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: A review was done of 8 staff files and 6 staff have cleared criminal record checks that are not site specific and one is expired
Corrective Action(s): Manager will be applying for all staff under the new facility account and will complete staff files.
Date to be Corrected: April 1, 2024
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: A review was done of 8 staff files and 4 are missing reference checks.
Corrective Action(s): Manager stated they have them off site and will add to their files.
Date to be Corrected: April 5, 2024
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 three employees.
Corrective Action(s): Manager will obtain immunization status for those staff and will complete their files.
Date to be Corrected: April 5, 2024
STAFFING: 12210 - CCLR s.23(1)(a) - A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: Staff that provides transportation by driving the 14 passenger van, does not have a valid first aid certificate on file.
Corrective Action(s): Manager will follow up with the staff to see if it has been renewed. School is back in session next week and children must have access to someone with valid first aid in the van.
Date to be Corrected: April 2, 2024
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Children in the School Age program were eating snack without washing their hands prior.
Corrective Action(s): Staff stated they do usually wash hands but forgot this morning. Staff will ensure that handwashing occurs before each meal
Date to be Corrected: March 27, 2024
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: Sibling groups were signed in on the same line on the attendance sheet by their last name and marked as x2 indicating 2 children from the same family.
Corrective Action(s): Each child must have attendance documented. Moving forward, staff stated they will enter each child individually on the attendance.
Date to be Corrected: March 27, 2024
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