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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
DCHG-ABMLDL

FACILITY NAME
Fraser Montessori Daycare
SERVICE TYPES
302 Group Child Care (30 months to school age)
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
ACAK-8KZURW
FACILITY ADDRESS
1408 5th Ave
FACILITY PHONE
(604) 522-1586
CITY
New Westminster
POSTAL CODE
V3M 1Z5
MANAGER
Edith Ziolkiewicz

INSPECTION DATE
July 05, 2016
ADDITIONAL INSP. DATE (multi-day)
July 07, 2016
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
6.5
ARRIVAL
09:05 AM
DEPARTURE
01:30 PM
ARRIVAL
10:30 AM
DEPARTURE
11:30 AM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Child Care Licensing Regulations (CCLR) and the relevant Director of Licensing Standards of Practice (DLSP). 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 the inspection.

The following areas were reviewed:

· Licensing
· Physical Facility
· Staffing
· Policies and Procedures
· Care and Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting

As part of this 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 operation.

Visit the CCFL website http://www.fraserhealth.ca/health-info/health-topics/child-care/
for:

· Additional resources, and
· Links to the Legislation (CCALA and CCLR)

Contraventions
Previous Inspection - Not Applicable
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: 11040 - CCLR s.13(4) - If a child who requires extra support is attending the community care facility, the licensee must ensure that the physical structure of the community care facility is modified to meet the needs of the child while the child is in attendance.
Observation: The playground was inspected. Writer noted that wooden beams were constructed around the swing playing equipment to retain pebbles within that area. Those beams were placed very closed to the sliding landing area (i.e. 1.5 feet away) and the ladder (i.e. 1 feet away) which did not provide enough clearance around the equipment.
The licensee was aware of the concern and stated that she has a plan to address them and improve the play space.

Corrective Action(s): Please position the equipment on protective surfaces providing sufficient clearance around it. You may also refer to the Director of Licensing Standard of Practice - Safe Play Space for information.

Date to be Corrected: Aug 1, 2016

STAFFING: 12080 - CCLR s.19(1)(e) - 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: (e) a statement signed by a medical practitioner indicating that the person is physically and psychologically capable of working with children and carrying out assigned duties in a community care facility.
Observation: 6 staff files were reviewed. Writer noted that a staff's medical note was missing from file. The Licensee stated that she has asked this staff to submit their medical note but has not provided it yet.

Corrective Action(s): Please ensure that all staff have their medical notes prior to commence to work.

Date to be Corrected: Aug 1, 2016

STAFFING: 12160 - CCLR s.20(1) - The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.
Observation: 6 staff files were reviewed. Writer noted that a staff's criminal record check (CRC) was missing from file. However, a local police CRC was completed. The licensee stated that they have applied the check through the CRC program and is still waiting for the result.

Corrective Action(s): Please ensure that all staff have obtained their CRCs done through Criminal Record Review Program prior to commence to work.
Date to be Corrected: Aug 1, 2016

CARE AND/OR SUPERVISION: 14030 - CCLR s.34(2)(b) - Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation: 7 children who will go to kindergarten in September have joined the Group Child Care (School Age) program starting on July 4, 2016. Licensee explained that the summer school age program would help them transitioning into the program and most of them have enrolled in the school age program in coming September. Their age range is from 5 to 7 years old. Writer observed total of 11 children in the school age program and they were doing crafts with a staff. Writer stated that they should not move to the school age program until September when they have started school. Writer explained that the facility has an option to apply for temporary placement for these children.

Corrective Action(s): Please ensure that children would stay in their enrolled program until they have started school. If you have a plan to apply for temporary placement for the best interest of these children, Please submit the required form as soon as possible.

Date to be Corrected: July 8, 2016

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: Parents signed in and out on the attendance sheet located in a binder at the front desk. Each classroom has a log sheet recording the present and absence of each child by staffs. Writer concerned that the attendance sheet may not truly reflect the attendance of children because there were times that parents did not sign in and or out of their children. The log sheet in the classroom indicated inconsistency of recording children's present and absence as writer noted that some slots were left blank.

Corrective Action(s): Please ensure that the facility maintains daily attendance of each child's absence, present and their arrival time and departure time. The facility should check the parent's sign in and out sheet daily to ensure the required information is recorded.

Date to be Corrected: August 1, 2016


Comments

Writer visited the facility on June 20, 2016 and attempted to conduct a routine inspection. However, writer decided to visit on another day to complete the inspection due to the unavailability of the Licensee.
The overview of the staffing and their qualifications were discussed. Both classroom A and B have a ECE qualified staff and at least one ECE A qualified staff working with children. However, there are times that one of ECE is away from the facility for about an hour and this ECE will be replaced with a ECEA or responsible adult. The Licensee is currently working on a new staffing schedule which would maintain staffing ratio requirement.
Please submit the staffing plan to review by July 22, 2016
Writer also reminded the licensee that the facility is required to maintain a record/log about all minor accidents, illnesses, and unexpected events involving children that did not require medical attention and were not reportable incidents.
Live 5210 starter kit was provided and discussed.

Thank you for your time and cooperation. Please contact me if you have any questions or concerns.

Note: On July 5, 2016. Writer left between 10:50am-11:50 am for lunch and left at 1:30pm.
This report was written in office and writer delivered this report to the licensee on July 7, 2016

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
Jul 22, 2016
Approximate Follow Up Date

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