LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: Name of the manager was not posted onsite.
Corrective Action(s): Ensure the manager's name is posted in a prominent place within the facility.
Date to be Corrected: Jan 4, 2023
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: Criminal Record Check not obtained for 1 staff member.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Jan 13, 2023
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: 2 staff files were reviewed; Copies of any diplomas, certificates or other evidence of the person's training and skills were not obtained for 1 staff member.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Jan 6, 2023
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 for one staff member.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Jan 6, 2023
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: 2 staff's certificates were not validated by the ECE registry.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Jan 4, 2023
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Fire drill for Dec. 2022 was not recorded.
Corrective Action(s): Ensure current records are kept for monthly fire drills and yearly emergency drills.
Date to be Corrected: Ongoing
RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: No pictures or digital images were available for children enrolled.
Corrective Action(s): Ensure all children files are complete.
Date to be Corrected: Jan 4, 2023
RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: Care plan not developed in consultation with the parent for a child requiring extra support.
Corrective Action(s): Ensure appropriate care plan is develop for a child requiring extra support.
Date to be Corrected: Jan 13, 2023
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