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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SWAR-CF9NZU

FACILITY NAME
Little Twinkle Preschool/Out of School Care (Mount Lehman)
SERVICE TYPES
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
SRID-77DNWP
FACILITY ADDRESS
3551 Crestview Ave
FACILITY PHONE
(604) 614-5562
CITY
Abbotsford
POSTAL CODE
V2T 6T7
MANAGER
Surinder Kaur Sekhon

INSPECTION DATE
June 10, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.25
ARRIVAL
09:10 AM
DEPARTURE
10:25 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 (DoLSoP).
All care categories were inspected for compliance.

Contraventions
Previous Inspection -
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: Licensing observed several basket balls were stored in the bathroom, on the floor, accessible to children when using the washroom. This is a cause for concern for hygiene purposes.
Corrective Action(s): Please ensure equipment is stored in a safe and hygenic place,
Date to be Corrected: June 20, 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: On review of 5 staff files, Licensing observed 2 that were not site specific, but were current.
Corrective Action(s): Please ensure all criminal record checks are acquired through the facility's process for staff screening.
Date to be Corrected: June 20, 2022

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: Immunization status was not obtained for one or more employees after review of 5 staff files.
Corrective Action(s): Please ensure immunization status reflects current immunization requirements. Please review and update accordingly.
Date to be Corrected: June 20, 2022

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: On review of 5 staff files, Licensing observd that 2 were missing certification validation. This is a repeat contravention
Corrective Action(s): Please ensure a system in in place to validate employee certificates upon employ or when renewing certification from the ECE Registry.
Date to be Corrected: June 20, 2022

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: On review of emergency plans, Licensing observed that the annual emergency evacuation drill was not recorded. The Manager explained the facility drill as it was practiced.
Corrective Action(s): Please ensure a written record of the annual emergency drill is available for review.
Date to be Corrected: June 20, 2022


Comments

Summary of Inspection

At today’s inspection there were 15 children and 3 staff present.
Licensing reviewed the facility’s COVID-19 prevention strategies

At this inspection the above noted contraventions were identified and the Licensee is required to submit a compliance plan by the date indicated.

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 following was discussed:
- Active Play outdoors
- The use of the Child Care Links checklist for monitoring purposes
- Hygiene and sanitization practices
- The use of the minor incident log book - ensure integrity of information
- Active Supervision reminders

Reminders:
- Licensing Duty line: #604 587 3936 for emergencies if area Licensing Officer can’t be contacted.
- Regular review of BCCDC website for COVID-19 updates (see link below)

Visit the CCFL website at www.fraserhealth.ca/childcare
for additional resources, and links to the Legislation (CCALA and CCLR).

Further websites:
Criminal Records Checks at:
www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-record-check
Appetite to Play at: https://www.appetitetoplay.com
Healthlink BC at: https://www.healthlinkbc.ca/services-and-resources/healthlinkbc-files
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19


The contents of this inspection report were reviewed with the Manager prior to the inspection report being written off-site, therefore no signature attached.
If you have any questions, please contact your Licensing Officer. Contact details provided.

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
Jun 20, 2022

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