Bolivar Heights Early Learning Centre

• EQUIPMENT AND FURNISHINGS

  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 (CORRECTED DURING INSPECTION): A windex cleaning solution bottle on the counter accessible to children.

  Corrective action. The Manager moved the bottle out of children's reach.

  11200 - CCLR s.17
• EQUIPMENT AND FURNISHINGS

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

  Observation. Licensing measured the water, in the kitchen sink, temperature at 52 degrees Celsius and going up.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11230 - CCLR s.47
• POLICIES AND PROCEDURES

  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. The Manager said that the emergency drill was practiced in 2025 however, not recorded.

  Corrective action. The Manager will ensure to record all drills.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. Upon a random review of two children's records, Licensing observed that immunization status was not obtained for one child.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19070 - CCLR s.57(2)(a)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Upon a random review of two children's records, Licensing observed that one child's date of enrolment was not recorded.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19080 - CCLR s.57(2)(b)
• RECORDS AND REPORTING

  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. Children are not identified as absent. This is a repeat contravention.

  Corrective action. The Manager will ensure that attendance records are accurate on daily basis moving forward.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  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. Upon a review of two children's records, Licensing observed that a medical practitioner's contact information for two children was not obtained.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19100 - CCLR s.57(2)(d)
• RECORDS AND REPORTING

  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. Upon a random review of two children's records, Licensing observed that consent to call a medical practitioner or ambulance was not obtained for one child.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19190 - CCLR s.57(3)(a)
• RECORDS AND REPORTING

  The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

  Observation. There was no evidence that a child's care plan was reviewed annually with the parent or any person requested to by the parent.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19260 - CCLR s.58(2)(b)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. Licensing was unable to review the policy and procedure regarding abuse as the Manager was unable to locate it. This is repeat contravention.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19340 - CCLR s.59(c)
• RECORDS AND REPORTING

  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. A child has medications identified in their care plan to be administered in the event of a reaction. There are two prescribed emergency medications available in the first aid kit however, neither of the medications identify who they are for (don't have the child's name or dosage).

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19380 - CCALA s.7(1)(b)(i)

• EQUIPMENT AND FURNISHINGS

  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; - The paper towel dispenser handle is broken. The Manager is looking to find a new one. - the diaper change mat is ripped. Discussed having a diaper change mat with some cushioning.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  11020 - CCLR s.13(2)
• EQUIPMENT AND FURNISHINGS

  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 in the outdoor play area; - Two metal ladders, a wooden frame, couple of adult shovels and a big metal bumper. - black tarp exposed in the woodchip area. Potential tripping hazard. - A tall plastic shelf with toys in it that is not secured. Potential to fall on a child.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  11010 - CCLR s.13(1)
• LICENSING

  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. Licensing observed that the Manager's name is not posted anywhere within the community care facility.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  10050 - CCLR s.11(1)
• POLICIES AND PROCEDURES

  A licensee must (a) ensure that a community care facility has (i) emergency exits that meet the requirements of the BC Building Code, and (ii) a fire drill system that is approved as definedby section 31 of the Fire Services Act.

  Observation. Licensing observed that the fire extinguisher was not serviced within a year. The fire extinguisher was to be serviced on or before February 8, 2025.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  13010 - CCLR s.22(1)(a)
• POLICIES AND PROCEDURES

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

  Observation. Licensing observed that most of the food has expired in the emergency box. Therefore, there is insufficient supplies for 72 hours. Licensing discussed and provided suggestions on having a system to ensure that emergency supplies are maintained. Additionally, Licensing discussed having the box of supplies easily and readily accessible

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  13020 - CCLR s.22(1)(b)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. Licensing was unable to review the policy and procedure regarding abuse as the Manager was unable to locate it. Licensing discussed the importance of ensuring all policies and procedures are available for Licensing to review.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  19340 - CCLR s.59(c)
• RECORDS AND REPORTING

  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. Upon a review of the attendance records, Licensing observed that the attendance records do not identify children that are absent. Licensing reviewed this section of the regulation and provided further clarification that children that are not in attendance need to be identified as absent each day.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing observed that a child's care plan was not reviewed annually with the parent or any person requested to by the parent. Licensing explained what would meet the intent of this regulation.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  19260 - CCLR s.58(2)(b)
• STAFFING

  The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.

  Observation. Licensing observed that a criminal record check (CRC) for a person over the age of 12 who is ordinarily present is not available. Licensing discussed the process for acquiring CRCs.

  Corrective action. A written response to be submitted to Licensing on how this contravention has been addressed.

  12160 - CCLR s.20(1)

• EQUIPMENT AND FURNISHINGS

  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 medicated cream on the cubbies and a plastic bag under the kitchen counter was accessible to children.

  Corrective action. Licensee removed both items from children's reach during inspection.

  11010 - CCLR s.13(1)
• RECORDS AND REPORTING

  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. Review of 4 children files observed that 2 children were missing medical practitioner's name and phone number on file.

  Corrective action. Licensee said that she will obtain the missing information from the parent to update the files.

  19100 - CCLR s.57(2)(d)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. Review of 4 children files observed 2 children were missing medical insurance plan number on file.

  Corrective action. Licensee said that she will request the missing information from the parent to update the files

  19070 - CCLR s.57(2)(a)
• STAFFING

  The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.

  Observation. A criminal record check for a person over the age of 12 who is ordinarily present is not available.

  Corrective action. Please ensure that criminal records clearance for all individuals over 12 years old is obtained.

  12160 - CCLR s.20(1)

• RECORDS AND REPORTING

  The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Care plans on site do not have any notation to indicate that they were reviewed by the parent or created with the parent. Discussed ensuring there is enough detail within the care plan so that a sub staff can follow the plan if needed.

  Corrective action. Please ensure care plans are complete with notations to confirm the plans have been created with the parent and reviewed yearly.

  19260 - CCLR s.58(2)(b)

No violations recorded at this inspection.

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

  A licensee must have first aid kits that are readily accessible to all employees, including while care is provided off the community care facility premises.

  Observation. Facility's first aid kits are incomplete.Licensee stated it will be replenished.

  Corrective action. Please ensure that first kits are available at all times, while care is provided to children, on and off site.

  11220 - CCLR s.23(2)
• POLICIES AND PROCEDURES

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

  Observation. Emergency supplies stored in outside shed were expired ( food and water). Licensee stated that new supplies will be added.

  Corrective action. Please ensure to have an emergency plan and enough supplies to prepare for, mitigate, respond to and from any emergency.

  13020 - CCLR s.22(1)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. There was no reportable incident policy in place. This was noted on last year's routine inspection.

  Corrective action. Please ensure to create a reportable incident policy. This policy to be forwarded to LO for review.

  13060 - CCLR s.56(1)(d)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. 5 children's files were reviewed; 1 child is missing MSP number.

  Corrective action. Please ensure all children's files are complete.

  19070 - CCLR s.57(2)(a)