PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Licensee provided a tour of the areas accessible to children , living room area and kitchen restricted access by baby gates, both of these areas consisted of a large amount of stored items on the floor and counter tops. No accessible counter surface available for use. Children's high chairs , booster seats and exerciser equipment heavily soiled as observed when not cleaned over a period of time. Bath tub contained children's toilet seats , toilet plunger and various other items which were touching. Change pads ( 2 consisted of torn fabric )
Deck rails at the stairs leading to the yard have become detached. Overall level of cleanliness requires attention as documented in previous inspections , Licensee requested some additional time to attend to these areas stating it had gotten away from her.
Corrective Action(s): Please ensure the facility fixtures , appliances and equipment remain at all times in good repair and that the environment is clean for children's use.
Date to be Corrected: Sept 5, 2017
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11150 - CCLR s.16(2) - Subsection (1) does not apply to a licensee who provides a care program described as Family Child Care, but the licensee must provide an indoor and outdoor play area for children.
Observation: Licensee stated that the children have not accessed the yard for outdoor play for approximately 2 weeks and that another week would be required to get it ready for use. The licensee included that the yard contains branches that require relocation prior to use. It is noted that this fenced area would be considered safe whith relocation of the branches however the children could not safely access this area due to the many hazards within the path of travel. A ladder is extended to the roof of the garage , many items stored under the deck accessible to children , tools , hose at the bottom of the stairs present s a tripping hazard. The children were observed on the deck area however this is not considered sufficient for meeting the requirements of daily outdoor play.
Corrective Action(s): please ensure children have daily access to the identified play area which was put forward at the time the licence was issued for this site. In order to do so they must be able to gain access through the yard which must be free from hazards. Extended time period for corrective action applied as it is recognized that much work will be required to remove / relocate the many stored items.
Date to be Corrected: Sept 14, 2017
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11180 - CCLR s.16(4)(a) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (a) suitable for the age and development of the children.
Observation: At arrival 4 children seated in highchairs with affixed trays eating lunch. 1 child ( 1 month form 4 years ) far exceeded this use of this piece of equipment. children were observed to be independent and capable of safely being seated at the child sized table located within the room.( It may be appropriate for younger children to access booster seats and highchairs ) The licensee stated that sitting in the highchairs were the children's choice. A discussion was held pertaining to the suitability of this decision on part of the licensee who is the careprovider and responsible for guiding and caring for the children in an age and developmentally appropriate manner.
Corrective Action(s): please ensure children access equipment which is suitable for their age and development.
Date to be Corrected: Sept 1, 2017
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation (CORRECTED DURING INSPECTION): 2 bottles of liquid solution which carry a warning to " keep out of reach of children" located in a lower level and unlatched cupboard within the washroom.
Corrective Action(s): please ensure children do not have access to items or substances which may be hazardous to their health and safety. The items were removed during day 1 of the inspection and placed in an area which was out of reach.
Date to be Corrected: Sept 1, 2017
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11240 - DLSOP Family Child Care [n3] - A home-like environment includes, at minimum, a living room, kitchen, bedroom, and a bathroom. It is an expectation that children will have reasonable access to these areas.
Observation: Rooms available for children's use consist of the eating area , 2 bedrooms , washroom.
Initial floor plans as submitted at time of application show a living room , kitchen , nap area in addition to the 2 additional bedrooms. 1 bedroom has now become a storage area and the living room and kitchen are not accessed by children.( also areas where many stored items exist ) copies of floor plans provided during day 2 of the inspection along with The Director of Licensing Standard of Practice - Family Child Care
Discussed decreasing capacity should licensee decide she would like to restrict access to these areas of the home as the remaining areas are small in size and would not meet the expected standard.
Corrective Action(s): It is expected that children have access to all areas of the upper level of the home and that these areas remain free from hazards , clean and organized ( Checklist provided for your use to ensure regular and ongoing self monitoring occurs ) - lower level has been designated for family use only as listed on the Licence under additional information.
Due to the amount of work involved as many items are stored an extended correct date of Sept 12th has been applied.
Date to be Corrected: Sept 12, 2017
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Emergency supplies stored in the shed , Licensee stated that the emergency plan had not been reviewed yet this summer but had taken place in the summer of 2016. In review of the stored supplies this could not be supported as many supplies had expired in 2014 and some 2010. The supplies were not easily accessed as other stored items were placed infront of them.
Corrective Action(s): please ensure you have developed a system whereby the emergency supplies and procedures are reviewed annually in order to mitigate risk in the event of an emergency or evacuation. Please ensure your policies also reflect your evacuation location.
Date to be Corrected: Sept 14, 2017
POLICIES AND PROCEDURES: 13070 - CCLR s.56(e) - A licensee must keep current records of each of the following: (e) written policies and procedures respecting food and drink to be given to children.
Observation: Policies currently reflect the lunches are provided to children along with snacks. Sample menu on file. Licensee stated this aspect of programming has been discontinued unless requested.
Corrective Action(s): please ensure policies are current and reflective to those services provided. A system is also to be maintained which informs families on the food and drink provided to their children.
Date to be Corrected: Sept 14, 2017
POLICIES AND PROCEDURES: 13090 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: Pet policy in place states that dogs will not be present in the kitchen and will be crated , 2 dogs ( 1 within the kitchen ) 1 within the eating area while children were eating lunch. This has been identified as an area of noncompliance in past inspection along with concerns related to health and hygiene of this practice.
Corrective Action(s): please ensure policies are implemented as stated and that pets remain outside of areas where food is being served or prepared.
Date to be Corrected: Sept 1, 2017
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: Licensee included that the diaper change pad is wiped down with Clorox wipes , resource provided pertaining to the use of this product as it is not recommended for diaper change areas or where skin would come into contact.
Children observed washing hands prior to eating however were provided with food throughout the inspection which was directly placed on the outside plastic picnic table ( visibly dirty ). Steps were not taken to ensure the surfaced was cleaned prior to it's use.
Corrective Action(s): please ensure good health and hygiene systems are established in order to provide an healthy environment for children.
Date to be Corrected: Sept 7, 2017
RECORDS AND REPORTING: 19050 - CCLR s.56(f) - A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Observation: A log book could not be located , licensee confirmed no longer completing the practice of documenting incidents yet informed licensing that any concerns would be verbally discussed with families.
Corrective Action(s): please ensure a system is implemented to capture minor accidents , illnesses , unexpected events.
Date to be Corrected: Sept 4, 2017
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: 4 of the children's registration files which were reviewed did not contain a date of enrollment.
Corrective Action(s): please ensure date of enrollment is captured on all children's registration records.
Date to be Corrected: Sept 4, 2017
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: Several children's records missing Doctor name and contact information
Corrective Action(s): please ensure children's records are maintained and complete including Dr information or walk in clinic.
Date to be Corrected: Sept 4, 2017
RECORDS AND REPORTING: 19240 - CCLR s.58(1)(c)(ii) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (c) the resources to be made available to the child requiring extra support by the licensee, including (ii) any modification to the program of activities necessary to enable the child to participate in or benefit from the program.
Observation: Review of registration files indicate a family had provided information to the licensee pertaining to the need for development of a care plan , licensee included that through continued support , modelling and care that the child progressed resulting and provided in success related to this child's needs. A care plan or documentation was not in place for this child - discussed some examples and provided a resource - child Care Links - Care Plans for your use
Corrective Action(s): please ensure care plans are in pace where required in order to guide staff in the care requirements for the specified child. Care plans are to be reviewed update as per needed or annually if no change occurs.
Date to be Corrected: Sept 14, 2017
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