St. Alban's The Martyr Day Care

A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

Observation. Water temp was recorded 54 degrees celsius in the childrens washroom.

Corrective action. Manager said she will be contacting a plumber to adjust the temp.

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. 7 staff files reviewed of which 1 had an expired CRC.

Corrective action. Manager applied for an up to date CRC during the inspection.

A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.

Observation. Reviewed fire drill log and noted there were no drills recorded for the following months: Nov. 2025, Dec. 2025, Jan. 2026

Corrective action. Manager said they complete the drills monthly and she forgot to record them. She will ensure she records them as they are practised moving forward.

A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

Observation. there are black spots under the caulking of the sink, it is probable that it is mold,

Corrective action. please ensure the caulking is removed and the area cleaned and then caulking replaced.

A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

Observation. Upon inspection of the outdoor play area, Licensing observed: -Broken pieces of plastic throughout one area -Items stored in a way posing a fall hazard

Corrective action. The Manager explained these items will be removed.

A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

Observation. Upon discussion with the manager, it was mentioned that emergency drills are conducted but they have not practiced bringing emergency supplies to their secondary location.

Corrective action. Please ensure emergency plan sets out procedures to prepare for, mitigate, respond to and recover from any emergency

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. Licensing noted a Tricycle in the outdoor playground with rusty handle bars and pedals.

Corrective action. Please ensure the Tricycle is cleaned and free of rust or removed from the playground.

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. 5 childrens files were reviewed of which 1 child was missing the contact name and phone number for an emergency contact

Corrective action. Please ensure all children's files are complete and up to date.

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. 5 staff files were reviewed of which one staff had a criminal record check that is not site specific.

Corrective action. Please ensure a Criminal Record Check is obtained for all employees that is site specific. Until a Criminal record check is obtained that is site specific for said employee, they are not to be left alone with the children or support during toileting.

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): A makeshift handwashing station has been set up outside for chlidren to use before snack/lunch outside: - the water jug was filled by the garden hose - a bucket of warm soapy water was adjacent to the jug - a communal cloth towel was used by children

Corrective action. As per the BC Centre for Disease Control & the BC Ministry of Health's "Coronavirus COVID-19 Hand Hygiene" ( http://www.bccdc.ca/Health-Professionals-Site/Documents/COVID19_Handwashing%20Poster_MD%20offices.pdf ): - water/soap or alcohol-based hand sanitizer will clean hands; however, water/soap must be used for visibly soiled hands - handwashing must occur w/ warm water - liquid or foam soap must be used - lathering must occur for 20-30 seconds before rinsing - paper towel must be used to dry hands If the above steps can't be achieved using the makeshift handwashing station: - children must wash their hands inside the facility, or - supervised use of alcohol-based hand sanitizer (≥ 60% alcohol) must occur

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. An employee stated that the facility practiced implementing the emergency plan in Oct/2019, but there was no documented evidence of this.

Corrective action. Once the facility has practiced implementing the emergency plan, they must document it.

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. 2 employees lacked their immunization status.

Corrective action. All requirements of s. 19 must be obtained by employee's 1st day of employment.

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. 2 employees' CRCs expired in early 2020.

Corrective action. W/o a valid CRC, employees can't work alone w/ children or assist w/ toiletting.

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. 2 employees lacked a CRC.

Corrective action. W/o a valid CRC, employees can't work alone w/ children or assist w/ toiletting.

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 (CORRECTED DURING INSPECTION): Licensing reviewed 7 children's files and observed that record of photo or digital image was missing for one child. Photo was taken during the inspection.

Corrective action. Please ensure photo or digital image for all children.

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 (CORRECTED DURING INSPECTION): Licensing reviewed 3 staff files and observed that record of immunization status was missing for one staff. This is a repeat contravention as it was observed on the last routine inspection report.

Corrective action. Please obtain record of immunization status from staff prior to employment.