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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SMIA-CXFM5Q

FACILITY NAME
Citadel Childcare Centre
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
HRUN-ARLSSP
FACILITY ADDRESS
779 Citadel Dr
FACILITY PHONE
(778) 859-3835
CITY
Port Coquitlam
POSTAL CODE
V3C 6E4
MANAGER
Khatereh Ordoubadi

INSPECTION DATE
November 09, 2023
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:45 AM
DEPARTURE
11:30 AM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
8

Introduction

At the inspection dated November 9, 2023, there were eight children, two staff and the manager present. At this inspection the above noted contraventions were identified. Licensing conducted a walk-through of the entire facility. The Manager will take action to bring the facility into compliance and provide a written response to the Licensing Officer by November 23, 2023 stating how the identified contraventions will be addressed to ensure year-round compliance. The Licensing Officer will review the response. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following were discussed with the Manager:
Ensure attendance records clearly indicates the dates children are attending the daycare
Having an ongoing maintenance plan for the facility's interior. Licensing observed duct tape used on kitchen cupboards and on few sections of the interior walls and bathroom started to show signs of wear and tear.
All minor/unusual incidents communicated to the families must be also recorded in the minor incident log book.
Certificates or copy of certificates of any educator or assistant employed at the daycare must be prominently displayed in the facility. CCLR s.11(4)
When checking employee references, the Manager must contact the references and include a notation indicating the date the employee references were verified.
Use and installation of sleeping equipment (playpens) for children must adhere to the manufacturer's recommendations and guidelines. Health Canada Safe Sleep environment & Safe Sleep Practices Bulletin (Emailed to the Manager)
Validation of ECE certificates (Emailed to the Manager)

The inspection report was written off-site and details were reviewed with the Manager prior to writing the report. A copy of the follow up to routine inspection report and risk assessment is provided to the manager on November 10, 2023.
Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR).

Contraventions
Previous Inspection -
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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Licensing reviewed 4 staff files. 2 staff's certificate has not been verified through the early childhood educator registry.
Corrective Action(s): Please ensure ECE Certificates are verified and evidence of the verification is available before a staff starts employment.
Date to be Corrected:

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: During inspection Licensing observed that there was one infant toddler educator and two early childhood educator assistant staff working in the facility.
Corrective Action(s): Please ensure the second staff member working with an infant and toddler educator must have an ECE certificate. Licensing discussed exemption process with the manager .
Date to be Corrected:


Comments


Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Nov 14, 2023

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