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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
MZIN-CG22CB

FACILITY NAME
Little Hat Daycare
SERVICE TYPES
310 Multi-Age Child Care
FACILITY LICENSE #
NGIL-AMVPAT
FACILITY ADDRESS
6669 Colborne Ave
FACILITY PHONE
(778) 882-0748
CITY
Burnaby
POSTAL CODE
V5E 2N7
MANAGER
Hung-En Chien

INSPECTION DATE
July 04, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
03:15 PM
DEPARTURE
04:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
5

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 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
LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation (CORRECTED DURING INSPECTION): Licensing observed that the name of the manager was not displayed in a prominent place in the community care facility.
Corrective Action(s): Ensure that the name of the manager is displayed in a prominent place in the community care facility. This was corrected during the inspection.
Date to be Corrected:

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation: During inspection, Licensing observed the following:

- When the manager was asked how children dry their hands in the washroom, it was said that toilet paper was currently being used, as the facility has ran out of paper towels.
- The sleeping mats in the nap room were laid out with no spacing in between the mats.

These items were both contravened on April 22, 2020 on routine inspection report #SMOY-BNWS3W.
Corrective Action(s): Ensure a healthy and safe environment is provided at all time when children are in care.

Licensing discussed the need to have paper towels in the washroom to dry hands. The use of toilet paper is not permitted as there is the possibility of cross contamination from an individual using the toilet and the person using the same roll to dry their hands.

The sleeping mats need to be laid out in a manner that the mats and children's beddings do not come in contact with the other mats and children's beddings to prevent cross contamination.

Date to be Corrected: July 5, 2022

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 that the cabinet under the sink in the bathroom was unlocked and contained cleaning substances which were acessible to children.
Corrective Action(s): Ensure children do not have access to substances that may be hazardous to their health and safety. The manager said that the cleaning substances will be stored in a place not accessible to children.
Date to be Corrected: July 5, 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 observed that the criminal record for one staff has expired.
Corrective Action(s): Ensure that the criminal record check is updated and on file.
Date to be Corrected: July 8, 2022

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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Licensing observed that there was no validation on file for an ECE certificate.
Corrective Action(s): Ensure that the certificate is verified by the system maintained by the Early Childhood Educator Registry. During inspection, Licensing showed the online website used to verify the certificate.
Date to be Corrected: July 8, 2022

RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Licensing checked the children's records and noted the following:

- One child was missing their medical insurance plan number on file

- Two children are missing their immunization status on file (This item was contravened on Mar. 20, 2019 on routine inspection report #KSEY-BAFNGB).
Corrective Action(s): Ensure children's records are complete and on file.
Date to be Corrected: July 8, 2022


Comments

At the inspection dated July 04, 2022 there were 5 children and the manager was on-site and assisted with the inspection. At this inspection, the above noted contraventions were identified. Actions required by the licensee includes a written response. The contraventions noted in this report were reviewed with the facility during the inspection.

As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

A business card was also provided during the inspection.

The following education/recommendations/discussions were provided:
- Reportable Incident procedures, which is to be reported within 24 hours. Child care staff are asked to call their Licensing Officer to make the report. If the Licensing Officer is unavailable, please call the Duty Line.
- Continue to document minor incidents using the incident log bound book, and take note of any illness and unexpected events involving children not requiring medical attention, and that are not reportable incidents as described in Schedule H and staff to initial and date after each documentation.
- Continue to clean and sanitize the facility including toys and equipment
- Continue to have a system in place for checking the expiry date of items in the emergency supplies kit
- Active supervision inside and outside of the facility

A copy of this report and risk assessment was sent 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
Provide a written response to LicensingNo action required
Due Date
Jul 08, 2022

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