Cefa Junior Kindergarten - Cambie

• LICENSING / Posting and Advertising of License and CertificateNon-critical

  The certificates, or copies of certificates, of early childhood educators and assistants are prominently displayed in the facility. [CCLR 11(4)]

  Observation. Licensing Officer observed that an ECEA certificate is not prominently displayed within the facility for 1 staff.

• MEDICATION / MedicationNon-critical

  Medications that staff have agreed to administer are readily accessible to staff and are administered in the correct dosage at the correct times. [CCLR Sec. 53(1)]

  Observation. Licensing Officer observed medication for two children with a life threatening allergy did not have a Request for Administration of Medication form on file.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  The facility, the furniture, equipment, fixtures and supplies are of sturdy and safe construction.  They are easy to clean, and are clean and in good repair and free from hazards. [CCLR Sec. 13(2) and Sec. 15(1)(a)]

  Observation. Licensing Officer observed the following: -The facility walls and window ledges are showing visible signs of wear and tear. In two classrooms, the paint on the window ledges and the wall below is chipped, exposing the drywall, and the ledges appear to have water stains and are in poor repair. In addition, the walls in one classroom appear stained and do not appear to be easy to clean. -Two adult sized chairs are in poor repair, as the leather on the seats and armrests has peeled away, exposing the underlying cushion. In addition, the leather on the armrests is torn, revealing portions of the wooden framing. These chairs do not appear to be in good repair and do not appear to be easy to clean. -In one of the washrooms, Licensing Officer observed a roll of paper towel which is intended for use in the wall mounted dispenser however it was placed on top of multiple dirty trays. As a result, children were required to hold the entire roll in order to tear off a single piece to dry their hands, creating an unsanitary practice and increasing the risk of contamination. A discussion took place with the staff and manager regarding the importance of providing paper towels in a manner that is both accessible and sanitary to support proper hand hygiene practices.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  Furniture or equipment for sleeping is used by only one child at a time, is clean and comfortable, and is appropriate for the size, age and development of the children intended to use it. [CCLR Sec. 15(2)]

  Observation. Licensing Officer observed that the children’s nap mats and bedding in the nap room were touching one another, creating a risk of cross contamination. A discussion took place with the manager regarding the importance of providing adequate spacing between each nap mat to help prevent the spread of illness.

• PHYSICAL, EQUIPMENT AND FURNISHING / Hazardous Objects and SubstancesNon-critical

  Hazardous objects and substances are inaccessible to children. [CCLR Sec 17]

  Observation. Licensing Officer observed the following: -In one of the children’s washrooms, the Licensing Officer observed miscellaneous items stored on the top shelf above the sink area, creating a risk of an item falling onto a child below. -In all of the children’s washrooms, the Licensing Officer observed cleaning equipment such as brooms and dustpans stored between or beside the toilets, which poses a risk of harm should the equipment fall onto a child. During the visit, staff removed the cleaning equipment from the washrooms.

• PHYSICAL, EQUIPMENT AND FURNISHING / Heated WaterNon-critical

  Heated water accessible to children is heated to no more than 49° Celsius. [CCLR Sec. 47]

  Observation. In one of the children’s washrooms, the heated water accessible to children was observed to be too hot.

• RECORDS AND REPORTING / Care PlansNon-critical

  The licensee does not keep a current care plan for each child requiring extra support. [CCLR Sec. 58(1)] ; Care plans are not reviewed at least once a year with a parent of the child requiring extra support and any person requested by the parent. [CCLR Sec. 58(2)(b)]

  Observation. Licensing Officer observed the following: -a life threatening allergy care plan was completed for a child whose diagnosis is asthma, indicating that the care plan does not accurately reflect the child’s identified health needs. -two incomplete care plans for children with a life threatening allergy, indicating that required information has not been fully documented -evidence that three care plans have not been reviewed with a parent at least once per year, as required. The care plans were last reviewed in July 2023, September 2024, and August 2025, indicating that annual reviews have not been consistently maintained.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Licensing Officer observed one file in which the parent(s) have listed themselves as the emergency contact.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written parental consent to call a medical practitioner or ambulance in case of accident or illness, in cases where the parent cannot immediately be reached. [CCLR Sec. 57(3)(a)]

  Observation. Licensing Officer observed written parental consent to call a medical practitioner or ambulance in case of accident or illness has not been obtained for 2 children.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing the name, sex, date of birth, medical insurance plan number and immunization status is not kept. [CCLR Sec. 57(2)(a)]

  Observation. Licensing Officer observed a medical insurance plan number is not kept for 3 children.

• STAFFING / Character and skill requirementsNon-critical

  A licensee must not employ a person in a community care facility as 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 [CCLR Sec. 19(4)(a)]

  Observation. Licensing Officer observed that there was no evidence that the Early Childhood Educator certificates for two staff have been verified by the ECE Registry.

• STAFFING / Character and skill requirementsNon-critical

  Character references have not been obtained. [CCLR Sec.19(1)(b)]; Criminal record checks have not been obtained. [CCLR Sec. 19(1)(a)]

  Observation. Licensing Officer observed the following: -character references have not been obtained for 2 staff -criminal record check has not been obtained for 1 staff

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  All indoor and outdoor play materials and equipment accessible to children are suitable for the age and development of the children, safely constructed, free from hazards and in good repair. [CCLR Sec. 16(4)]

  Observation. This issue of non-compliance remains outstanding. During today's visit, Licensing Officer observed materials and equipment have been added to the outdoor play space however the quantity added does not appear to be adequate to meet the needs of children.

No violations recorded at this inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Licensing observed a bag pack containing an epi-pen was accessible to children.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  Furniture or equipment for sleeping is used by only one child at a time, is clean and comfortable, and is appropriate for the size, age and development of the children intended to use it. [CCLR Sec. 15(2)]

  Observation. Licensing observed sleeping mats placed next to each other with children's bedding touching, posing a risk of cross contamination.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  All indoor and outdoor play materials and equipment accessible to children are suitable for the age and development of the children, safely constructed, free from hazards and in good repair. [CCLR Sec. 16(4)]

  Observation. Licensing observed there were limited outdoor materials and equipment accessible to children that are suitable for the age and development of the children.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Licensing reviewed a sampling of children's files and observed: - 2 care plans were last reviewed in 2023. - 1 asthma puffer expired in 2024. - 1 child's emergency consent card stated an epi-pen however the staff were unaware of an epi-pen for that child. - Several children's records had inconsistent information regarding allergies.

• STAFFING / Character and skill requirementsNon-critical

  Prior to employing staff the manager has met with each person and has obtained the appropriate documentation. [CCLR Sec. 19(1)]

  Observation. Licensing reviewed staff files: - 1 staff has an expired criminal record check

No violations recorded at this inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Licensing observed the outdoor play space without enough protecting surfacing such as sand and wood chips and the landscape in need of maintenance. In addition not enough play materials to provide opportunities for growth and development.

No violations recorded at this inspection.

No violations recorded at this inspection.