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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
ONIR-CCXU6B

FACILITY NAME
Twelfth Avenue Neighbourhood Care
SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
NGIL-95HRCD
FACILITY ADDRESS
7622 12th Ave
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Sandip Singh

INSPECTION DATE
March 28, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.5
ARRIVAL
02:30 PM
DEPARTURE
03:00 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE
0

Introduction

An scheduled follow-up 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 (DoLSoP). All care categories 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
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: At the inspection from February 02, 2018, inspection report #SMOI-AVLVBG, inspection from January 02, 2019 and inspection report #SMOI-B82VQQ the facility was found in violation of this section as the outdoor decking in front of the facility was bubbling and lifting.

At the follow-up inspection from March 28, 2022 the following was found to remain outstanding from the inspection conducted on March 10, 2022, inspection #ONIR-CCEPK8:
- the bubbling in front of the door tore apart and the wood underneath is exposed. This is a tripping hazard.
- the wooden stairs leading to the facility are beginning to rot and wood is chipping away from the stairs. Two steps are sinking and are a hazard to parents, children, and staff entering and exiting the facility.
- inside the facility, in the staff bathroom the ceiling has an area exposed. A piece of tape was covering the missing ceiling piece. The tape has come apart and the insulation is showing.

At the inspection from March 10, 2022 the manager stated that she has reported the issues named above to the maintenance department and school members responsible for the upkeep of the facility, however the issues remain outstanding.

At the follow-up inspection from March 28, 2022 a conversation was had with the Hub Coordinator of the facility and it was mentioned that the issues have been brought to the attention of Burnaby School District coordinator.The issues remain outstanding.
Corrective Action(s): Please ensure that the facility is in good repair.
Date to be Corrected: Please submit a plan to licensing by April 08, 2022 to reflect when the repairs are going to be conducted.

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: During the follow-up inspection it was noted that the window identified as a hazard in the routine inspection from March 10, 2022, inspection #ONIR-CCEPK8, remains broken and in need of repair. The shards of glass remain in the window frame presenting a serious hazard. Children can reach the broken shards of glass through the cardstock that covers the window. Although the staff has been seen standing in front of the broken glass window, the shards of glass present a hazard to the children and staff in care. This item remains outstanding from the routine inspection from March 10, 2022.

At the time of the follow-up inspection a conversation over the phone was had with the Hub Coordinator of the facility, it was mentioned that the issue of the broken window and the remaining glass shards have been brought to the attention of Burnaby School District Coordinator on March 11, 2022. The issue remains outstanding.
Corrective Action(s): Please ensure children do not have access to any hazardous objects by removing the glass shards from the broken window.
Please ensure active supervision happens at all times.
Date to be Corrected: Immediately.


Comments

At the inspection dated March 28, 2022 there were 2 staff and no children present. At this inspection the above noted contraventions were identified. Actions required by the licensee and actions required the LO included here. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

ยท This report has been written off site. No signature was needed. This report was discussed and emailed to the licensee.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceFollow-up Inspection Required
Due Date
Apr 11, 2022
Approximate Follow Up Date
11 Apr, 2022

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