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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KINE-CLDNM4
FACILITY NAME
Creation Station Day Care		SERVICE TYPES
302 Group Day Care >30 mos
305 Group Child Care (School Age)
FACILITY LICENSE #
0982919
FACILITY ADDRESS
5545 Ladner Trunk Rd		FACILITY PHONE
(604) 940-8077
CITY
Delta		POSTAL CODE
V4K 1X1		MANAGER
Merril Marocchi
INSPECTION DATE
November 18, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
03:00 PM		DEPARTURE
04:30 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 Assisted Living Act (CCALA) and the Child Care Licensing Regulations (CCLR) and the relevant Director of Licensing Standards of Practice (DoLSoP). All care categories were inspected for compliance.

Contraventions
Previous Inspection - Contraventions observed on FIR #KINE-C8FT8Y have been corrected.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.
Observed Violations
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: A review of 3 staff files found that one file was missing immunization status
Corrective Action(s): Ensure all staff files are complete
Date to be Corrected: November 28, 2022

CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation: During routine inspection, the manager of the facility informed licensing that there are 3 children under 3 attending the Group Child Care (30 months - School Age) program. No request for Exemption had been submitted to licensing. The manager had explained that they had enrolled the 3rd child recently by error while she was off on a leave.
Corrective Action(s): Ensure that each group has no more children that what is permitted in Schedule E.
Date to be Corrected: November 28, 2022
Comments

At today’s inspection there were 19 children and 4 staff present. Licensing conducted a walk through of the entire facility.
At this inspection the above noted contraventions were identified. The Licensee will take action to bring the facility into compliance and provide a written response to the Licensing Officer by , November 28, 2022. The Licensing Officer will review the response.
As part of this Routine Inspection, a Facility Risk Assessment Tool is completed and a copy was provided to the facility along with this report. The Risk Assessment includes any non-compliance identified during the routine inspection and a 3 year ‘historical’ review of the facility’s compliance and operation and is used to determine inspection frequency.
The contents of the inspection report were reviewed with the licensee prior to the inspection report being written off-site; therefore, no signature attached. A copy of this report will be emailed to the manager on ,November 21, 2022.

The Licensing Officer met with the manager and discussed the following:
Active Play and Screen Use Policy - Development (resources provided via email)

Visit the CCFL website at www.fraserhealth.ca/childcare for additional resources, and links to the Legislation (CCALA and CCLR)
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
Nov 28, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.