LICENSING: 10070 - CCLR s.11(4) - 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: A certificate of one staff working on site today was not posted. Discussed with the staff on site as to the requirement.
Corrective Action(s): Please ensure all certified staff certificates are prominently posted for those currently employed at the facility.
Date to be Corrected:
STAFFING: 12040 - CCLR s.19(1)(a) - 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: Of four staff files reviewed, three were missing evidence of having a current clearance through the criminal record review program. Staff on site said that they have obtained a clearance through the school but there was no evidence on site.
Corrective Action(s): Please ensure clearances obtained for staff are available for review.
Date to be Corrected: February 20, 2024
STAFFING: 12070 - CCLR s.19(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Copies of any diplomas, certificates or other evidence of the person's training and skills were not available for review for one of four staff files reviewed.
Corrective Action(s): Please ensure a system is in place for collecting all necessary documents for employees and recording that information.
Date to be Corrected:
STAFFING: 12090 - CCLR s.19(1)(f) - 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: Immunization status was not obtained or available for review for one or more employees.
Corrective Action(s): Please ensure all employee information is collected/documented.
Date to be Corrected:
STAFFING: 12140 - CCLR s.19(4)(a) - 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: Of four staff files reviewed, one was missing validation.
Corrective Action(s): Please ensure all certified staff are validated through the ECE Registry.
Date to be Corrected:
RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - 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: Attendance records reviewed did not show arrival and departure times for children. Staff said that they had recently changed from an app system to this paper one.
Corrective Action(s): As discussed, please ensure accurate records are maintained particularly in case of an emergency situation.
Date to be Corrected: February 20, 2024
RECORDS AND REPORTING: 19340 - CCLR s.59(c) - In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.
Observation: Staff files reviewed had a checklist of documents required for each staff. This checklist was not complete for 3 out of the 4 staff. Staff on site couldn't produce the records required and said that it may be held at the school, but weren't sure.
Corrective Action(s): Checklists are acceptable if the information is clear that staff have been screened appropriately and records held elsewhere. Please provide a corrective action plan to Licensing with details of what records are held and where.
Date to be Corrected: February 22, 2024
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