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:
- Lysol disinfectant left on the countertop which is accessible to the children.
- Adult knife in an unsecured drawer.
Corrective Action(s): Ensure a healthy and safe environment is provided at all times.
Date to be Corrected: July 4, 2022
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: A selection of staff files were reviewed. Out of the 4 files reviewed, 3 did not have site specific criminal record checks.
Corrective Action(s): Ensure a site specific criminal record check is on file.
Date to be Corrected: July 4, 2022
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: A selection of staff files were reviewed. Out of the 4 files reviewed:
- 1 file did not have any character references
- 1 file had character references however, the Manager had not checked the references to confirm the individual is of good character.
Corrective Action(s): Ensure character references in respect of the person is on file.
Date to be Corrected: July 4, 2022
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: A selection of staff files were reviewed. Out of the 4 files reviewed, 1 file did not have a record of the person's work history.
Corrective Action(s): Ensure a record showing the person's work history is on file.
Date to be Corrected: July 4, 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 has not been serviced annually. The Licensee said she has already informed the church.
Corrective Action(s): Ensure the fire extinguishers have been service annually.
Date to be Corrected: July 4, 2022
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