Wundoroo Academy Inc. Surrey

• 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. - Fence slat in the I/T outdoor play space is broken. A staff informed Licensing this playground has not been in use for approximately 1 week. - Leaves, pinecones and debris from the tree is all over the I/T playground. - Fence slats in the door between the I/T playground and 3-5 playground are broken A staff informed Licensing the Manager has been notified of these repairs and a contractor will be assigned to the work.

  11020 - CCLR s.13(2)
• 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. - A care plan was not reviewed annually with the parent or any person requested to by the parent - A care plan did not have a date, therefore Licensing could not determine when the plan was created and when it requires renewal.

  Corrective action. Ensure care plans are reviewed annually.

  19260 - CCLR s.58(2)(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. Licensing observed the following: - Sanitizing wipes used on a child after an injury was administered without parent permission

  Corrective action. Submit a corrective action plan.

  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: - Fence panel broken in the outdoor play area creating a large gap in the fence. Beyond the fence panel is a large 4ft drop. This poses an entrapment concern and harm for serious injury should a child fall through. This same fence panel is now wobbly. - Large hole between the concrete and astro turf in the corner of the infant/toddler playground. This poses as a hazard for tripping. - A gap in between the rubber tile and concrete in the 3-5 playground poses as a tripping hazard. - The cabinetry in the sink area in all 3 classrooms is now porrous making the surface hard to clean and sanitize. This is noted as a repeat contravention. - Staff informed licensing a stall in the 3-5 bathroom is locked and made inaccessible to the children due to a toilet paper roll that is broken. - A light switch in the 3-5 bathroom is cracked and broken. Staff have taped it together.

  Corrective action. Submit a corrective action plan.

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

  A licensee providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.

  Observation. There is no longer a separate sleeping area located away from the activity area for the toddler classroom.

  Corrective action. Submit a corrective action plan that can be approved by Licensing.

  11130 - CCLR s.15(3)
• 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. The following was observed: - Licensing observed the emergency evacuation door located in the outdoor play area is obstructed with 3 adult chairs. Additionally the chain link fence that leads to the muster point is locked. Staff were not aware the gate was locked and they have not been provided a key. The following information was provided to Licensing: - Licensing was notified by the City of Surrey Fire Department, the facility does not meet the current requirements for smoke detection.

  Corrective action. Submit a corrective action plan.

  13010 - CCLR s.22(1)(a)
• RECORDS AND REPORTING

  A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.

  Observation. Licensee did not notify the licensing officer within 24 hours that a child was involved in or may have been involved in a reportable incident on August 26.

  Corrective action. Submit a corrective action plan.

  19030 - CCLR s.55(2)(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. A random selection of staff files were reviewed. Out of the 3 reviewed, 1 file did not contain references that were verified.

  Corrective action. Ensure staff files are complete.

  12050 - CCLR s.19(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. Children were placed in highchairs for extended periods without access to programming activities.

  Corrective action. Submit a corrective action plan.

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

• 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: - Baseboard in the hallway torn off the wall. The Manager said it is in the process of being replaced. - Toilet paper holder is broken and being secured with a blue rubber band. The Manager said it is not broken but a clip within the mechanism is not working properly. - The edging of the cabinets located in all 3 classrooms are showing signs of wear and tear. The edging is becoming porrous making the surface unable to clean and disinfect appropriately.

  Corrective action. Ensure the fixtures within the facility are in good repair.

  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: - Children's bedding stored together increasing the risk of bacteria and communicable diseases to spread. This is noted as a repeat contravention. - Edging of a carpet located in the Group Child Care (under 36 mos) rolled up in the corners posing a tripping hazard.

  Corrective action. Ensure there is a system to ensure a healthy and safe environment is provided.

  11010 - CCLR s.13(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. Licensing observed the following: - 4 stalls with no toilet paper. The Manager said toilet paper is handed to the children as needed to prevent toilets from being plugged up due to excess toilet paper being thrown in. - No paper towel available for the children in the Group Child Care (30 mos to SA) classroom.

  Corrective action. Ensure health and hygiene practices are maintained.

  15030 - CCLR s.46(1)
• 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. Emergency medication as outlined on a care plan was not available. A staff said the medication was not required as per the parent.

  Corrective action. Ensure there is a system to ensure medication is readily accessible.

  16020 - CCLR s.53(1)(b)
• 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. Staff to child ratio was not maintained for 10 minutes in the Group Child Care (30 mos to SA) classroom.

  Corrective action. Ensure Schedule E is met.

  14030 - CCLR s.34(2)(b)
• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. A care plan was not developed in consultation with the parent or any person requested by the parent. This is noted as a repeat contravention.

  Corrective action. Ensure a care plan is created in collaboration with parents, outlining care instructions or adaptations and modifications made to support the care requirements for a child.

  19250 - CCLR s.58(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. A random selection of childrens files were reviewed. Out of the 10 reviewed, 2 files contained no enrolment date.

  Corrective action. Ensure children's files are complete.

  19080 - CCLR s.57(2)(b)
• STAFFING

  Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (b) a total of 8 or fewer children are present at the community care facility, of whom no more than 3 are younger than 36 months old.

  Observation. Licensing observed more than 3 children children younger than 36 months present during the half hour before a care program begins.

  Corrective action. Ensure no more than 3 children under 36 months are present when combining during the first half and last half hour of the day.

  12290 - CCLR s.34(4)(b)
• STAFFING

  Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (a) the care program is described as Multi-Age Child Care, Group Child Care (Under 36 Months), Group Child Care (30 Months to School Age) or Group Child Care (School Age).

  Observation. Licensing observed mixing of groups for a total of 1 hour and 10 minutes during the beginning of the day.

  Corrective action. Ensure groups are only combined for 30 minutes at the beginning or end of the day.

  12280 - CCLR s.34(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. A random selection of staff files were reviewed. Out of the 6 reviewed, all 6 files contained references that were not verified. This is noted as a repeat contravention. The Manager said references have been verified.

  Corrective action. Ensure there is a sytem to verify character references.

  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. LO observed the following and discussed with the Manager: - GCC (302): loose cords were accessible to children in the carpeted area. - Outdoor Play Area: 4-5 nails were sticking out of the wooden plank and fence. There is also an opening/gap approximately 12 cm ( bottom of the wooden fence).

  Corrective action. Ensure that a healthy and safe environment is provided at all times while children are in care.

  11010 - CCLR s.13(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. Children's beddings (cots and mats) were stacked on top of each other.

  Corrective action. Ensure that all children's cots and mats, i.e. sheets and blankets are not touching each other.

  15030 - CCLR s.46(1)
• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. 5 children files were reviewed; 2 care plans were not developed in consultation with the parents of the children requiring extra support.

  Corrective action. Ensure that all children's files are complete.

  19250 - CCLR s.58(2)(a)
• 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. 5 children's files were reviewed; 3 of them were missing their Dr's information.

  Corrective action. Ensure that all children's files are complete.

  19100 - CCLR s.57(2)(d)
• 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. 4 staff files were reviewed; an immunization status was not obtained for a staff member. The manager said that a form was provided to the staff and is in process of obtaining this information.

  Corrective action. Ensure that all staff files are complete.

  12090 - CCLR s.19(1)(f)

• 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. Staff were identified as working in the facility but a copy of their certificate was not posted.

  Corrective action. Corrective action required

  10070 - CCLR s.11(4)
• A licensee must not employ a person in a community care facility as (b) a responsible adult unless the person has the qualifications required under Division 2 [Employee Qualifications].

  Observation. Two staff were identified as in process of obtaining Responsible Adult certification.

  Corrective action. Corrective action required

  12150 - CCLR s.19(4)(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 was observed in the infant/toddler room: - Toddler toilet seat had dried up urine - Febreze air freshner left on the counter accessible to the children. A staff and the Manager said this bathroom is currently not being used by the children.

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

  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. Licensing observed that the latch for the outdoor playground gate, in the Group Child Care (under 36 months), does not close and secure. The staff have placed the first aid bag between two wood panels to keep the gate closed.

  Corrective action. Please ensure that a healthy and safe environment is provided at all times while children are in care.

  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 two staff's certificates are not posted within the community care facility.

  Corrective action. Please ensure that all staff certificates are displayed in a prominent place within the community care facility.

  10050 - CCLR s.11(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: (a) a criminal record check for the person.

  Observation. Upon a review of nine staff records Licensing observed four staff criminal record check (CRC) addressed to another facility. The Manager informed Licensing that they had contacted the CRC department and was informed that it was being updated and they would contact the facility. Licensing suggested having the staff come to the Licensing office to have clerical complete it for them.

  Corrective action. Please ensure that staff files are complete prior to the staff working at the community care facility.

  12040 - CCLR s.19(1)(a)
• STAFFING

  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. Upon a review of nine staff records Licensing observed that two staff's criminal record checks have expired.

  Corrective action. Please ensure that current staff records are kept.

  12430 - CCLR s.56(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: (b) character references in respect of the person.

  Observation. upon a review of nine staff records Licensing observed that there is no evidence that one staff's references have been checked.

  Corrective action. Please ensure that staff records are complete prior to the staff working at the community care facility.

  12050 - CCLR s.19(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. Upon a review of nine staff records Licensing observed six staff's certificates have not been validated through the early childhood educator registry. Licensing provided education that every time a new certificate is issued or renewed validation has to be completed for the new certificate.

  Corrective action. Please ensure that staff files are complete prior to the staff working at the community care facility.

  12140 - CCLR s.19(4)(a)

No violations recorded at this inspection.