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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CGEE-AS9NCW

FACILITY NAME
Burnaby Lakeview Preschool
SERVICE TYPES
303 Preschool (30 months to school age)
FACILITY LICENSE #
3211998
FACILITY ADDRESS
7777 Mayfield St
FACILITY PHONE
(604) 522-5515
CITY
Burnaby
POSTAL CODE
V5E 2J5
MANAGER
Barbara Jefferys

INSPECTION DATE
October 18, 2017
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
09:15 AM
DEPARTURE
10:30 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
57

Introduction

An unscheduled routine inspection of this community care facility (CCF) was conducted by the licensing officer (FHA) to assess compliance w/ the:
• Community Care & Assisted Living Act (CCALA)
• Child Care Licensing Regulation (CCLR)
• Director of Licensing Standards of Practice (DLSP)

At the time of inspection, evidence for this facility inspection report (FIR) was based upon:
• FHA's observations
• FHA's review of the CCF's records
• information provided to FHA by employees

FHA reviewed these 10 areas today:
• licensing • hygiene & communicable disease control
• physical facility • medication
• staffing • nutrition & food services
• policies & procedures • program
• care & supervision • records & reporting

As part of this inspection, FHA completed & provided a risk assessment tool, which includes:
• any noncompliance identified • the CCF's compliance & operational history since 18/Oct/2014

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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: FHA reviewed all employees' files & found that 1 employee's CRC was from a previous facility.
Corrective Action(s): Please apply to share the results of a previous CRC w/ the Criminal Records Review Prgm. FHA printed this application form today.
Date to be Corrected: 25/Oct/2017

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: FHA reviewed all employees' files & found that 2 employees each lacked a reference.
Corrective Action(s): Please obtain 1 more reference for these 2 employees.
Date to be Corrected: 25/Oct/2017

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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: FHA reviewed all employees' files & found that their ECE certificates haven't been verified by the licensee.
Corrective Action(s): Please ensure that all existing employees' (current & again upon renewal) & new employees' ECE certificates are validated either:
- on the ECER certificate validation website (https://earlychildhoodeducator.gov.bc.ca/Public/CertAndRenewal/Certificate_Validation.aspx), OR
- by phoning the ECER (1.888.338.6622)
Date to be Corrected: 25/Oct/2017

POLICIES AND PROCEDURES: 13100 - DLSOP Active Play - The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.
Observation: This policy hasn't been developed & implemented yet.
Corrective Action(s): Please develop & implement this policy.
Date to be Corrected: 01/Nov/2017

POLICIES AND PROCEDURES: 13110 - DLSOP Active Play - [The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.] This policy should also be shared with parents/families.
Observation: This policy hasn't been developed & implemented yet.
Corrective Action(s): Please share this developed & implemented policy w/ parents/families.
Date to be Corrected: 01/Nov/2017

POLICIES AND PROCEDURES: 13120 - DLSOP Active Play - The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.
Observation: This policy hasn't been developed & implemented yet.
Corrective Action(s): Please develop & implement this policy.
Date to be Corrected: 01/Nov/2017

POLICIES AND PROCEDURES: 13130 - DLSOP Active Play - [The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.] This policy should also be shared with parents/families.
Observation: This policy hasn't been developed & implemented yet.
Corrective Action(s): Please share this developed & implemented policy w/ parents/families.
Date to be Corrected: 01/Nov/2017

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: FHA reviewed 13 children's files & found that 1 child lacked their medical practitioner's name & phone #.
Corrective Action(s): Please ensure that all requirements of §57 are obtained by children's 1st day of care.
Date to be Corrected: 25/Oct/2017


Comments

FHA:
• reviewed this FIR w/ the manager prior to signing & printing
• thanks all employees for their time & assistance today

Please visit http://www.fraserhealth.ca/childcare/ for:
• links to the CCALA, CCFL,& DLSP
• the temporary placement/retention application form • the exemption application form
• additional resources

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
Oct 25, 2017

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