PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11220 - CCLR s.23(2) - A licensee must have first aid kits that are readily accessible to all employees, including while care is provided off the community care facility premises.
Observation (CORRECTED DURING INSPECTION): The manager stated that she was unaware of the requirement to take the 1st aid kit for the purpose of taking GCC (School Age) children to & from school.
Corrective Action(s):
Date to be Corrected:
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: FHA reviewed all 8 employees' files & found that:
- 2 employees hold a valid CRC from their previous institution & hence require a CRC share
- 4 employees lack a CRC
- 1 employee holds an RCMP CRC
Corrective Action(s): Please apply for a CRC:
- share for those who have a valid CRC from their previous institution
- from the BC Ministry of Justice for the employees who lack a CRC, or hold an RCMP CRC
The licensee must obtain a valid CRC for all employees by their start date. W/o a valid CRC from the BC Ministry of Justice, these employees can't be left alone w/ children.
Date to be Corrected: 06/Jun/2018
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: 2 employees were each missing 1 reference. The manager stated that she doesn't always check references as part of the hiring process.
Corrective Action(s): The licensee must ensure that 3 references are obtained & checked for all employees by their start date.
Date to be Corrected: 08/Jun/2018
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation (CORRECTED DURING INSPECTION): 2 employees lacked a copy of their work history.
Corrective Action(s):
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): 5 employees lacked a copy of their immunization status in their file.
Corrective Action(s):
Date to be Corrected:
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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation (CORRECTED DURING INSPECTION): 3 employees' ECE or ECEA certificates haven't been validated by the licensee.
Corrective Action(s):
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): An employee in the GCC (School Age) children was acting as an RA. The manager stated that this employee will take her 20 hrs of RA training in Aug/2018.
Corrective Action(s): On 01-Jun-2018, the manager applied for an exemption for this employee to act in place of an RA until 31/Aug/2018.
Date to be Corrected:
STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: The annual emergency drill was practiced > 1 yr ago.
Corrective Action(s): The licensee must ensure that all employees are trained in practicing this annually.
Date to be Corrected: 30/Jun/2018
STAFFING: 12470 - CCLR s.60(4) - Immediately after a person who was the subject of a character reference is no longer employed by or ordinarily present at the community care facility, a licensee must return all character references to the person, or destroy the character references.
Observation (CORRECTED DURING INSPECTION): A former employees' character references were still in her file.
Corrective Action(s):
Date to be Corrected:
POLICIES AND PROCEDURES: 13010 - CCLR s.22(1)(a) - A licensee must have all of the following: (a) emergency exits and a fire drill system approved by a local assistant within the meaning of the Fire Services Act.
Observation: Fire extinguishers' service tags showed the last service date as sometime in Apr/2017.
Corrective Action(s): The licensee stated that the technician will come next week to service the fire extinguishers.
Date to be Corrected: 08/Jun/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 was unaware of this requirement.
Corrective Action(s): The licensee must develop & implement this policy.
The manager made a photocopy of the DLSOP (AP).
Date to be Corrected: 30/Jun/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 manager was unaware of this requirement.
Corrective Action(s): The licensee should share the completed policy w/ parents/families.
Date to be Corrected: 30/Jun/2018
POLICIES AND PROCEDURES: 13120 - DLSOP Active Play - The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.
Observation: The manager was unaware of this requirement.
Corrective Action(s): The licensee must develop & implement this policy.
The manager made a photocopy of the DLSOP (AP).
Date to be Corrected: 30/Jun/2018
POLICIES AND PROCEDURES: 13130 - DLSOP Active Play - [The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.] This policy should also be shared with parents/families.
Observation: The manager was unaware of this requirement.
Corrective Action(s): The licensee should share the completed policy w/ parents/families.
Date to be Corrected: 30/Jun/2018
CARE AND/OR SUPERVISION: 14030 - CCLR s.34(2)(b) - Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation (CORRECTED DURING INSPECTION): d) School Age, incl. K or Gr. 1 - Staff to Child Ratio is 1:12 (RA)
An employee in the GCC (School Age) children was acting as an RA. The manager stated that this employee will take her 20 hrs of RA training in Aug/2018.
Corrective Action(s): On 01-Jun-2018, the manager applied for an exemption for this employee to act in place of an RA until 31/Aug/2018.
Date to be Corrected:
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: FHA reviewed 15 children's files & found that 2 children lacked their immunization status.
Corrective Action(s): The licensee must ensure that all requirements of s. 57(2) are obtained by children's 1st day of care.
Date to be Corrected: 08/Jun/2018
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: 3 children lacked their enrolment date.
Corrective Action(s): The licensee must ensure that all requirements of s. 57(2) are obtained by children's 1st day of care.
Date to be Corrected: 08/Jun/2018
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): 4 children who come before & after school are only signed in upon arrival to the CCF & out upon parent pickup.
Corrective Action(s):
Date to be Corrected:
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: 1 child lacked her medical practitioner's contact information.
Corrective Action(s): The licensee must ensure that all requirements of s. 57(2) are obtained by children's 1st day of care.
Date to be Corrected: 08/Jun/2018
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: Some children lacked a photo.
Corrective Action(s): The licensee must ensure that a photo of each child is maintained in the CCF @ all times, in the event of an emergency.
Date to be Corrected: 08/Jun/2018
RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation (CORRECTED DURING INSPECTION): The manager stated that employees don't take children's emergency cards for school dropoff/pick or other out trips.
Corrective Action(s):
Date to be Corrected:
RECORDS AND REPORTING: 19370 - DLSOP Safe Play Space (maintenance of equipment [b3]) - [bullet 3] Keep a log of all inspections, maintenance and repairs.
Observation: Documentation of the outdoor play space inspections (daily/monthly/annual), maintenance, & repairs isn't occurring regularly.
Corrective Action(s): The licensee must ensure that these items are documented @ the frequency in which the DLSOP (SPS) - "Maintenance of Equipment" (p. 3) states. The manager made a photocopy of p. 3 today.
Date to be Corrected: 08/Jun/2018
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