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: 1of 5 employee records reviewed did not have a criminal record check addressed to the facility. The employee had a criminal record check addressed to someone else.
Corrective Action(s): Ensure that each employee has a criminal record check addressed to the facility.
Date to be Corrected: 31-Jan-2022
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: The fire extinguisher is due to be serviced.
Corrective Action(s): Ensure that the fire extinguisher is serviced annually.
Date to be Corrected: 31-Jan-2022
RECORDS AND REPORTING: 19030 - CCLR s.55(2)(a) - A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.
Observation: Licensee did not notify the licensing officer within 24 hours that a child was involved in a reportable incident as described in Schedule H as required.
Corrective Action(s): Ensure that any child involved in or may have been involved in a reportable incident is reported within 24 hours.
Date to be Corrected: 24-Jan-2022
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 of 10 children's files reviewed did not have the name and phone number for an emergency contact
Corrective Action(s): Ensure that each child has a record for an emergency contact.
Date to be Corrected: 31-Jan-2022
RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: 1 child requiring a care plan did not have one developed in consultation with the parent or any person requested by the parent.
Corrective Action(s): Ensure that each child requiring extra support has a care plan created in consultation with the parent.
Date to be Corrected: 25-Jan-2022
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