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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CGEE-B5UR6R
FACILITY NAME
Cambridge Montessori Children's Centre		SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
ACAK-8F2TEY
FACILITY ADDRESS
57 7th Ave		FACILITY PHONE
(778) 668-7188
CITY
New Westminster		POSTAL CODE
V3L 1V9		MANAGER
Susanna Pin-Hsiang Wang
INSPECTION DATE
October 24, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
11:00 AM		DEPARTURE
01:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
41
Introduction

Licensing conducted an unscheduled routine inspection of this community care facility (CCF) to assess compliance w/ the:
• Community Care & Assisted Living Act (CCALA)
• Child Care Licensing Regulation (CCLR)
• Director of Licensing Standard of Practice (DLSP)
- Active Play
- Safe Play Space

At the time of inspection, evidence for this facility inspection report (FIR) was based upon:
• Licensing's
- observations
- review of the CCF's records
• information provided to Licensing by the manager & employees

Licensing reviewed these 10 areas today:
• licensing • physical facility • staffing
• policies & procedures • care & supervision • hygiene & communicable disease control
• medication • nutrition & food services • program
• records & reporting

As part of this inspection, Licensing completed & provided a risk assessment tool, which includes:
• any noncompliance identified
• the CCF's compliance & operational history since 24/Oct/2015
Contraventions
Previous Inspection - Contraventions observed on FIR #CGEE-AL6QXZ have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: Licensing reviewed all employees' files & found that 1 employee's most recent ECE certificate renewal hasn't been verified via the ECE Registry.
Corrective Action(s): The licensee must ensure that all employees' ECE certificates are validated upon hire & again upon each renewal.
Date to be Corrected: 27/Oct/2018

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: b) Group Child Care - Staff to Child Ratio is 1:8 (ECE/ASST/ASST).

In NW01 upstairs, children were being cared for by an ECE & a responsible adult who's awaiting her ECEA certificate. There's no exemption in place for this employee.
Corrective Action(s): The licensee must ensure that the minimum ratio of employees to children for GCC (30 months - school age) is always as follows:
1-8 children: 1 ECE
9-16 children: 1 ECE & 1 ECEA
17-25 children: 1 ECE & 2 ECEAs
Date to be Corrected: 25/Oct/2018

RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: Licensing reviewed 15 children's files & found that 1 child lacked her starting date.
Corrective Action(s): The licensee must ensure that all requirements of s. 57 are obtained by children's 1st day of care.
Date to be Corrected: 31/Oct/2018
Comments

The CCALA, CCLR, & DLSP set the minimum standards that must be met by all licensed CCFs to ensure the health & safety of all vulnerable individuals in care. The onus rests w/ the licensee to provide for the health & safety of all children in care @ all times.

Continuous, active supervision (s. 39 of the CCLR)
Licensing discussed how the licensee must ensure that:
• children are actively supervised @ all times by ≥ 1 responsible adult while maintaining the minimum employee to children ratio @ all times
• employees practice active supervision via a combination of close proximity & attention, watching, & listening, while being able to move through & see the entire space that children are in

Notification of illness or injury (s. 55 of the CCLR)
Licensing discussed how the licensee must notify:
• a parent or emergency contact immediately after the child becomes ill, injured, or is (possibly) involved in a reportable incident (RI) while in care
• Licensing within 24 hrs after a child is (possibly) involved in an RI while in care
- this requirement can be fulfilled via email, phone, or fax
- in Licensing's absence, please report to FHA's Population & Public Health Central Call Centre (604.587.3936)
- please deliver the yellow copy of the completed RI form to the Bby Health Protection office (#300 - 4946 Canada Way, Bby, BC V5G 4H7)

Safe drinking water (s. 48 of the CCLR)
Recent testing in many communities has shown higher concentrations in tap water than previously expected. Licensing discussed the importance of flushing pipes by running the cold water tap, as per the provided BC Govt Fact Sheet (CCLR, CCALA): "Lead in Drinking Water."

Licensing:
• reviewed this FIR w/ the manager prior to signing & printing
• thanks the manager & employees for their time & assistance today

Please visit http://www.fraserhealth.ca/childcare/ for:
• links to the CCALA, CCFL,& DLSP
• PHSA's free online course (Healthy Eating in the
Child Care Setting - Division of Responsibility model) • the temporary placement/retention application form
• the exemption application form
• additional resources
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
Oct 31, 2018
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.