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: On review of all staff files, Licensing observed 1 staff only had a CRC from Ontario and a signed form for the Criminal Records Review Program (CRRP). In discussion, Licensee stated that this staff has applied at the CRRP but has yet to receive it and there is no evidence to show it has been received by the CRRP.
Corrective Action(s): As this staff works alone, please provide a health and safety plan as to how the risk will be mitigated until it arrives
Date to be Corrected: October 17th 2017
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: On review of al staff files (4), Licensing observed that 2 staff was missing character references. Licensee stated they have been checked but a record is not in place as to their suitability information gained from the references
Corrective Action(s): Please ensure staff are fully screened prior to working with children.
Date to be Corrected: October 17th 2017
STAFFING: 12070 - CCLR s.19(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: On review of staff files, Licensing observed that 2 staff did not have responsible adult status. Licensee stated that 1 staff is currently enrolled on an ECE course online and will provide evidence when applying for a staff exemption of a staffing plan. The other staff will be part of that staffing plan which Licensing will approve once received.
Corrective Action(s): Licensing will email exemption application for Licensee to apply.
Date to be Corrected: October 17th 2017
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: On review of all staff files, Licensing observed that 2 were missing immunization status
Corrective Action(s): Please ensure staff are fully screened prior to working with children
Date to be Corrected: October 17th 2017
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: Licensing reviewed staff files and observed all those with ECE certificates have not been validated with the ECE Registry.
Corrective Action(s): Please ensure all certificates are validated and a record is kept
Date to be Corrected: October 17th 2017
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: Licensing review policies and the active play policy was not in the handbook. Licensee stated that she will email a copy to Licensing once complete
Corrective Action(s): Please ensure this policy is created and provided to both parents and staff
Date to be Corrected: October 17th 2017
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: On review of facility policies, Licensing observed that the screen time policy is missing from the handbook. Licensee stated that parents have been informed of the screen time for the facility but a policy needs to be available for both staff and parents.
Corrective Action(s): Please email a copy of the completed policy to Licensing
Date to be Corrected: October 17th 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: On review of 5 children's files Licensing observed that 2 were missing enrolment dates
Corrective Action(s): Please ensure all children's files are complete
Date to be Corrected: October 17th 2017
RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: On review of children's files, Licensing observed that all children requiring medication for medical conditions did not have a care plan in place which describes the child's symptoms and the course of action to be taken by the staff to meet the child's needs. Medication consent forms were in place but did not have all the necessary information to appropriately guide staff.
Corrective Action(s): Please ensure care plans are created for all children requiring additional assistance. Licensing will email a care plan resource to assit in this requirement
Date to be Corrected: October 17th 2017
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