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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-C6VTHC

FACILITY NAME
Kingsway Christian Children's Centre
SERVICE TYPES
302 Group Day Care >30 mos
FACILITY LICENSE #
3279004
FACILITY ADDRESS
4061 Kingsway
FACILITY PHONE
(604) 437-3393
CITY
Burnaby
POSTAL CODE
V5H 1Y9
MANAGER
Marie Sanders

INSPECTION DATE
September 15, 2021
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
10:30 AM
DEPARTURE
12:00 PM
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 (DLSP). All care categories were inspected for compliance.

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
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: Three of four staff certificates were observed. One certificate was not posted.
Corrective Action(s): Please ensure staff certificates are posted in a prominent place.
Date to be Corrected: September 29, 2021

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: During the inspection rust was observed on the washroom stalls. Rust can present a potential health hazard. This is a repeat contravention from inspection #CLAN-BMUNS7
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: September 29, 2021

PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation: Licensing measured the water temperature of two washroom sinks. The temperature measured from the two sinks was 53.6 degrees Celsius and 53.7 degrees Celsius. This is a repeat contravention from inspection #KSEY-B9UQTQ and inspection #CLAN-BMUNS7
Corrective Action(s): Please ensure hot water that is accessible to children is heated to no more that 49 degrees Celsius to comply with the legislation. Please provide active supervision in this area until this is corrected.
Date to be Corrected: Sept 17, 2021

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: Criminal Record Check not obtained for one of the staff members.
Corrective Action(s): Please ensure a criminal record check is obtained for all staff working at the facility
Date to be Corrected: October 7, 2021

STAFFING: 12070 - CCLR s.19(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Copies of a one staff certificate or other evidence of the person's training and skills were not obtained.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: September 29, 2021

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 employee.
Corrective Action(s): Please ensure employee records are complete.
Date to be Corrected: September 29, 2021

POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Emergency supplies expired in February 2020.
Corrective Action(s): Please ensure emergency supplies are current and food and water is replaced prior to the expiry date.
Date to be Corrected: October 13, 2021

RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: Five children's records were reviewed. One record was missing a photograph. This is a repeat contravention from inspection # CLAN-BMUNS7.
Corrective Action(s): Please ensure children's records are complete
Date to be Corrected: September 29, 2021


Comments

At the inspection dated September 15, 2021 there were 17 children, and 4 staff and the Manager was present. At this inspection the above noted contravention was identified. Please correct the above noted contravention by September 22, 2021 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 Licensee.

The following education/recommendations were provided:

-The reportable incident reporting procedure.
-The current COVID-19 protocols that are in place
-Active supervision

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. The report was written in .5 hours and this is not included in the report. 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
Sep 29, 2021

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