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 6 staff records, licensing observed 1 was nissing a character reference (only 1 reference on file)
Corrective Action(s): Plese ensure all staff documentation is in place as per Section 19 of the CCLR's
Date to be Corrected: August 28th 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: On review of 6 staff files, Licensing observed that 1 was missing a resume. This is not a critical violation
Corrective Action(s): Please ensure all staff files are complete prior to hiring.
Date to be Corrected: August 28th 2018
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: On review of 6 staff files, Licensing observed a staff working as a responsible adult, without responsible adult certification/status. The facility did have a staffing exemption in place to accommodate this which expired on August 6th 2018. Staff stated that they are still working on it.
Corrective Action(s): Please ensure all staff meet the requirements of Schedule E
Date to be Corrected: August 23rd 2018
CARE AND/OR SUPERVISION: 14010 - CCLR s.34(1) - A licensee must ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.
Observation: Licensing observed that upon arrival the Group Child Care (school age) program was being supervised by 1 staff that did not have responsible adult status. The second staff arrived at 9.30am.
Corrective Action(s): Please ensure children are appropriately supervised by qualified staff at all times.
Date to be Corrected: August 22nd 2018
RECORDS AND REPORTING: 19052 - CCLR s.56.1(2)(b) - A Licensee must keep (b) a current record of each person to whom the written agreement is delivered in accordance with that section [CCALA s.19]
Observation: On review of a random selection of 14 children's files and observed that 2 were missing the signed repayment agreement
Corrective Action(s): Please ensure that this record is kept for all children's files when delivered to families.
Date to be Corrected: August 28th 2018
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: On review of a random selection of 14 children's files, Licensing observed that 1 was missing immunization status and 2 were missing medical insurance numbers.
Corrective Action(s): Please ensure all children's information is complete at the time of registration.
Date to be Corrected: August 28th 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: On review of a random selection of 14 children's files, licensing observed that 2 were missing enrolment dates.
Corrective Action(s): Please ensure all children's files are complete at the time of registration.
Date to be Corrected: August 28th 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: On review of attendance records Licensing observed the following:
- Some records did not have pick up times (GCC school age)
- Children were moved from original sign in room to another program room without signing out (GCC school age)
- Some records did not show when the child was absent when expected for the day (GCC school age)
- GCC (30-sa) did not sign out of the program room when attending the gym
Corrective Action(s): Please ensure accurate attendance is in place for all programs particularly in an emergency situation.
Date to be Corrected: August 28th 2018
RECORDS AND REPORTING: 19200 - CCLR s.57(3)(b) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Observation: On review of a random selection of 14 children's files, Licenisng observed that 1 was missing alternate contact/pick up information.
Corrective Action(s): Please ensure that all children's information is complete at the time of attendance.
Date to be Corrected: August 18th 2018
RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: On review of all care plans in place, licensing observed that 4 were requiring annual review.
Licensing notes that all care plans were complete with relevant information that would appropriately inform staff as to care requirements. This is a repeat contravention during other routine inspections.
Corrective Action(s): Please ensure all care plans are updated on an annual basis and that that informationis provided to all programs holding that information.
Date to be Corrected: August 28th 2018
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