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

FACILITY NAME
Hilltop Hideaway Out-Of-School Care
SERVICE TYPES
306 School Age Care on School Grounds
FACILITY LICENSE #
2582084
FACILITY ADDRESS
331 Richmond St
FACILITY PHONE
(604) 517-5918
CITY
New Westminster
POSTAL CODE
V3L 4B7
MANAGER
Erin Gaw

INSPECTION DATE
August 18, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.75
ARRIVAL
11:45 AM
DEPARTURE
12:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

Introduction

Community Care Facilities Licensing (CCFL) inspected all care categories during an unscheduled routine inspection to assess compliance w/:
• the Community Care & Assisted Living Act
• the Child Care Licensing Regulation
• relevant Director of Licensing Standards of Practices

Contraventions
Previous Inspection - Contraventions observed on FIR #CGEE-CJG42S have been corrected.
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): Repeat violation from FIR #CGEE-ATHUF6 (27/Nov/2017).

The manager's name was not displayed conspicuously.
Corrective Action(s):
Date to be Corrected:

STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: There was no record of the emergency drill being practiced in 2022 or 2023 so far.
Corrective Action(s): The emergency plan must be implemented annually.
Date to be Corrected: 31/Aug/2023

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: Repeat violation from FIR #CGEE:
- AEUV8J (18/Oct/2016)
- BQDPAF (04/Jun/2020)

CCFL reviewed 18 children's files, in which 1 child lacked her immunization status.
Corrective Action(s): All requirements of s.57 are required by children's 1st day of care.
Date to be Corrected: 23/Aug/2023

RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: Repeat violation from FIR #CGEE:
- ATHUF6 (27/Nov/2017)
- CJG42S (20/Sep/2022)

An employee lacked her documentation onsite.
Corrective Action(s): All employee documentation must be kept onsite.
Date to be Corrected: 21/Aug/2023


Comments

Summary
• 4 violations were observed, in which 1 violation was corrected during inspection & corrective action for the remaining 3 violations includes:
- obtaining employee documentation
- practicing the annual implementation of the emergency plan
- obtaining children's records

Websites of interest
• Appetite to Play: www.appetitetoplay.com
• Criminal Record Check: www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
• HealthLinkBC Files: www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
• Public Health Guidance for Communicable Disease (including COVID-19) Management in Child Care Settings: www.bccdc.ca/Health-Info-Site/Documents/COVID_public_guidance/Guidance_Child_Care.pdf
• Resources for Licensees & Managers: www.fraserhealth.ca/health-topics-a-to-z/child-care/resources-for-child-care-operators
• Sneezes & Diseases: https://sneezesdiseases.com/assets/uploads/1589214601pDsukixOst24Mk9wayE3eA9Jjji7.pdf

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
Aug 25, 2023

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