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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

KINE-CZDPL3

FACILITY NAME C&S Child Care		SERVICE TYPES 303 Preschool (30 months to school age) 306 School Age Care on School Grounds 302 Group Child Care (30 months to school age)	FACILITY LICENSE # MLAO-99MU5G
FACILITY ADDRESS 4625 62nd St			FACILITY PHONE (604) 946-4060
CITY Delta	POSTAL CODE V4K 3L8		MANAGER Meagan Ram

INSPECTION DATE January 11, 2024	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 2
ARRIVAL 08:30 AM	DEPARTURE 10:30 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 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 -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations

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: Four staff files were reviewed and it was found all files had references indicated but none were verified. Corrective Action(s): Ensure all references are verified and recorded in the staff files Date to be Corrected: January 25, 2024 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: Four staff files were reviewed and three of four files did not have evidence of immunization status Corrective Action(s): Ensure there is a system in place during hiring to collect evidence of immunization status in each staff file Date to be Corrected: January 25, 2024

Comments

At today’s inspection there were 31 children and 5 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 January 25, 2024. 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 manager onsite. A copy of this report will be emailed to the manager on January 11, 2024.

Action Required by Licensee/Manager	Action Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to Licensing	No action required
Due Date Jan 25, 2024

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