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: In baby room:
A large size white board was noted to put above the washroom hand sink. The board was not secured and it may tip over.
3 tall shelves were not secured and they may tip over.
Electric sockets were not protected and children may have access to them.
Corrective Action(s): Please ensure all items that have potential to fall or tip over must be secured. Please ensure children have not access to electric sockets.
Date to be Corrected: Feb 1, 2018
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): 4 staff files were reviewed. A staff's references were missing from file.
Corrective Action(s): Please ensure to obtain at least two references from staff upon hiring.
Date to be Corrected: Corrected. Thank you.
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: 4 staff files were reviewed. A staff's immunization was missing from their file.
Corrective Action(s): Please ensure to obtain all staffs' immunization upon hiring.
Date to be Corrected: Feb 15, 2018
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: The fire drill records were reviewed. Fire drills were conducted monthly. The manager stated that emergency drill has conducted once, however, it was not recorded.
Corrective Action(s): Please record all emergency drills.
Date to be Corrected: Dec 2018
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: A child > 36 months was placed in the IT program.
Corrective Action(s): Recommend to submit a temporary placement request to support this child's needs. The manager agreed to submit the request by Jan 26, 2018
Date to be Corrected: Jan 26, 2018.
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: Attendance sheets were reviewed. The record of children's absent, present, time of arrival and departure were not maintained or were missing.
Corrective Action(s): Please develop a system to record and maintain children's absent, present, time of arrival and departure.
Date to be Corrected: Feb 15, 2018
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