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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CXR59V

FACILITY NAME
South Slope Day Care
SERVICE TYPES
311 In-Home Multi-Age Child Care
FACILITY LICENSE #
JNIN-CHDP9R
FACILITY ADDRESS
4625 Neville St
FACILITY PHONE
(778) 892-3113
CITY
Burnaby
POSTAL CODE
V5J 2H2
MANAGER
Chen Yuxin

INSPECTION DATE
November 17, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:15 AM
DEPARTURE
11:45 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE

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). All areas of the facility were inspected for compliance.

Contraventions
Previous Inspection - Not Applicable
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: During the inspection licensing observed that two staff certificates were not posted at the facility.
Corrective Action(s): Please ensure the certificates are posted in a prominent place
Date to be Corrected: November 24, 2023

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation: The following was observed inside the facility:
-The bottle of bleach and water used to disinfect the diaper changing mat was tested. Only water was in the bottle. This was corrected during the inspection
-Diaper cream was observed in a basket in the counter. This was corrected during the inspection
-Lunches were observed in the classroom. Two lunch kits did not have an ice pack and contained foods that are required to be refrigerated
The following was observed outside the facility:
-A large basketball net was located on the ground this could present a potential tipping hazard.
-A climber was close to the pavement. This was corrected during the inspection
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times to the children in care.
Date to be Corrected: November 24, 2023

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: Licensing observed the following inside the facility:
-A cupboard in the kitchen contained Lysol toilet bowl cleaner
-A bottle of bleach and dishwasher detergent pods were located under the sink. This was accessible and not locked
-One window limiter in the naproom was broken. One window limiter in the living room was placed far apart. The windows are located on the second floor of the home and present a potential falling hazard. This is a repeat contravention from inspection #CLAN-CN6S38
-Chemicals were located under the sink in the washroom. Locks were observed but they did not lock the doors properly.
-Plastic bags were observed in a cupboard in the nap room at the children's level
-A phone cord was observed in the nap room . This is a repeat contravention from inspection #CLAN-CN6S38
-Blind cords in the nap room were hanging at a lower level. These could cause a potential hazard
-A loose uncoiled cord for a fan was observed in the nap room.
-The laundry room was open and a recycling bin with sharp cans was observed in the floor
The following was observed in the outdoor play area:
-A rusty rake was located on the ground in the outdoor play area. This is a repeat contravention from inspection #CLAN-CN6S38
Corrective Action(s): Please ensure children do not have access to any objects or substances that may be hazardous to their health and safety
Date to be Corrected: November 17, 2023

STAFFING: 12050 - CCLR s.19(1)(b) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (b) character references in respect of the person.
Observation: Two staff records were reviewed. One staff record was missing character references.
Corrective Action(s): Please ensure staff records are complete
Date to be Corrected: November 17, 2023

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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Two staff records were reviewed one staff record was missing a verification for an ECE certificate
Corrective Action(s): Please ensure staff certificates are verified by the system maintained by the ECE registry.
Date to be Corrected: November 24, 2023

STAFFING: 12210 - CCLR s.23(1)(a) - A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: The Licensee's first aid certificate was observed. The certificate expired in July 2023. Other staff were working in the facility and have first aid certification. The Licensee must also be certified.
Corrective Action(s): Please ensure first aid certificates are current.
Date to be Corrected: November 24, 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: One child's record was missing an MSP number. Two children's records were missing immunization status
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: November 24, 2023

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: Several departure times were missing for the months of October and November. This is a repeat contravention from inspection #CLAN-CN6S38
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: November 24, 2023

RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: The children's records were reviewed. One child's record was missing a photo.
Corrective Action(s): Please ensure children's photos are in their records
Date to be Corrected: November 24, 2023

RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: During the inspection licensing reviewed the children's records. Five records were missing consent for the Licensee to call an ambulance in emergency.
Corrective Action(s): Please ensure children's records are complete
Date to be Corrected: November 20, 2023


Comments

At the inspection dated November 17, 2023 there were 5 children, and two staff were present. The Licensee was absent during the inspection. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by November 24, 2023 unless otherwise specified in the report. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Licensee.

The following information was discussed:
-The reportable incident reporting procedure.
-The current cleaning protocols that are in place
-Preventing lead in the water
-Adding diapers to the emergency supplies. This was completed during the inspection.

The inspection findings were reviewed with the staff at the inspection. A copy of these documents were sent to the Licensee. If you have any questions regarding this report please contact me.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceFollow-up Inspection Required
Due Date
Nov 24, 2023
Approximate Follow Up Date

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