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: The substitute staff that works at the facility from time to time does not have evidence in their staff file that references have been checked.
Corrective Action(s): Ensure staff files are complete including documentation of character references being checked.
Date to be Corrected: July 20, 2018
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: The Licensee has a substitute that works at the facility from time to time. Upon reviewing this person file no record of immunization status was evident.
Corrective Action(s): Ensure staff files are complete including immunization status.
Date to be Corrected: July 20, 2018
POLICIES AND PROCEDURES: 13100 - DLSOP Active Play - The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.
Observation: An Active Play Policy has not been developed and implemented or shared with the families in care yet.
Corrective Action(s): Ensure an Active Play Policy is developed, implemented and shared with the families.
Date to be Corrected: July 20, 2018
POLICIES AND PROCEDURES: 13120 - DLSOP Active Play - The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.
Observation: The Screen use Policy was reviewed. It was noted that children under the age of two have access to Television and do watch it. The Licensee discussed educational music videos being used for this age group. The Policy was written with mixed messages and allowed for children under two to watch television with parents permission.
Corrective Action(s): Ensure a Screen Use Policy is implemented that follows the guidelines outlined in the Director of Licensing Standard of Practice.
Date to be Corrected: July 20, 2018
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation (CORRECTED DURING INSPECTION): A large hand towel was hanging in the bathroom next to the sink where the children wash their hands. The Licensee relayed that she uses the towel to dry her hands. This towel was accessible to the children in care and allows for use of the towel instead of the paper towels designated for their use.
Corrective Action(s): Ensure children are encouraged to practice rules that support health and hygiene practices.
Date to be Corrected:
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: The children's attendance records were reviewed and several entries were not complete. The children's names were written in the attendance book but it was not indicated that they were absent.
Corrective Action(s): Ensure an attendance record is kept for each child that indicates whether a child is absent, present, time of arrival and time of departure.
Date to be Corrected: July 20, 2108
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