manager she stated she has most of the CRC's for the parents that volunteer but she is waiting for the rest of the CRC's to be processed..
Corrective Action(s): Please ensure that each person that volunteers in the program has a current criminal record check.
Date to be Corrected: October 29, 2018

STAFFING: 12153 - CCLR s.19(5)(c) - Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs. .
Observation: During the inspection a parent was volunteering at the facility. There was no information on file documenting compliance with the immunization program.
Corrective Action(s): Please ensure all volunteer files are complete.
Date to be Corrected: October 29, 2018

STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Licensing observed all of the staff records. There are 4 staff records in total. The following items were missing:

- 4 staff immunization records
- 4 references
- 1 copy of a diploma, certificate or evidence of the person's skills or training

Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: October 29, 2018

CARE AND/OR SUPERVISION: 14380 - DLSOP Active Play - Programs where children are in attendance for 3 hours or less should not include screen time activities into the daily routine.
Observation: In reviewing the parent manual it was noted that there is no screen use policy for the children in care.
Corrective Action(s): Please ensure a screen use policy is developed, implemented and shared with the parents.
Date to be Corrected: October 29, 2018

PROGRAM: 18140 - DLSOP Active Play - Licensed child care programs where children are in attendance for 3 hours or less must develop an active play plan acceptable to the Medical Health Officer (Licensing Officer).
Observation: In reviewing the parent manual it was noted that there was no active play plan.
Corrective Action(s): Please ensure an active play plan is developped, implemented and shared with the parents
Date to be Corrected: October 29, 2018

RECORDS AND REPORTING: 19051 - CCLR s.56.1(2)(a) - A licensee must keep (a) a copy of the written statement, referred to in section 19 of the Act, that the licensee delivers to persons who prepay part of the cost of services
Observation: Licensing reviewed the repayment policy. A statement outlining the return of prepayment for services is missing. An example of this may be when a child withdraws from the program.
Corrective Action(s): Please ensure the repayment policy is complete.
Date to be Corrected: October 29, 2018

RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: Licensing reviewed 10 out of 21 children's files. Five children's files were missing the date of enrollment.
Corrective Action(s): Please ensure all of the children's files are complete. This is a repeat contravention.
Date to be Corrected: October 22, 2018

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: During the inspection the daily attendance record was missing the departure times of some of the children on multiple days.
Corrective Action(s): Please ensure the daily attendance record is complete. Please ensure the staff record the time children leave each day if the parents fail to do so.
Date to be Corrected: October 22, 2018

RECORDS AND REPORTING: 19290 - CCLR s.58(3)(c) - The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child: (c) any modification to the program of activities for the child's benefit.
Observation: Two care plans were reviewed during the facility inspection. A record of compliance with the care plan was not documented.
Corrective Action(s): Please ensure documentation for the children's care plans are complete
Date to be Corrected: October 29, 2018


Comments

During this inspection the following was discussed with the Manager:


-their supervision process/active supervision.
-flushing of the water daily to ensure that there is no lead in the water
-when reporting any reportable incidents to get in direct contact with a Licensing Officer. If your Licensing Officer is unavailable then please call the Duty Line at (604) 587-3936.

Thank you for your time. Please provide a written response by October 29, 2018 addressing the above contraventions. A copy of the Director of licensing standards of practice-active play was given to the Manager. Information on sanitization will be sent to the Manager. Please feel free to call or email me if any concerns or questions arise.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Due Date
Oct 29, 2018
Approximate Follow Up Date

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