Octopus Academy Surrey

• 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. Licensing observed the following that are accessible to children; - a big bottle of soap under the bathroom sink. The Manager removed the bottle. - A cleaning spray bottle on a shelf in the hallway

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

  11200 - CCLR s.17
• 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 outdoor toys and equipment have green grime on them - green powder and grime on the outdoor wooden fence surrounding the playground

  Corrective action. A corrective action plan 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; - the covering on the wood , in the outdoor playground is icy and slippery - one cubby not secured - one shelf not secured - one fridge temperature was measured at -2 degrees Celsius

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

  11010 - CCLR s.13(1)
• STAFFING

  Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (a) a criminal record check for the person.

  Observation. A criminal record check was not obtained for one volunteer.

  Corrective action. A criminal record check has been submitted.

  12151 - CCLR s.19(5)(a)

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.

  Observation. Licensing observed several bouncy toys in the outdoor play area that are deflated.

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

  11190 - CCLR s.16(4)(b)
• 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. Licensing observed the following that are accessible to children in care; - thorn branches in the outdoor play area - a staff's cough medicine in an unlocked fridge - a tray of sunscreen that contain medicinal ingredients - several diaper rash creams/ointments in one of the group child care ( 30 months to SA) bathroom - in one of the group child care (30 months to SA) program an unlocked kitchen with hazardous chemicals in an unlocked cupboard, knives in an unlocked drawer and a mouse trap on the floor.

  Corrective action. A written response to be submitted to Licensing on how the above noted items have been addressed.

  11200 - CCLR s.17
• 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; -a door that was left open during the inspection. This door had hazardous objects and a hallway and a steep staircase which led outdoors. The Manager closed the door when Licensing inquired about the door. - the wood path leading into the outdoor playgrounds slippery. - there is an elevated wood play area in the group child care (under 36 months) playground that is very slippery. - the plastic covering on ground of the outdoor play area has become exposed and very slippery. Potential for children to fall and injure themselves. In the group child care (under 36) programs: - all cubbies not secured. - Fridge temperature in one classroom measured at 10 degrees Celsius - Air purifier sitting on a chair in one of the nap rooms - no resilient surfacing under a foam climbing and slide structure in one classroom - a tall rack not secured in one classroom. Climbing hazard and potential for a child to fall and injured themselves - tall plastic drawer. Toppling hazard. In the group child care (30 months to SA) programs: - one set of cubbies not secured. - two tall shelves not secured

  Corrective action. A written response to be submitted to Licensing on how the above noted items have been addressed.

  11010 - CCLR s.13(1)
• 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 toys and equipment in the outdoor play area are very dirty. -The wooden picnic table in the outdoor play area has green grime on it and has several areas where the paint and wood has chipped off. - a diaper change mat has ripped and taped. However, the tape on the mat is starting to peal and has dirt on it. -a foam stool that has faded and ripping.

  Corrective action. A written response to be submitted to Licensing on how the above noted items have been addressed.

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

  A licensee, other than a licensee who provides a care program described as Family Child Care or Child-minding, must have for each child at least 3.7 m2 of usable floor area in the community care facility, excluding (a) hallways, (b) built in storage areas, (c) bathrooms, and (d) fixed appliances, or, if not fixed, large appliances that are not normally moved from one area to another.

  Observation. Licensing observed the children's sleeping mats laid out in one area in one of the group child care (30 months to SA) program. The Manager said that this area was the sleeping room/area and beds were always left out during the day. Licensing explained that by setting up the mats it was taking away from the useable space for the children and was not enough space for 25 children.

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

  11050 - CCLR s.14(1)
• HYGIENE AND COMMUNICABLE DISEASE

  A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.

  Observation. There was no toilet paper in one of the group child care (30 months to SA) bathrooms. The Manager stated that the staff give the children pieces of toilet paper or can leave it on top of the toilet. Licensing had a discussion with the Manager on allowing children to have access to toilet paper on their own and placing toilet paper on the toilet tank cover is unhygienic

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

  15030 - CCLR s.46(1)
• LICENSING

  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 a staff's new certificate not posted anywhere within the community care facility.

  Corrective action. The Manager stated that she has the staff's new certificate in their file and will post it up on the wall.

  10070 - CCLR s.11(4)
• MEDICATION

  If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (b) readily accessible to employees.

  Observation. Licensing observed that a child requires medication when a reaction occurs as stated in their care plan. However, the medication was not readily accessible to the staff.

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

  16020 - CCLR s.53(1)(b)
• 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 insufficient food and drink in the emergency bag. Licensing observed one water and one energy bar for each child in the emergency bag. Additionally, the food for not age appropriate for the children in the group child care (under 36 months) programs. Licensing discussed having sufficient food for 72 hours for each child and staff. Licensing also discussed different types of food for the infants and toddlers.

  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

  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.

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

  19260 - CCLR s.58(2)(b)
• STAFFING

  Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Upon a review of a volunteer's record, Licensing observed that immunization status was not obtained for the volunteer. Licensing reviewed the regulation on what is required for all volunteers.

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

  12153 - CCLR s.19(5)(c)
• STAFFING

  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. Upon a random review of four staff records, Licensing observed that immunization status was not obtained for one staff.

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

  12090 - CCLR s.19(1)(f)
• STAFFING

  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: (c) a record of the person's work history.

  Observation. Upon a random review of four staff records, Licensing observed that one staff's resume was not obtained.

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

  12060 - CCLR s.19(1)(c)

• EQUIPMENT AND FURNISHINGS

  A licensee, other than a licensee who provides a care program described as Family Child Care or Child-minding, must have for each child at least 3.7 m2 of usable floor area in the community care facility, excluding (a) hallways, (b) built in storage areas, (c) bathrooms, and (d) fixed appliances, or, if not fixed, large appliances that are not normally moved from one area to another.

  Observation. There is an area sectioned off by a fence within the Infant Toddler room C which is currently used as storage. This sectioned space was originally counted as usable space when capacity was determined for this room. Discussion had with Manager in ensuring that this space is used on a daily basis.

  Corrective action. Please provide your plan for how this space will be used for the program on or before February 23, 2024

  11050 - CCLR s.14(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. Indoor: The following was noted at today's inspection: -The following furniture can be a topple hazard: all cubbies, shelving by office in Room D, air purifiers, piled up mail packages, large carpet roll on top of cart within Room D washroom, tall plastic drawer in room A, items piled on top of unused cribs in nap room in room B and seasonal items stored on counter in nap room B. Art storage by counter, shelf by microwave and art supply shelf in Room E. -Some areas of peeling paint by gate in Room B Outdoor Play Space: -Train recently removed from outdoor play space, some holes in the ground from structure need to be filled. -multiple areas where ground is very uneven and can be hazardous.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before February 23, 2024

  11010 - CCLR s.13(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. The following were noted: -Cleaning brooms accessible to children in care within Room B bathroom -Brown shelf in room E by the door not secured, could act as tipping hazard.

  Corrective action. Please ensure a healthy and safe environment.

  11010 - CCLR s.13(1)
• 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. The following were noted: -Some areas that require some cleaning, on the walls by the bathroom entrance in room D & B -Trim taped on floor and wall in room A -Some vinyl furniture is ripped, no easy to clean (yellow ladybug & climber room B). -Outdoor play space, peeling paint on brown fence, small picnic tables.

  Corrective action. Please ensure facility is clean and in good repair.

  11020 - CCLR s.13(2)
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Facility opens at 7:00 AM and mixes for the first half hour of operation. The first infant toddler staff does not arrived until 8:15 AM. First IT staff should be arriving at 7:30. Discussion had with Manager about ensuring that there is always an IT staff within the IT classrooms unless it is the first and last half hour of care and there are less than 8 children in care within the whole facility which is when the facility is able to mix.

  Corrective action. Please ensure the facility operates as per schedule E.

  14030 - CCLR s.34(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. In the morning, children are not signed into the room they originally attend. The attendance log for the other rooms are brought to the opening room that is used for care in the morning. When the teacher arrives for the day and is ready to collect their children from the opening room, the attendance log book is brought over to the newly opened room. Discussion had with Manager, examples provided - if the children are provided care within room A, they must be signed into that room A's attendance log book. When they leave that room to go to room B, they are signed out of room A and signed into the room B. This transition must be shown within the sign in and sign out.

  Corrective action. Please ensure attendance is accurate.

  19090 - CCLR s.57(2)(c)
• STAFFING

  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. One staff had an expired criminal record check. Please note that this staff cannot work alone while they wait for their updated CRC.

  Corrective action. Please ensure all staff have up to date criminal record checks.

  12040 - CCLR s.19(1)(a)

No violations recorded at this inspection.

• 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. The following was observed at today's inspection: -Bleach water solution was stored at the hand washing sink, accessible to the children in care within the IT program. (CORRECTED). -Toilet paper was stored on top of the toilet rather than being placed within the toilet paper roll dispenser, unsanitary method to dispense toilet paper.

  Corrective action. Please ensure a healthy and safe environment.

  11010 - CCLR s.13(1)
• LICENSING

  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. One staff certificate was not posted in a prominent location

  Corrective action. Please ensure that all staff who hold a certificate have a copy of their certificate posted in a prominent location.

  10070 - CCLR s.11(4)
• 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. Staff state that facility carried out an emergency drill in 2021, however, no written record was available to confirm that the Emergency was carried out in 2021.

  Corrective action. Please ensure written record of emergency drills are available in order for Licensing to confirm compliance.

  13050 - CCLR s.56(1)(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. 2 care plans were not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. In order to ensure that care plans are accurate, please ensure the care plans are reviewed yearly and notation is available in order for Licensing to confirm compliance.

  19260 - CCLR s.58(2)(b)
• STAFFING

  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. Three staff who recently renewed their ECE Certificates have not had their new Certificates verified through the ECE Registry.

  Corrective action. Please ensure that staff Certificates are validated through the ECE Registry.

  12140 - CCLR s.19(4)(a)
• STAFFING

  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. For one staff, a criminal record check has not been obtained. This staff should not be working alone until a CRC is obtained.

  Corrective action. Please ensure all staff have criminal record checks.

  12040 - CCLR s.19(1)(a)

• A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (b) is appropriate for the age and development of children in each group in the community care facility.

  Observation. Licensing determined that the programming at the facility was not always appropriate for the age and development of children in care.

  Corrective action. Corrective action required.

  18020 - CCLR s.44(1)(b)
• A licensee must (a) ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance.

  Observation. Licensing determined that some guidance provided to children were not appropriate for their age and development.

  Corrective action. Corrective action required.

  14220 - CCLR s.51(1)(a)

• 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. The following were observed: -Toilet paper within one of the IT room was not on a holder. -One of the green training toilet seats have a rip on it, making it difficult to clean. -Plunger, toilet brushes were accessible within the Infant Toddler washrooms. -Some various items were being stored within the bathroom which would not be considered a sanitary place to keep them (i.e. plastic seesaw, art storage).

  Corrective action. Please ensure a healthy and safe environment.

  11010 - CCLR s.13(1)
• STAFFING

  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): 7 Staff files reviewed, one staff was missing immunization status. Staff provided a written declaration of immunization while LO was on site.

  Corrective action. Please ensure staff files are complete.

  12090 - CCLR s.19(1)(f)
• STAFFING

  Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (b) character references in respect of the person.

  Observation. There was a volunteer on site and there did not have a complete file as they were missing references.

  Corrective action. Please ensure volunteer files are complete.

  12152 - CCLR s.19(5)(b)
• STAFFING

  Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. There is a volunteer on site, they were missing immunization information.

  Corrective action. Please ensure volunteer files are complete.

  12153 - CCLR s.19(5)(c)
• STAFFING

  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: (b) character references in respect of the person.

  Observation. 7 staff files were reviewed, 2 staff were missing notation to indicate that their references were checked. Discussion had with Licensee. This contravention was noted in the previous inspection.

  Corrective action. Please ensure staff files are complete.

  12050 - CCLR s.19(1)(b)

• 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. The following were observed and discussed with manager: - Peeling paints on the walls throughout the classrooms - Missing baseboard and chipped wall exposing gyprock to the children Manager stated that work order will be place to address above observation

  Corrective action. Please ensure a healthy and safe environment is provided at all times

  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. 14 children's files were reviewed; 5 children were missing their Dr's information and 2 children were missing their emergency contact.

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

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

  A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  Observation. A child's care plan is incomplete. Staff should have complete information including the course of action recommended by health professionals and the parents to address the needs of the child.

  Corrective action. Please ensure child's care plan is reviewed and complete in consultation with the parents. Ensure all staff understand this care plan to be able to repond appropriately to the needs of the child.

  19220 - CCLR s.58(1)(b)
• STAFFING

  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. 7 staff files were reviewed; 2 staff's certificates were not verified through ECE registry.

  Corrective action. Please ensure that all staff files are complete

  12140 - CCLR s.19(4)(a)
• STAFFING

  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: (b) character references in respect of the person.

  Observation. 7 staff files were reviewed; for 1 staff- there was no indication if references were checked.

  Corrective action. Please ensure all staff files are complete

  12050 - CCLR s.19(1)(b)
• STAFFING

  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 were reviewed; 1 staff's CRC is not site specific. Manager will follow up again with Criminal Record Review Program.

  Corrective action. Please ensure all staff files are complete.

  12040 - CCLR s.19(1)(a)