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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
LPEN-B5TU32
FACILITY NAME
Club K.I.D.S. Windebank - Room 138		SERVICE TYPES
305 Group Child Care (School Age)
FACILITY LICENSE #
0782512
FACILITY ADDRESS
33570 11th Ave		FACILITY PHONE
(604) 820-5350
CITY
Mission		POSTAL CODE
V2V 6Z2		MANAGER
Heather Galozo
INSPECTION DATE
October 23, 2018		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.75
ARRIVAL
02:15 PM		DEPARTURE
04:00 PM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine		# CHILDREN ENROLLED
Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DOLSP). Evidence for this report was based on the Licensing Officer’s observations, review of the facility records and information provided by the facility staff at the time of inspection.
The following areas were reviewed:
· Licensing
· Physical Facility
· Staffing
· Polices & Procedures
· Care & Supervision
· Hygiene and Communicable Disease Control
· Medication
· Nutrition and Food Services
· Program
· Records and Reporting

As part of the routine inspection a Facility Risk Assessment Tool is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at http://www.fraserhealth.ca/childcare for:
· Additional resources and
· Links to the Legislation (CCALA & CCLR)
If you have any questions regarding this report feel free to contact me, a business card was provided
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: The following was observed at time of inspection:
-A mini fridge is located on a counter and has the potential to be pulled down or fall down.
-4 Rubbermaid storage containers and a laundry basket with items was stored on top of a tall cupboard with the potential to fall during an earthquake.
The Manager stated that the items in question do not belong to Club Kids and will discuss with the operator of the other program.
Corrective Action(s): Please ensure the fridge is unable to be tipped or moved when sitting on the counter. Please ensure all items stored on top of the tall cupboard secured.
Date to be Corrected: 30-Oct-2018

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: A keurig that was turned on was located on the counter accessible to children with the potential to burn a child if a button was pressed.
Lysol wipes were located under the sink and beside the sink the children use. The Manager stated that these items do not belong to Club Kids and will discuss with the other operator.
Corrective Action(s): Please ensure that children do not have access to hazardous items.
Date to be Corrected: 24-Oct-2018

POLICIES AND PROCEDURES: 13090 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: On Oct. 17, 2018 there were 13 children in care. A conversation with the Manager about the max capacity for the program is 12 children.
Corrective Action(s): Ensure that maximum capacity of the program is not exceeded.
Date to be Corrected: 23-Oct-2018

RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: A child requiring a care plan does not have one on file.
Corrective Action(s): Please develop a care plan in consultation with the parent of the child.
Date to be Corrected: 24-Oct-2018
Comments

Discussed with the manager the following information
· Active supervision and the need to have visual and auditory supervision of the children. The children are using a washroom outside of the childcare space in the main school. A discussion was had with the staff regarding supervision during bathroom times. Staff stated that they take all the children to the hall and wait for a turn in the bathroom or if 2 staff are on site one staff takes the children to the bathroom and the other supervises the children in the room.
· The necessity of flushing the taps prior to use every morning. This can be done by letting the water run at the tap for 5 minutes.
· The Manager is aware that she must contact a Licensing officer within 24 hours after a reportable incident occurred. A discussion about disruption of service being a reportable incident was had with the manager. A copy of incident reporting in child care bulletin was provided.

Licensing did not review the staff records, however were able to review a staff record checklist. Licensing will review the staff records at the head office at another date.

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
Oct 30, 2018
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Click here for a description of each "Category" of violation displayed.