LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: Staff's certificates were not posted onsite.
Corrective Action(s): Please ensure that all staff certificates are posted in a prominent place within the facility.
Date to be Corrected: Feb 18, 2022
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: Criminal Record Check on file is not site specific.
Corrective Action(s): Please ensure that all staff's files are complete.
Date to be Corrected: Feb 18, 2022
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 minimum of two character references were not obtained for one or more employees.
Corrective Action(s): Please ensure all staff's files are complete.
Date to be Corrected: Feb 18, 2022
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: A record of the person's work history was not obtained for one or more employees.
Corrective Action(s): Please ensure all staff's files are complete.
Date to be Corrected: Feb 18, 2022
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 one or more employees.
Corrective Action(s): Please ensure that all staff's files are complete.
Date to be Corrected: Feb 18, 2022
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: Valid first aid certificate for staff on site was not available.
Corrective Action(s): Ensure that children have an immediate access to staff with valid first aid and CPR certificate at all times.
Date to be Corrected: Feb 18, 2022
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(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: Earthquake drills for 2020 and 2021 were not recorded. Manager said that emergency drills were practiced with the children.
Corrective Action(s): Ensure that current records of emergency drills are kept.
Date to be Corrected: Ongoing
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