PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation: Licensing observed the following:
- Carpet area in the School age program has dirty spots all over it.
- Sleeping mats in the 3-5 program are torn, have holes in and are accessible to children
- Staff purses are stored in a lower area accessible to children
Manager said that the carpet is going to be cleaned over a weekend and will replace the sleeping mats. Discussed the appropriate location of staff purses.
Corrective Action(s): Please ensure a safe and healthy environment for children at all times. Please provide a corrective action plan by the date below.
Date to be Corrected: January 25th 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11160 - CCLR s.16(3)(a) - A licensee must ensure that the entire outdoor play area is (a) enclosed in a manner that is suitable for the age and development of children, and will ensure that children are free of harm.
Observation: Licensing observed the GCC (30-sa) play are fence has various areas where the fence panels are broken/splintered or rotten and cause concern for injury. Manager stated that there is a plan in place to have the fence replaced with new.
Corrective Action(s): Please provide a corrective action plan by the date below as to when the fence will be replaced to ensure children are free from harm.
Date to be Corrected: January 25th 2021
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 three staff files, Licensing observed that two staff had expired criminal record checks. Licensing does acknowledge that the facility have started the process of renewal but have yet to complete the process with receipt of the clearance.
Corrective Action(s): Please ensure that this process is completed immediately - these staff do not work alone.
Date to be Corrected: January 13th 2021
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: Licensing observed that all staff in the GCC (30-sa) program had expired first aid certificates. Due to the pandemic this was exempted for 6 months and one staff is now signed up for a course on January 16th 2021, with the others on waitlists. There are other staff members on site with current first aid training.
Corrective Action(s): Please submit a compliance plan as to when the other staff will have been re-certified.
Date to be Corrected: January 25th 2021
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: Licensing reviewed three staff files of which two were missing immunization status
Corrective Action(s): Please ensure staff files are complete prior to employment
Date to be Corrected: January 25th 2021
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 three staff files and noted one staff was missing a current certificate validation.
Corrective Action(s): Please ensure updated certificates are valid upon receipt.
Date to be Corrected: January 25th 2021
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: Licensing observed that the annual emergency drill had not been completed. Manager said that due to Covid, the restrictions for access at their secondary location prevented the drill. Discussed the requirements for the drill, not just the location
Corrective Action(s): Please ensure an annual emergency evacuation drill is conducted with all staff.
Date to be Corrected: January 25th 2021
POLICIES AND PROCEDURES: 13080 - CCALA s.19 - If a person prepays part of the cost of services provided by a class of community care facilities designated by the Lieutenant Governor in Council, the licensee must, at the time of the prepayment, deliver to the person a written statement setting out the terms and conditions on which a refund of all or any of the prepayment will be made.
Observation: On review of twelve children's files, three were missing prepayment contracts. Discussed further with the Manager and provided some recommendations.
Corrective Action(s): Please ensure you have a record of each family receiving the prepayment details.
Date to be Corrected: January 25th 2021
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: Licensing reviewed information provided to support two children requiring emergency medication which did not include the signs and symptoms for staff to look out for. This is necessary information to help guide staff to appropriately respond with a course of action. The medication was also expired. Licensing acknowledges that medication forms were available for each medication required.
Corrective Action(s): Please ensure any child requiring extra support has a current care plan in place and medication is safe to administer.
Date to be Corrected: January 25th 2021
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