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: There are items in the IT room stored on the fire place mantle and above the change table that could injure a child if these items were to fall
Corrective Action(s): Please secure or remove these items
Date to be Corrected: July 11, 2016
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: One staff person in the school age program does not have a CRC in their file
Corrective Action(s): A site specific CRC is required for this staff person, a system must be in place to ensure that staff have no access to children in care until this has been completed
Date to be Corrected: Prior to using this staff again
STAFFING: 12080 - CCLR s.19(1)(e) - 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: (e) a statement signed by a medical practitioner indicating that the person is physically and psychologically capable of working with children and carrying out assigned duties in a community care facility.
Observation: There is one staff in the school age service type that does not have a medical clearance in their file
Corrective Action(s): A medical clearance must be secured and a system in place to ensure that this documentation is secured prior to any staff having access to children in care
Date to be Corrected: Prior to using this staff again
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: Two staff files in the school age program are missing immunization status records
Corrective Action(s): Immunization status records must be a secure and a system in place to ensure that this documentation is secured prior to staff having access to children in care
Date to be Corrected: Prior to these two staff being used again
STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: The school age program records indicate that several months have not had a fire drill record recorded
Corrective Action(s): Please ensure fire drills are completed and recorded every month
Date to be Corrected:
STAFFING: 12260 - CCLR s.29(c) - To qualify for employment in a community care facility as a responsible adult, a person must (c) have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition.
Observation: Two staff are being used for the school age program, neither has proof of responsible adult staff in their personnel files
Corrective Action(s): Please secure written documentation that proves responsible adult status, a system needs to be in place to ensure this documentation is secured prior to any staff having access to children in care
Date to be Corrected: prior to these two staff being used again
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: The fire extinguisher in the school age program does not have a service tag so it is not possible to determine when this was last serviced. The fire extinguishers in the IT program require service by June 29, 2016
Corrective Action(s): Please ensure all fire extinguishers are serviced by expiration date
Date to be Corrected: June 29, 2016
RECORDS AND REPORTING: 19370 - DLSOP Safe Play Space (maintenance of equipment [b3]) - [bullet 3] Keep a log of all inspections, maintenance and repairs.
Observation: There is no system in place to record daily safety inspections of outdoor play areas (IT and OOSC)
Corrective Action(s): Please develop a system and record daily outdoor safety inspections for both program areas
Date to be Corrected: July 11, 2016
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