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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
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FACILITY NAME
Best Friends Children's Centre Inc
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
TDAH-9EAVJC
FACILITY ADDRESS
106 & 201 - 19141 Ford Rd
FACILITY PHONE
(604) 457-1211
CITY
Pitt Meadows
POSTAL CODE
V3Y 2P8
MANAGER
Danae Goosen

INSPECTION DATE
August 11, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2.17
ARRIVAL
09:15 AM
DEPARTURE
11:25 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 (DLSP). 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: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Licensing observed multiple areas in the community care facility where paint was chipping. Licensing discussed temporary solutions.
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: Aug 12, 2022

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation: The hot water temperature in the washrooms used by the school age program was 61 degrees Celsius. The Manager advised that the plan is for staff to monitor when children use the sinks until addressed.
Corrective Action(s): Please ensure the hot water temperature does not exceed 49 degrees Celsius.
Date to be Corrected: Aug 19, 2022

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: Licensing reviewed staff files and one staff was missing record of a criminal record check (CRC) clearance letter from the Criminal Records Review Program (CRRP). On file was a CRC from the RCMP. The Manager advised that the application will be initiated by the end of the day today.
Corrective Action(s): Please ensure CRC's are completed through the CRRP.
Date to be Corrected: Initiate application by Aug 11, 2022

MEDICATION: 16010 - CCLR s.53(1)(a) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.
Observation: Licensing reviewed records and observed that the time the medication was to be administered was missing on a medication consent form.
Corrective Action(s): Please have available information about the time or symptoms for when the medication is to be given by staff.
Date to be Corrected: Aug 11, 2022

MEDICATION: 16080 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: Licensing observed expired medication.
Corrective Action(s): Please ensure medication is not expired.
Date to be Corrected: Aug 31, 2022


Comments

At this inspection, the above noted contraventions were identified. Licensing provided a date for addressing the contraventions and will be conducting a follow up inspection on Aug 24th.

As part of this Routine Inspection, a Facility Risk Assessment Tool was completed.

The following was discussed:

> Interim care plans

The information contained in the report was discussed with the Manager and the report and risk assessment were written off-site. Licensing advised that copies of the report and risk assessment would be emailed to the facility.

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 complianceFollow-up Inspection Required
Approximate Follow Up Date
24 Aug, 2022

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