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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BBPQPA

FACILITY NAME
'CCAA' Infant and Toddler Child Care Centre
SERVICE TYPES
301 Group Child Care (under 36 months)
FACILITY LICENSE #
ACAK-8Q2PVJ
FACILITY ADDRESS
3978 Brandon St
FACILITY PHONE
(778) 322-0288
CITY
Burnaby
POSTAL CODE
V5G 2P5
MANAGER
Mo (Jessica) Zhou

INSPECTION DATE
April 29, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.75
ARRIVAL
10:45 AM
DEPARTURE
02:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
6

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 (DLSP). All areas of the facility 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
LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: During the inspection it was observed that the Manager'sname was not posted.
Corrective Action(s): Please post the Manager's name in a prominant place in the facility.
Date to be Corrected: May 13, 2019

LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: Licensing observed an ECE Assistant working in the facility. The Manager says this staff is a helper. Her ECEA certificate was not posted. This is a repeat violation from inspection # DCHG-ABNQB7 and inspection # DCHG-AMTU8N
Corrective Action(s): Please ensure the certificate of any ECE/IT or ECEA is posted in the facility.
Date to be Corrected: May 13 2019

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 the following inside the facility:
- two rooms were accessible that had paint and other storage items. Please correct by April 29, 2019
-plastic bags were located under the sink in the washroom. Please correct by April 29, 2019. Corrected during the inspection.

Licensing observed the following outside the facility:
-the gate leading up to the stairs was not secured. Please correct by April 29, 2019
-the shed was open and had the following inside: tools, paint, gasoline and other chemicals. Please correct by April 29, 2019 Corrected during the inspection.
-the fence had peeling paint, some of the wood was rotting and some nails were exposed.
-the drain pipe was exposed and the edges were sharp. Please correct by April 29, 2019


Corrective Action(s): Please ensure a health and safe environment is provided to children at all times.
Date to be Corrected: May 13, 2019

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 inside the facility:

-paint is chipped on the windows in the naproom and main play area.
-a hole in the door.
-a layer of dust was on the ledge in the play area at the children's level (corrected during the inspection)
Corrective Action(s): Please ensure a the community care facility is clean and in good repair while children are in attendance.
Date to be Corrected: May 21, 2019

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: Three staff records of three were observed. One staff was missing a record of immunization. This is a repeat contravention from inspection # DCHG-ABNQB7
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: May 13, 2019

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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: Three staff records of three were reviewed. One staff certificate was not verified with the early childhood educator (ECE) registry. This is a repeat contravention from inspection # DCHG-AMTU8N
Corrective Action(s): Please ensure staff certificates are verified with the ECE registry
Date to be Corrected: May 13, 2019

STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Three staff records of three were reviewed. One staff record contained a criminal record check (CRC) from another province. This was not site specific. In discussion with the Manager she stated she had completed an application with the criminal record review board. This is a repeat contravention from inspection # #DCHG-AZ8QBF and inspection # DCHG-AMTU8N
Corrective Action(s): Please ensure staff CRC's are current and completed through the British Columbia criminal record review board.
Date to be Corrected: May 27, 2019

RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Licensing observed that the daily attendance had not been completed at 10:45 am. This is a repeat contravention from inspection # DCHG-AZ8QBF. Licensing spoke to the Manager about the attendance records being completed as soon as the children arrive to ensure the health and safety of children in care. This was corrected during the inspection.
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: April 29, 2019

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Nine children's records of nine were reviewed. Two children were missing a doctor's phone number and one child was missing a doctor's name
Corrective Action(s): Please ensure children's files are complete.
Date to be Corrected: May 13, 2019

RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: Nine children's files of nine were observed. One child was missing signed consent to obtain a medical practitioner or ambulance in case of emergency.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 29, 2019


Comments

At the inspection dated April 29, 2019 there were 6 children and 3 staff present. At this inspection the above noted contraventions were identified. Please submit a written response to Licensing by May 13, 2019 addressing the above noted contraventions. An unscheduled follow up inspection will be completed at a later date due to the amount of repeat contraventions that were identified at today's inspection. As part of this Routine Inspection a Facility Risk Assessment Tool is completed and a copy is provided.

The following education/recommendations were provided:
· Promoting Active Play in the program
· Temporary Retentions
· Active Supervision
· Lead in the Water
· Items with a DIN number such as diaper cream need a medication permission form

The following resources will be sent to the Director:
· first aid kit contents list


This report was reviewed with the Manager prior to signing.

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

If you have any questions regarding this report feel free to contact me. A business card was provided.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingFollow-up Inspection Required
Due Date
Mar 13, 2019
Approximate Follow Up Date

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