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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CD3M3G
FACILITY NAME
Deaf Children's Society of BC		SERVICE TYPES
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
3283133
FACILITY ADDRESS
4446 Watling St		FACILITY PHONE
(604) 430-5415
CITY
Burnaby		POSTAL CODE
V5J 5H3		MANAGER
Jordyn Mitchell
INSPECTION DATE
March 31, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
02:15 PM		DEPARTURE
04:15 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# OBSERVED IN CARE
Introduction

A scheduled 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. An ASL interpreter was present for the duration of the inspection.
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: During the inspection Licensing observed a large play kitchen and a wooden shelf abutting the fence in the outdoor play area. This could present a potential climbing and falling hazard as there is a drop off on the other side of the fence. Please provide active supervision in this area until this is corrected.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times
Date to be Corrected: April 8, 2022

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: Licensing observed the following:
-a sensory bin cover had holes in the fabric
-two tables showed signs of wear and the particle board was exposed. This may be difficult to clean and may harbour bacteria.
Corrective Action(s): Please ensure the equipment within the facility is in good repair.
Date to be Corrected: April 15, 2022

STAFFING: 12040 - CCLR s.19(1)(a) - 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: (a) a criminal record check for the person.
Observation: Four staff records were reviewed. One staff record was missing a criminal record check (CRC). This is a serious health and safety concern. In discussion with the Manager she stated that the employee has a current criminal record check and the facility is in the process of obtaining a site specific CRC.
Corrective Action(s): Please ensure staff records are complete and CRC's are on site.
Date to be Corrected: April 1, 2022

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: The children's records were reviewed. One children's record was missing the child's immunization status.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 15, 2022


Comments

At the inspection dated March 31, 2022 there were 3 children, 3 staff, the Manager and the Director was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by April 15 , 2022 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 Manager.

The following education/recommendations were provided:
-The reportable incident reporting procedure. Forms provided
-The current COVID-19 protocols that are in place
-Several items in the first aid kit had a Drug identification number (DIN) or a natural product number (NPN). Permission must be obtained by a child's parent or guardian prior to application.
-Obtaining a bound book to record minor incidents

The following will be sent to the Manager:
-Repayment policy information.

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. 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
Apr 15, 2022
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Click here for a description of each "Category" of violation displayed.