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 (CORRECTED DURING INSPECTION): Licensing observed that the manager's name was not displayed on site.
Corrective Action(s): Ensure the manager's name is displayed on site.
Date to be Corrected: Corrected during ispection.
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: Licensing observed the following:
- Fire extinguisher was hidden and took some time for staff to find, as it was not in a visible area.
- The fire extinguisher had no service tag.
- The emergency plan / location document was missing.
Corrective Action(s): Ensure that the fire extinguisher is placed in a visible area. This was corrected during inspection.
Ensure that the fire extinguisher is serviced with a tag that shows the next service date.
Ensure that the emergency plan / location document is at the facility and placed in a visible area.
Date to be Corrected: Aug. 18, 2023
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Licensing observed that for the month of July 2023, the fire drill was not recorded, though staff said it was completed.
Corrective Action(s): Ensure that records are up to date.
Date to be Corrected: Aug. 18, 2023
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Licensing observed that one child did not have their medical insurance plan number on file.
Corrective Action(s): Ensure that the child's file is complete.
Date to be Corrected: Aug. 18, 2023
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 (CORRECTED DURING INSPECTION): Licensing observed that one child did not have the start date on file.
Corrective Action(s): Ensure the child's file is complete.
Date to be Corrected: Corrected during inspection
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: Licensing observed one child did not have the doctor's name and phone number on file.
Corrective Action(s): Ensure that the child's file is complete.
Date to be Corrected: Aug. 18, 2023
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