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: The Licensee has closed the room off the main play area to the children. This area is a part of the licensed space and as such must be made available to the children. Should this space no longer be designated for the children licensing will need to remeasure the usable space to determine the maximum capacity.
Corrective Action(s): The space will need to be made accessible to the children. Alternately the Licensee may submit amended floor plans for licensing to review and approve.
Date to be Corrected: 18 October 2021
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: The following were observed during the inspection:
1) located on a shelving unit are over 6 stackable plastic bins within children's reach. There is the potential for these items to fall onto an individual.
2) there was an electrical outlet accessible to the children with no cover.
3) in one corner of the kitchen the residents are using it for their office and entertainment space. This space contained: computer, printer, stereo components, books, boxes, files stacked on a chair, surge bar with multiple cords plugged in, portable fan.
4) in the outdoor play the rubber tiles are beginning to lift.
Corrective Action(s): 1) secure all items on storage units in a manner that they will not inadvertently fall upon an individual.
2) the Licensee placed an outlet cover on this outlet during the inspection - no further action required.
3) while licensing acknowledges the child care program shares space within the residence these spaces must be safe such as securing the electrical cords, securing items to prevent them from tipping over, etc. The Licensee indicated that she had started to work on this area and will finish this task.
4) any tiles in the outdoor play area must be flushed to prevent a child from tripping.
Date to be Corrected: 15 October 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Licensing observed the following during the inspection:
1) in the washroom used by the children there are holes in the wall from a towel bar being removed.
2) the couch has two arm rests encased in duct tape. There are areas between the duct tape where the interior foam is exposed.
3) the kitchen floor has more than a dozen small areas in which the tile has been damaged and is now porous and is no longer able to be cleaned and sanitized.
4) at the base of the rear door there is a strip adhered to the door that is damaged.
5) in the entrance to the main play area from the front hallway there is an area in which the wall is chipped and the metal corner strip is exposed. There is a child safety gate installed and the area where the gate is secured into the wall is worn and the gyproc is exposed.
Corrective Action(s): 1) the holes need to be made nonporous in order for it to be suitable for cleaning and sanitizing.
2) the Licensee stated she will replace the damaged couch.
3) the Licensee has reached out to a tradesperson to obtain quotes for repairing the floor. The floor must be made nonporous in order for it to be suitable for cleaning and sanitizing.
4) the Licensee is aware of the door strip and it will need to be removed or replaced.
5) exposed gyproc is porous and is no longer cleanable. The Licensee must repair these areas in a manner that makes them nonporous.
Date to be Corrected: 18 October 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation: Upon review of the facility's fire plan the exit from the outdoor play area located at the front of the property has been approved as a fire exit. Licensing observed a padlock on the gate.
Corrective Action(s): When children are in care this exit must not be hampered by a lock.
Date to be Corrected: 21 September 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: There are cardboard blocks for the children to use. Licensing observed approximately 4 blocks that have been wrapped in tape.
Corrective Action(s): The Licensee said the blocks were taped to repair them. Any block that is in need of repair should be removed from children's use and repaired or replaced.
Date to be Corrected: 18 October 2021
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: In the main activity room the blind cords were accessible to children and were unsecured. A a container of hand sanitizer was accessible to children.
Corrective Action(s): Ensure all blind cords are made inaccessible to children. As per manufacturer's recommendation hand sanitizer must be kept out of children's reach.
Date to be Corrected: 21 September 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11220 - CCLR s.23(2) - A licensee must have first aid kits that are readily accessible to all employees, including while care is provided off the community care facility premises.
Observation: The first aid kit has insufficient supplies. The Licensee takes the children off site and there was no instant ice pack contained within the kit.
Corrective Action(s): Review and update the first aid kit and replenish as needed.
Date to be Corrected: 18 October 2021
STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Licensing reviewed 3 criminal record clearance letters of which one was addressed to another licensee.
Corrective Action(s): The Licensee will need to have the current letter shared with her in order to meet the legislative requirements.
Date to be Corrected: 08 October 2021
POLICIES AND PROCEDURES: 13071 - CCLR s.56(2) - A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.
Observation: The Licensee has a illness policy in addition to their communicable disease policy (COVID-19). The Licensee has not fully implemented their illness policy.
Corrective Action(s): Discussed with the Licensee about reviewing and revising their policies as needed and to implement them on a consistent basis.
Date to be Corrected: 21 September 2021
PROGRAM: 18020 - CCLR s.44(1)(b) - A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (b) is appropriate for the age and development of children in each group in the community care facility.
Observation: In a discussion with the Licensee there are two children who are using highchairs for eating. The children are of an age where the use of high chairs is no longer developmentally appropriate.
Corrective Action(s): The Licensee will place the high chairs in storage and have the children eat at the tables with their peers.
Date to be Corrected: 18 October 2021
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