LICENSING: 10010 - CCLR s.10(1) - Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9.
Observation: Observed School-age Program ( 8 children ) participating in activities in the kitchen which is licensed/ designated for the Multi-age program. 5 Multi-age children played in a room separated by a baby gate entering the kitchen once the school-age program was done. Observed a playpen in the school-age room which is used by a child attending the Multi-age program while School-age children are in attendance. Provided copies of stamped Floor Plans along with this inspection report The School-age program includes a separate kitchenette and washroom in order to support that programs are to operate separately. This was a requirement in order to amend the licence and add the additional care program. The entrance area is the only common area where all children may enter and then proceed into their separate programs.
Corrective Action(s): Please forward your plan of how you will ensure programs do not operate concurrently
Date to be Corrected: July 26, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation: In review of the fire plan it is noted that the garage door is marked as an emergency exit, many stored items by the entrance door hamper the exit.
Corrective Action(s): please ensure exits remain free of items for safe evacuation.
Date to be Corrected: July 22, 2021
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: 3 staff files reviewed contain a check mark under the word references however references were not located or listed on the file
Corrective Action(s): please ensure references are obtained and checked for each staff working at the facility.
Date to be Corrected: July 26, 2021
RECORDS AND REPORTING: 19030 - CCLR s.55(2)(a) - A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.
Observation: Incident documented in the internal log book , family sought medical care for their child. The incident was not reported to Licensing. LO spent time reviewing reporting requirements with staff.
Corrective Action(s): Please submit a Reportable Incident Form to Licensing and provide your plan to ensure staff are aware of reporting requirements.
Date to be Corrected: July 22, 2021
RECORDS AND REPORTING: 19360 - CCLR s.60(5) - A licensee must keep a record referred to in section 57 [records for each child] for at least 2 years from the date the child who is the subject of the record is discharged from the community care facility.
Observation: In review of children's files it is noted that site specific locations are not listed some children attend more than one location. One file was not available for review as requested as the child now attends another location.
Corrective Action(s): please ensure children's records are maintained and avaible for review 2 years from date of withdrawal.It is required that Children's records are kept current reflecting the facility they attend.
Date to be Corrected: July 26, 2021
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