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: Licensing observed that the Manager name was not posted for families to see.
Corrective Action(s): Please ensure that the Manager name is posted so that families are aware of who to connect with should this be required.
Date to be Corrected: Dec 20, 2023
LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation (CORRECTED DURING INSPECTION): Licensing observed two staff certificates were not posted of the six staff on site during inspection.
Corrective Action(s): Please ensure all certificates are prominently posted.
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: Licensing observed the following:
- Mop and bucket and broom stored next to a toilet in the JK1 bathroom that is accessible to children
- Nap mats with sheets on stored in one crib - touching sheets cause for cross contamination
Corrective Action(s): Please ensure a healthy and safe environment at all times while children are in care.
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): Licensing observed the cupboard containing soap, bleach and disinfectant in the bathroom was unlocked, leaving these products accessible to the children.
Corrective Action(s): Please ensure this cupboard remains inaccessible at all times.
Date to be Corrected: Immediately - discussed with staff
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 seven staff files, Licensing observed one staff working on site today did not have a current criminal record check. Manager did say that she had confirmed clearance from another facility - no evidence on file.
Corrective Action(s): Please ensure that this staff does not work alone with children until clearance is obtained. Please provide a health and safety plan in relation to this.
Date to be Corrected: Dec 20, 2023
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 (CORRECTED DURING INSPECTION): On review of seven staff files, Licensing observed three staff files did not contain charachter references. The Manager did have access to those references via the staff.
Corrective Action(s): Please ensure all staff files are complete at the time of employment.
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): Immunization status was not obtained for one or more employees.
Corrective Action(s): This was corrected during inspection.
Date to be Corrected:
CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation: Licensing observed a child within a group that did not meet the age requirements - further discussed with Manager and staff
Corrective Action(s): Please submit a temporary placement request if this child is to continue in this group
Date to be Corrected: Jan 2, 2024
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Licensing observed that children were not washing hands after a diaper change, not when they entered the facility to start the day. This was further discussed with staff.
Corrective Action(s): Please ensure children are appropriately instructed in the hygiene practices.
Date to be Corrected:
MEDICATION: 16020 - CCLR s.53(1)(b) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (b) readily accessible to employees.
Observation: Medication was not readily accessible to employees. Medication was not available on site for child requiring emergency medication.
Corrective Action(s): Child should not be attending without emergency medication. Please provide a corrective action plan.
Date to be Corrected: December 20, 2023
PROGRAM: 18060 - CCLR s.44(3)(4)(5) - A licensee, other than a licensee providing a care program described as Occasional Child Care, must provide each child with daily outdoor play periods unless weather conditions would make it unreasonable to do so. (4) Despite subsection (1), a licensee who provides a care program described as Occasional Child Care need not provide a program of outdoor activities. (5) Despite subsection (3), that subsection applies to a licensee who provides a care program described as Child-minding only if the program provides care for 3.5 hours or more each day.
Observation: Licensing found that the JK1 program does not always have daily outdoor play for 60 minutes as required. Manager said that parents often request that their children remain indoors as they are getting sick. This was further discussed.
Corrective Action(s): Please ensure all children have daily outdor play as part of their health development.
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): Licensing observed that a child was not signed out of one program or signed into the next. Further discussed concern in an emergency situation.
Corrective Action(s): Please ensure children transitioning to another program are signed in/out accordingly.
Date to be Corrected:
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: A care plan is not in place which must include the course of action recommended by health care professionals for a child requiring additional support. Licensing does note that some information is located on the allergy list.
Corrective Action(s): Please ensure a care plan is created in consultation with the parent/s that appropriately guides staff as to actions to be taken when emergency medication is required.
Date to be Corrected: December 22, 2023
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