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: Licensing reviewed 4 staff records and noted: one file was missing character references, and one had reference names and phone numbers, but no system to indicate they were checked.
Corrective Action(s): Please ensure staff files contain all required documents, including character references.
Date to be Corrected: November 25, 2019
POLICIES AND PROCEDURES: 13010 - CCLR s.22(1)(a) - A licensee must have all of the following: (a) emergency exits and a fire drill system approved by a local assistant within the meaning of the Fire Services Act.
Observation: Licensing observed a fire extinguisher on site, however was unable to determine when it was last serviced.
Corrective Action(s): Please ensure fire extinguishers are maintained yearly.
Date to be Corrected: November 25, 2019
CARE AND/OR SUPERVISION: 14010 - CCLR s.34(1) - A licensee must ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.
Observation: Licensing observed indoor supervision practices and noted the following:
- Staff was engaged with a group of children by the room attached to the main play area. Meanwhile, a child (unobserved by staff) in the kitchen area climbed into a low highchair.
- Children were playing in a room attached to the main play area. Staff remained in the bathroom and kichen for a period of 20 minutes and was not observed moving throughout the facility, therefore not providing adequate supervision to children in that space.
Corrective Action(s): Please ensure adequate supervision is maintained at all times.
Date to be Corrected: November 19, 2019
CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation (CORRECTED DURING INSPECTION): Licensing observed 8 children in care. After reviewing children's files, it was noted that there were 4 children present under the age of 36 months old. This was discussed with the staff, and then communicated with the manager. The child was picked up from care while licensing was still present.
Corrective Action(s): Please ensure groups have no more children in attendance than permitted in Schedule E, and a system is in place to ensure the appropriate ages and numbers of children in care are maintained.
Date to be Corrected: November 19, 2019
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: Licensing reviewed 6 attendance records and noted 1 did not have time of departure.
Corrective Action(s): Please ensure daily attendance records indicate the time of arrival and departure for each child.
Date to be Corrected: November 19, 2019
RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: Licensing reviewed facility policies and procedures and noted the following were not available:
- Reportable Incidents
- Behavioural guidance
- Safe Release of children
- Emergency plans
- Medication
- Illness
- Nutrition
The staff on site was unaware of the incident reporting procedures or requirements.
Corrective Action(s): Please ensure all policies and procedures are available at the facility, communicated to staff, and implemented by employees.
Date to be Corrected: November 20, 2019
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