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: Review of 4 staff files observed that one staff has a copy of criminal records clearance (CRC) but it is not site specific. Other 3 staff were missing CRC on file.Licensing noted that staff CRC applications were faxed to CRC agency Victoria on May 07, 2019.
Corrective Action(s): Ensure to obtain copies of staff CRC prior to start of their employment.
Date to be Corrected: CRC applications submitted on May 07
STAFFING: 12050 - CCLR s.19(1)(b) - 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: Review of all 4 staff files observed manager is missing one copy of reference and two staff have a list of names and phone numbers for reference but there is no evidence of verification of the references.
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected: May 13, 2019
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: Review of 4 staff files observed 2 staff were missing evidence of ECE or RI training on their file.
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected: May 13, 2019
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: Review of staff files observed one staff was missing copy of immunization status.
Corrective Action(s): Ensure staff files are complete
Date to be Corrected: Corrected before the second day inspection
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Fire extinguisher was missing certification tag.
Corrective Action(s): Please ensure to comply the emergency response plan including a valid fire extinguisher.
Date to be Corrected: May 10, 2019
MEDICATION: 16080 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: Review of first aid supplies found an expired medication in the first aid bag.
Corrective Action(s): Please ensure the practices that promote the health and safety of children in care.
Date to be Corrected: Corrected during the inspection
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Review of 7 children files observed two children were missing immunization status on file.
Corrective Action(s): Ensure children files are complete
Date to be Corrected: May 13,2 019
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: Review of 7 children files observed one child was missing date of enrollment on file.
Corrective Action(s): Ensure children files are complete.
Date to be Corrected: May 13, 2019
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