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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
AFUN-B2UT49

FACILITY NAME
Puddle Ducks Family Daycare - Abbotsford
SERVICE TYPES
304 Family Child Care
FACILITY LICENSE #
0782555
FACILITY ADDRESS
3669 Qualicum St
FACILITY PHONE
(604) 859-1181
CITY
Abbotsford
POSTAL CODE
V2T 5A6
MANAGER
Karen Gordon

INSPECTION DATE
July 20, 2018
ADDITIONAL INSP. DATE (multi-day)
July 23, 2018
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
4.5
ARRIVAL
10:30 AM
DEPARTURE
12:00 PM
ARRIVAL
09:00 AM
DEPARTURE
10:00 AM
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
7

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). Evidence for this report was based on the licensing officer’s and Justice Institute Practicum Student 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
· 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 and operation.
Visit the CCFL website at www.fraserhealth.ca/childcare for:
· Additional resources, and
· Links to the Legislation (CCALA and CCLR)

Contraventions
Previous InspectionContraventions observed on FIR #JCHE-AKQNRY have been corrected except for those noted on supplementary pages.
Current InspectionItems 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 (CORRECTED DURING INSPECTION): The following items were identified as requiring repair or cleaning within the facility;
the fridge storing the children's lunch kits has residue and debris within it, a bedroom near the playroom has personal items and bunkbeds within the room posing a safety risk to the children in care, a cabinet storing plastic bags was accessible to the children in care, a cabinet and shelf are not secured to the wall with heavy items stored on the upper shelf's posing a risk to the children in care, extra footwear is stored on the top of a shelf in a bin where if the items were to fall would injure a child in care, a door latch is not in place to restrict access to the furnace area. Some of these items are repeat contraventions from previous inspections.
Corrective Action(s): Ensure a community care facility is clean and in good repair.
Date to be Corrected: July 24, 2018

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11160 - CCLR s.16(3)(a) - A licensee must ensure that the entire outdoor play area is (a) enclosed in a manner that is suitable for the age and development of children, and will ensure that children are free of harm.
Observation (CORRECTED DURING INSPECTION): The following items were identified as requiring attention in the outdoor play area;
a shovel is located in the outdoor area and accessible to the children, a fire poker is located in the outdoor area and accessible to the children, a wooden board is loosely propped up between the house and fence to restrict access to an area where storage and an AC unit is situated posing a potential safety risk for the children in care, several cigarette ruminants were discarded in parts of the outdoor play area posing a risk to the children in care, along the back property line of the fence a gap under the fence which could pose an entrapment or escape risk for the children in care.
Corrective Action(s): Ensure an outdoor play area is enclosed and that the children in care are free from harm.
Date to be Corrected: July 24, 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 (CORRECTED DURING INSPECTION): A used car battery is presently being stored at the front of the house where children have access. Two personal razor blades were stored in the bathroom and accessible to the children in care.
Corrective Action(s): Ensure children do not have access to any object or substance that may be hazardous to their health and safety.
Date to be Corrected: July 24, 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: A substitute working with the children on the day of this inspection had no documentation or employee file in place.
Corrective Action(s): Ensure all employees have records in place under section 19 of the CCLR.
Date to be Corrected: July 24, 2018

STAFFING: 12460 - CCLR s.60(3)(b) - A licensee must keep (b) in any other case, all criminal record check results and character references for the entire time that the subject of the criminal record check or character reference is ordinarily present on the premises.
Observation: CRC's are due for renewal for the Licensee and members of the family that live in the house. The LO shared the renewal process with the Licensee.
Corrective Action(s): Ensure current CRC's are complete for individuals residing within the house.
Date to be Corrected: August 3, 2018

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Fire drill records were reviewed and no drills were conducted during the months of May and June 2018. The emergency evacuation drill could also not be confirmed during the inspection as the records were not available.
Corrective Action(s): Ensure monthly fire drills are conducted and recorded and yearly emergency evacuation drills are conducted and recorded.
Date to be Corrected: August 3, 2018

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: An active play policy has not been developed as of yet.
Corrective Action(s): Ensure an active play policy is developed, implemented and shared with families.
Date to be Corrected: August 3, 2018

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: A television is located in the playroom of the facility. The Licensee relayed that children listen to music via the television. A screen use policy has yet to be developed.
Corrective Action(s): Ensure a screen use policy is developed, implemented and shared with families.
Date to be Corrected: August 3, 2018

HYGIENE AND COMMUNICABLE DISEASE: 15050 - 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 (CORRECTED DURING INSPECTION): A used diaper was stored on the bathroom counter and not disposed of in a covered container. The Licensee relayed that some children are potty training and that the diaper might have accidentally been left on the counter by mistake.
Corrective Action(s): Ensure health and safety practices are being followed at the facility.
Date to be Corrected: July 24, 2018

MEDICATION: 16030 - CCLR s.53(2)(a) - A licensee must ensure that a child's medication is not accessible to any child, except that a child may have access to his or her own medication if (a) the child's parent has instructed the licensee to permit this.
Observation: The Licensee relayed that when medication is stored in the fridge it is contained in a ziploc storage bag in the door of the fridge. This practice poses a risk to the children in care as it is accessible.
Corrective Action(s): Ensure medication stored in the fridge is inaccessible to the children in care.
Date to be Corrected: July 24, 2018

RECORDS AND REPORTING: 19060 - CCLR s.57(1)(a)(b)(c) - A licensee must keep current records for each child showing (a) the information set out in subsection (2), (b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and (c) the consents referred to in subsection (3).
Observation: Two children in care did not have records or registration information. The children are family members of the Licensee. The Licensee was unaware that they required registration information.
Corrective Action(s): Ensure all children in care have current records.
Date to be Corrected: July 24, 2018

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: Four children's files were reviewed and one did not have a MSP number recorded.
Corrective Action(s): Ensure all children's files are complete including MSP numbers.
Date to be Corrected: July 24, 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: Attendance records were reviewed. The records were not accurate with missing dates, sign in and sign out times, and children absent were not recorded. Two children were also identified as not being included on the attendance records. The Licensee relayed that she has changed her attendance system. The current system is not detailed enough to capture information required.
Corrective Action(s): Ensure daily attendance information is recorded including, time in, out and absent children.
Date to be Corrected: July 24, 2018


Comments

The children were not present during today's inspection as they were off site with a substitute and the Licensee was available to support a facility and administrative review.
LO returned to complete the inspection and deliver the report on a second day indicated on this report. Five children were in care during the second day of inspection and the children were observed engaged in free play, drop off and getting ready to depart on a field trip.

The emergency supplies for the facility are located with in a closet in the facility and discussion occurred with the Licensee about access in the event of an emergency.
Snack is provided by the Licensee. The food items are communicated to the parents verbally and discussion occurred with the Licensee surrounding this practice.
A pad lock is in place on the gate to the outdoor play area and the Licensee relayed that the lock is removed when children are outside in order to safely exit the outdoor area directly from the outside.
Discussion regarding the changes to the legislation occurred along with the process for submitting reportable incident forms.
CRC renewal information was shared with the License to complete.

Care and Supervision discussion took place during the inspection and further discussion regarding continued repeat non-compliance.

Resources shared during these routine inspections include ; FHA Child Care Checklist, DLSOP Active Play, Immunization Poster, LO Business card, reportable incident forms.

Thank you for your time and cooperation during this routine inspection.

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
Aug 03, 2018
Approximate Follow Up Date

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