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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
ANAI-DH6VBQ
FACILITY NAME
CEFA Cloverdale		SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
308 Occasional Child Care
FACILITY LICENSE #
KPUL-CQFTME
FACILITY ADDRESS
201 - 17392 57th Ave		FACILITY PHONE
(778) 726-1007
CITY
Surrey		POSTAL CODE
V3S 2X6		MANAGER
Kirsten Purssell
INSPECTION DATE
May 30, 2025		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
03:15 PM		DEPARTURE
04:30 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
78
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care and Assisted Living Act (CCALA), Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standard of Practice (DOLSOP). All care categories were assessed 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
RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: A care plan does not include adequate course of action recommended for staff to respond to child's need.
Corrective Action(s): Discussed intent of identifying clear course of action.
Date to be Corrected: June 5. 2025
Comments

Summary of Inspection:
At the inspection the children were in care with 20 staff and the manager.
At the inspection, the above noted contraventions were identified.
Please provide Licensing with a written response, by the date noted below, stating how the identified contraventions will be addressed in order to ensure year round compliance.
As part of this Routine Inspection a Facility Risk Assessment Tool was completed. A copy of the report and the corresponding Risk Assessment was emailed to the Manager.
The following items were discussed:
Care plan review
Use of belt buckles during activity
Licensee Resources:
- Visit the CCFL website at www.fraserhealth.ca/childcare for forms, resources and links to Legislation (CCALA and CCLR).
- For immediate assistance, reporting of serious incidents including COVID-19 concerns, you may call the duty line at 604-587-3936.

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
Jun 05, 2025
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.