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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-C3YQJ8

FACILITY NAME
Sakura Childcare the First
SERVICE TYPES
310 Multi-Age Child Care
FACILITY LICENSE #
NGIL-ACGSRG
FACILITY ADDRESS
4237 Price Cres
FACILITY PHONE
(604) 657-7310
CITY
Burnaby
POSTAL CODE
V5G 2M9
MANAGER
Asami Yagita

INSPECTION DATE
June 10, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3
ARRIVAL
10:00 AM
DEPARTURE
12:00 PM
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 care categories 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
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 during the inspection:
-a printer was located on a shelf. This could present a falling hazard
-2 electrical outlet covers were missing. This is a repeat contravention from inspection #CLAN-BBLQUU and inspection # CLAN-BBLQW7.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: June 17, 2021

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: During the inspection licensing observed the following:
-Foam mats located on the floor had several rips and puncture marks. These rips and puncture marks could harbour bacteria.
-A gate leading to the laundry room was broken. This was fixed at the inspection.
-Several sections of the wall were missing paint.
Corrective Action(s): Please ensure the facility, and items in the facility are in good repair.
Date to be Corrected: June 28, 2021

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:
-several bottles of hand sanitizer were on a low shelf that was accessible to children
-bleach bottles were located on a shelf at children's level and at the front of a counter top.These were both within easy reach of the children. These were corrected during the inspection.

Licensing observed the following outside the facility:
-several rusty cans were located in the outdoor play area. Rust can present a potential health hazard. This is a repeat contravention from inspection #CLAN-BMTP95. This was removed during the inspection.
-A large climber in the outdoor area was placed next to the fence. This could present a potential falling hazard.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: June 11, 2021

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: During the inspection two staff records of four were reviewed. One staff member was missing character references. This is a repeat contravention from inspection #DCHG-AWVPXV and inspection #CLAN-BMTP95.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: June 28, 2021

STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Licensing reviewed two staff records of four staff records. One staff record was missing their immunization status. This is a repeat contravention from inspection #CLAN-BMTP95
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: June 28, 2021

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: During the inspection two out of four staff records were reviewed. One record was missing a verified Early Childhood Education (ECE) certificate. This was completed during the inspection.
Corrective Action(s): Please ensure ECE certificates are verified with the system established by the ECE registry.
Date to be Corrected: June 10, 2021

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: Licensing reviewed two staff records of four staff records. One staff record was missing a current, valid first aid certificate. In discussion with the Manager she acknowledged that this one staff member is sometimes left on her own with the children.
Corrective Action(s): Please ensure that children have immediate access to an employee who holds a valid first aid and CPR certificate.
Date to be Corrected: June 28, 2021

POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Licensing reviewed the record of fire drills that were completed. In discussion with the Manager she stated that a fire drill was completed for the month of February but it was not recorded.
Corrective Action(s): Please record fire drills when completed to comply with the legislation.
Date to be Corrected: June 28, 2021

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: During the inspection four children's records of eight were reviewed. One children's record was missing a date of enrollment.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: June 28, 2021


Comments

At the inspection dated June 10, 2021 there were 8 children, 2 staff and the Manager was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by June 28, 2021. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy was sent to the Manager.

The following education/recommendations were provided:

-The reportable incident reporting procedure
-The current COVID-19 protocols that are in place
-Active supervision
-Adding more items to the first aid kit
-Preventative safety measures when cooking with young children
-Ensuring all the usable play space in the facility is accessible to the children

The inspection findings were reviewed with the Manager at the inspection. Due to the COVID-19 pandemic the inspection report and the risk assessment were completed at the Burnaby FHA office. The report was written in 1 hour and this is included in the report. A copy of these documents were sent to the Manager.
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 complianceNo action required
Due Date
Jun 28, 2021

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