LICENSING: 10010 - CCLR s.10(1) - Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9.
Observation: In discussion with staff, the nearby playground is being used on a daily basis by the program; this playground was not approved as a play space away for the program. The use of this playground was previously discussed between Licensing and the Licensee and the expectation is to use the outdoor licensed area (backyard). This was also discussed with the staff at today’s inspection.
During the inspection, Licensing observed the program walking through the back alley to return to the facility. Licensing discussed with staff that this route is not safe for the program to use. If the program wishes to use the playground, on an occasional basis, then a new walking route will need to be used that does not include the back alley.
Corrective Action(s): The program will use the on-site outdoor area for the program.
Date to be Corrected: March 14, 2024
LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: The listed manager no longer works at the facility. As per the Licensee, the manager last day was earlier this week.
Corrective Action(s): During a phone conversation between Licensing and the Licensee, the Licensee will submit the required forms to Licensing for the formal manager change.
Date to be Corrected:
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: Observed outdoors:
-There is a large black plastic tube in the side pathway that leads to the facility’s main outdoor gate. This item presents a tripping hazard to children who are arriving to and from the facility.
-Multiple pieces of broken plastic and ceramic scattered around both the grass and concrete areas.
-Area under the deck, the following are accessible:
1) Rusting gardening shovel
2) 2 broom stick handles; 1 is beginning to rust and 1 is covered with a green moss
3) Rusty in-ground sprinkler
4) 1 large nail
5) 2 plastic ground stakes
Corrective Action(s): Licensing and staff discussed ensuring daily outdoor safety checks are done and moving materials elsewhere in order to maintain the safety of children while outdoors.
Date to be Corrected: Friday, March 15, 2024
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: -The following are accessible under the bathroom sink:
1) Comet bleach cleaner
2) Bottle of Isopropyl alcohol
3) Toilet bowl cleaner
4) Closed container of nails
There is a child-lock on the cabinet doors that is no longer functional.
Corrective Action(s): Licensing and staff discussed replacing this lock to ensure the cabinet doors lock or moving all hazardous items elsewhere that is inaccessible to children.
Date to be Corrected: March 14, 2024
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: 1/2 missing immunization status.
Corrective Action(s): Please ensure immunization status is obtained for all staff.
Date to be Corrected:
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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: 2/2 staff missing validation from ECE registry.
Corrective Action(s): Please obtain documentation of validation from ECE registry.
Date to be Corrected:
STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: Fire extinguisher is overdue for servicing.
Corrective Action(s): Please ensure the fire extinguisher is serviced.
Date to be Corrected: Monday, March 18, 2024
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: 4/4 children's emergency kits contain expired food.
Corrective Action(s): Please implement a system to ensure food items are replenished when needed.
Date to be Corrected:
NUTRITION AND FOOD SERVICES: 17120 - CCLR s.48(6) - A licensee must make available to parents information on the food and drink given to children.
Observation: - Facility provides morning and afternoon snack to children. As per staff, they do not have a snack menu or write down what food is served to children. When parents ask, then they verbally tell parents what snack was.
Corrective Action(s): Licensing and staff discussed either have a snack menu to provide to parents and/or posting the snack menu at the facility
Date to be Corrected:
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: 1/6 child missing enrollment date.
Corrective Action(s): Please ensure children's files are complete with all required information.
Date to be Corrected:
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: 1/6 child missing doctor name and number. Another child (1/6) missing an emergency contact.
Corrective Action(s): Please ensure children's files are complete with all required information.
Date to be Corrected:
RECORDS AND REPORTING: 19140 - CCLR s.57(2)(h)(i) - A licensee must keep, for each child, a record showing the following information: (h) any special instruction respecting the child's diet, medication, participation in a program of activities, or other matter relevant to the child's care, (i) given by the child's parent to the licensee in writing.
Observation: No follow-up instructions from parents for a child with listed allergies.
Corrective Action(s): The staff will follow up with the parents to obtain follow-up instructions pertaining to if the allergens are ingested.
Date to be Corrected: March 15, 2024
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