Gordon Neighbourhood House Out Of School Care

No violations recorded at this inspection.

• POLICIES AND PROCEDURES / Emergency Training and EquipmentNon-critical

  There is an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency. [CCLR Sec. 22(1)(b)]

  Observation. Emergency preparedness supplies appear to be inadequate in amount to meet the capacities plus staff.

No violations recorded at this inspection.

• RECORDS AND REPORTING / Care PlansNon-critical

  The licensee records compliance with the care plan of a child requiring extra support for all applicable aspects of care. [CCLR Sec. 58(3)]

  Observation. Licensing Officer observed that there are three children with care plans. Records do not show compliance with the care plans

• 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 Officer observed that immunization information is missing from two of the children records. Licensing Officer observed that staff do not have information in a child's record related to the child's need for an Inhaler as indicated on the child's registration form.

• STAFFING / Continuing health of employeesNon-critical

  There is evidence of employees' continued compliance with the Province's immunization and tuberculosis control programs. [CCLR Sec 21(1)]

  Observation. Licensing Officer observed that five of the six staff do not have a record of up to date immunization.

No violations recorded at this inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / Safe Play Space Standard of PracticeNon-critical

  Maintenance of Equipment: Thorough inspections of the outdoor play space are conducted regularly. [Director of Licensing Standard of Practice - Safe Play Space] (13)

  Observation. Licensing was informed that inspections are occurring of the courtyard outside play space however, no inspections have occurred of the playgrounds where children are permitted to play before and after school.

• POLICIES AND PROCEDURES / Emergency Training and EquipmentNon-critical

  Emergency exits and fire drill system are approved by a local Fire Marshal. [CCLR Sec. 22(1)(a)]

  Observation. The fire extinguishers' tags demonstrate that they are overdue for inspection. 'ASAP' has been written on the tags.

• RECORDS AND REPORTING / Care PlansNon-critical

  For each child requiring extra support, the licensee keeps a current care plan showing the required information. [CCLR Sec. 58(1)(2)]

  Observation. A care plan does not include information on what would happen should the child be exposed to an allergen.

• RECORDS AND REPORTING / Care PlansNon-critical

  The licensee records compliance with the care plan of a child requiring extra support for all applicable aspects of care. [CCLR Sec. 58(3)]

  Observation. When a care plan is in place, documenting the outcomes of implementing the care plan is required. Licensing was informed that there is no record of this type in place. In order for this to occur, it is important for employees to have access to and understand the information provided in the care plans. Inform as to how employees will be informed of care plans.

• RECORDS AND REPORTING / Community Care Facility RecordsNon-critical

  There is current log of minor incidents, illnesses and unexpected events, that did not require medical attention and were not reportable incidents described in Schedule H. [CCLR Sec. 56 (1)(f)]

  Observation. Licensing observed no documentation on-file or in a logbook since June 6 2023.

• RECORDS AND REPORTING / Notification of illness or injuryNon-critical

  Licensing is notified within 24 hours after a child is involved in, or may have been involved in, a reportable incident described in Schedule H or has a reportable communicable disease. [CCLR Sec.55(2)(a)(b)]

  Observation. Licensing was informed of a reportable incident during the inspection that occurred approximately two weeks earlier. Licensing had not been notified within 24 hours of the incident occurrence as required.

• 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. When licensing the upstairs program rooms, the operational plan included having a means of tracking the attendance of children in these spaces. Licensing was informed that this was not in place during today's inspection. Licensing observed an attendance system in place in the downstairs program space. When implementing a means of tracking children on this record, some notation indicating that children are upstairs would be helpful when accounting for them. When licensing the upstairs program rooms, the operational plan included having a means of storing first aid kit, emergency medical consent cards, etc. A backpack was in place for this purpose. During this inspection, the backpack had been left in the downstairs program space. Licensing observed the following not in place for some of the children's records: personal health numbers, surnames of emergency contacts.

• RECORDS AND REPORTING / Safe Play Space Standard of PracticeNon-critical

  Maintenance of Equipment: A log is kept of all inspections, maintenance and repairs. [Director of Licensing Standard of Practice - Safe Play Space]

  Observation. Licensing observed documentation in place demonstrating that the courtyard play environment is being inspected on a daily basis. Licensing was informed that there is no documentation in place for inspections of the children's playgrounds when they are allowed to play before or after school.

• STAFFING / Emergency Training and EquipmentNon-critical

  Implementation of the fire drill system is practiced at least once each month, and implementation of the emergency plan is practiced at least once each year. [CCLR Sec. 22(2)(b)(c)]

  Observation. Licensing observed that there was no record of a fire drill occurring in September 2023. The Manager informed that it was a busy, challenging month. Licensing inquired of when the last annual emergency preparedness drill occurred. The Manager informed that to their knowledge, this drill has not occurred.

No violations recorded at this inspection.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency is not kept. [CCLR Sec. 57(2)(i)]; A record for each child containing the date of enrolment in the facility is not kept. [CCLR Sec. 57(2)(b)]; 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. LO reviewed children's records and observed that they were incomplete.

• 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. LO reviewed all children's records and observed that the licensee has not obtained parental consent to call a medical practitioner or ambulance in case of accident, illness, in cases where the parent cannot immediately be reached.

• STAFFING / Character and skill requirementsNon-critical

  Evidence of compliance with the Province's immunization and tuberculosis control programs has not been obtained. [CCLR Sec.19(1)(b)]; Character references have not been obtained. [CCLR Sec.19(1)(b)]; Copies of any diplomas, certificates or other evidence of the person's training and skills have not been obtained. [CCLR Sec. 19(1)(d)]; Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]

  Observation. LO reviewed all staff records and the following was observed: -record of staff's work histories have not been obtained for 2 staff -character references have not been obtained for 1 staff -copies of diplomas, certificates or other evidence of the person's training and skills have not been obtained for 5 staff -immunization status has not been obtained for 6 staff

• 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. LO observed no evidence of documentation that the manager's ECE licence has been verified with the Early Childhood Educator registry.

No violations recorded at this inspection.

• STAFFING / Additional criminal record checksNon-critical

  All persons over the age of 12 that are ordinarily present on the premises while children are present are of good character and the licensee has obtained a criminal record check for each person. [CCLR Sec 20]

  Observation. As noted in a previous inspection report, two staff have criminal record check clearances from Coquitlam RCMP and Vancouver Police Department. Since the last inspection, only one of the two staff have continued with their employment in the child care program. The remaining staff has submitted a criminal record check request to the Ministry of Public Safety and Solicitor General.