PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation: The writer observed two white storage shelves approximately 4' in height accessible to the children.
Corrective Action(s): Any fixture 4' high or higher must be secured in a manner to prevent the item from tipping over and potentially injuring the children or staff.
Date to be Corrected: 4 July 2016
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation (CORRECTED DURING INSPECTION): The writer observed 'gel beads' in the bathroom sink designated for children's use. The 'gel beads' were approximately 1" deep and loose in the bottom of the sink. Due to the children's ages there is a high potential for children to choke on a 'gel bead' if ingested.
Corrective Action(s): In discussion with the Licensee the writer was informed that the children do not use this sink and if they are in the washroom they have one to one supervision. During the inspection the 'gel beads' were gathered up and stored in a manner that children no longer had access to the items.
Date to be Corrected: 14 June 2016
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: The writer reviewed the staff files and noted reference letters in each file however there was no evidence that the Licensee had verified these references.
Corrective Action(s): The Licensee must implement a system in which a record is maintained indicating that staff member's references are verified. This may be the date the reference was checked and the signature of the individual who carried out the check or any other system the Licensee may chose to implement.
Date to be Corrected: 4 July 2016
STAFFING: 12430 - CCLR s.56(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: The writer reviewed the staff files and noted a criminal record clearance letter was missing from one file and from another file the results were from a different Licensee.
Corrective Action(s): In discussion with the Licensee the criminal records review agency is in the process of sending her the results. Also discussed with the Licensee going on-line to have another Licensee share the criminal record check results.
Date to be Corrected: 04 July 2016
POLICIES AND PROCEDURES: 13050 - CCLR s.56(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 (CORRECTED DURING INSPECTION): The Licensee maintains a record of the facility's monthly fire drills. The writer noted that the last entry for a monthly fire drill was April 2016.
Corrective Action(s): After every monthly fire drill ensure it is recorded. The Licensee had conducted and recorded a fire drill after the June 14, 2016 inspection.
Date to be Corrected: 22 June 2016
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: Upon review of all the children's files the writer noted two files were missing the child's immunization status.
Corrective Action(s): The writer provided a sample immunization status form the Licensee may use or the Licensee may choose to implement another system to meet this requirement.
Date to be Corrected: 4 July 2016
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 (CORRECTED DURING INSPECTION): The writer reviewed the facility's daily sign in and sign out sheet and noted that 3 children had not yet been signed in. In discussion with staff the writer was informed that the staff review the sheet during nap time and at this time they will add any child's name not on the sheet.
Corrective Action(s): The writer explained the intent of this requirement is to have an accurate account of the who is on site in case of emergency situations.
Date to be Corrected: 13 June 2016
RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: The writer reviewed all of the children's files and noted one file was missing the name and contact number of a doctor.
Corrective Action(s): Ensure this information is obtained from the family prior to the child commencing care. If a family doesn't have a family doctor the name and contact information of a clinic that the family uses will suffice.
Date to be Corrected: 04 July 2016
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: The writer reviewed all of the children's records and noted that three files were missing a photograph.
Corrective Action(s): The Licensee explained to the writer that they have asked families for a photograph and are awaiting to receive them from the families. Some families have declined the use of a digital image.
Date to be Corrected: 04 July 2016
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