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: Four staff files were reviewed and the immunization status record was missing for one staff.
Corrective Action(s): Please ensure all staff documentation is complete as per requirements.
Date to be Corrected: Feb 13,2018
STAFFING: 12150 - CCLR s.19(4)(b) - A licensee must not employ a person in a community care facility as (b) a responsible adult unless the person has the qualifications required under Division 2 [Employee Qualifications].
Observation: Review of staff files indicated proof of training is missing for one substitute staff.
Corrective Action(s): The Manager stated staff does have the training and proof of training has been misfiled. Please ensure staff records are complete prior to employment.
Date to be Corrected: February 13,2018
POLICIES AND PROCEDURES: 13100 - DLSOP Active Play - The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.
Observation: The Manager has not yet completed the new required policy for Active Play. The facility does provide daily outdoor play opportunity as well as some indoor active play opportunities, however, the daily posted program schedule and discussion of the daily schedule indicates that at times children who attend for only half day may receive only 15 minutes of daily outdoor time instead of half hour as per the new Director of Licensing Standard of Practice for Active Play.
Corrective Action(s): As discussed, please ensure program meets requirements regarding Active Play. The Manager stated change will be made to the schedule.
Date to be Corrected: February 13,2018
POLICIES AND PROCEDURES: 13110 - DLSOP Active Play - [The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.] This policy should also be shared with parents/families.
Observation: The new policies required for Active Play and Screen Use have not yet been completed and provided to parents. The facility is in compliance with Screen Use as no screen time is provided to children and children in attendance for the full day are provided with 1 hour of active play opportunity as per the requirements.
Corrective Action(s): Please ensure the new policies, once completed, are provided to parents.
Date to be Corrected: February 13,2018
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