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: During the inspection the following was observed in the facility:
-several plug covers were missing
-a phone jack was hanging off of the wall
-several push carts have areas where rust is evident. In discussion with the Manager the staff are the only ones that use these carts. The concern to health and safety was discussed.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: September 23, 2019
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: During the inspection the following was observed inside the facility:
-trim and baseboards on the wall were missing
-peeling paint was observed on the shelves and the walls
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: Sept 23, 2019
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: Three staff records of three were reviewed. One staff record was missing a record of immunization status.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: September 23, 2019
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: The fire extinguisher has expired and must be inspected on an annual basis. The fire extinguisher was reading within the area of fully charged. In addition the fire extinguisher was not accessable as it was behind a desk.
The emergency plan outlines a variety of supplies that are required to respond to an emergency. The Manager has purchased some supplies but does not have a way to transport the supplies in an emergency. The Manager will check with the school to ask for access to the emergency evacuation supplies in the shed on school property. This is a repeat contravention from inspection # CLAN-B75VK4
Corrective Action(s): Please ensure that you follow the emergency plan to prepare for, mitigate and respond in an emergency.
Date to be Corrected: September 23, 2019
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: During the inspection the record of fire drills and evacuation drills was observed. No record of the year was noted. In addition the annual emergency evacuation drill was not recorded.
Corrective Action(s): Please ensure the year the fire drills take place are recorded and evidence of completing the emergecy evacuation drill is recorded
Date to be Corrected: September 23, 2019
MEDICATION: 16010 - CCLR s.53(1)(a) - If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.
Observation: Several children in the facility require medication that must be administered in an emergency. Only one of the children had a medication permission form on file.
Corrective Action(s): Please ensure that a medication permission form is on file for all of the children who require medication in an emergency.
Date to be Corrected: Sept 16, 2019
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: Licensing reviewed the attendance records. Several departure times were not recorded. The concern to the health and safety of children in care was discussed. This is a repeat contravention from inspection # SMOY-AA9VAL
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: September 9, 2019
RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: During the inspection several care plans were reviewed. Documentation dates showed that the care plans had not been reviewed once a year.
Corrective Action(s): Please ensure care plans are reviewed annually.
Date to be Corrected: Sept 23, 2019
|