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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
TBOS-CART69

FACILITY NAME
Lil' Alpacas Childcare
SERVICE TYPES
301 Group Child Care (under 36 months)
302 Group Child Care (30 months to school age)
FACILITY LICENSE #
KWAM-BZNUGR
FACILITY ADDRESS
2051 Windsor St
FACILITY PHONE
(604) 504-5897
CITY
Abbotsford
POSTAL CODE
V2T 6L9
MANAGER
Melissa Marbach & Krista McCreadie

INSPECTION DATE
January 17, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
3.5
ARRIVAL
10:00 AM
DEPARTURE
12:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# OBSERVED IN CARE
23

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).

Contraventions
Previous Inspection
Current InspectionItems 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: two staff certificates were not posted.
Corrective Action(s): Please ensure to 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.
Date to be Corrected: January 28, 2022

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 (CORRECTED DURING INSPECTION): During the inspection two diaper bags were accessible on the floor of the classroom where children were playing. Both bags contained medicated cream.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Date to be Corrected: Corrected during inspection

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:
-One electrical outlet was uncovered in the nap room accessible to children
-The left corner of the fence at the outdoor play ground had a gap at the bottom where there was access to a propane tank stored on the other side of the fence.
-one electrical plug was on the floor accessible to children in the nap room. Licensing observed a child walk into the room where the cord was unsecured.
Corrective Action(s): Please ensure that children do not have access to any object or substance that may be hazardous to the health and safety of the child.
Date to be Corrected: Outlet-Immediately
Electrical Cord -Immediately
Fence-January 28, 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 (CORRECTED DURING INSPECTION): One staff file did not contain the validation of the certification. Manager completed this during inspection.
Corrective Action(s): Please ensure validation of ECE certification is complete prior to employment.
Date to be Corrected: Corrected during inspection

STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: One fire extinguisher located near the art room was past the service date.
Corrective Action(s): Please ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Date to be Corrected: January 28, 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: Fire drills had been conducted for the past few months, however the fire drills were only posted for December 2021 in one classroom, and were not posted in other rooms.
Corrective Action(s): Please ensure to keep current records of fire drills.
Date to be Corrected: january 21, 2022

CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation: The infant classroom had one IT certified staff and one ECE Assistant staff for 8 children in care.
Corrective Action(s): Please ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Date to be Corrected: Immediately

HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: -Both bathrooms had no paper towels in the dispenser, and there were no 'one-use' disposable towels available.
-One bathroom's toilet paper was stored on the back of the toilet, not in the toilet paper dispenser.
-One bathroom had a mesh garbage can with no bag or cover. Gloves that had been used were disposed in the basket.

Corrective Action(s): Please ensure to establish a program to instruct children in, and to practice the rules of, health and hygiene.
Date to be Corrected: January 28, 2022

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: Of ten children's records reviewed, one record had no doctors phone number, and two files did not include emergency contact person.
Corrective Action(s): Please ensure to keep for each child, a record showing the following; (d) name and telephone number of a parent, medical practitioner and emergency contact.
Date to be Corrected: January 21, 2022


Comments

Summary of Inspection:.
During today’s inspection, there were 23 children, 6 staff and both managers arrived halfway through the inspection.
At this inspection the above noted contraventions were identified. Licensee is required to submit a corrective action plan to address the contraventions.

The following was discussed:
The 3 sink dishwashing method was reviewed as used by the staff.
Discussed the requirement for site specific criminal record checks.
Reviewed bleach measurements and use. Licensing noted to ensure cleaning product containers are labelled and there is sufficient cleaners for the change tables in the facility.
Review of bedding storage systems which include storage to prevent contamination.

Resources given today:
BCCDC guidance for cleaning emailed
Child Care Links: Children's records
Active Supervision hand out

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

Further websites:
BCCDC for Covid-19 information: http://www.bccdc.ca/health-info/diseases-conditions/covid-19

The contents of this inspection report was reviewed with the manager prior to the inspection report being written off-site, therefore no signature attached.
A copy of the report was provided to the facility by email to the address given today.
If you have any concerns or further questions regarding the content of this report, please contact your Licensing Officer.
+1.0 to write report

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
Jan 28, 2022

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