LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: During the inspection it was observed that not all of the staff certificates were posted on the wall.
Corrective Action(s): Please ensure staff cetificatesare posted in a prominant place in the facility.
Date to be Corrected: Dec 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: Licensing observed the following inside the facility:
-paint chips on poles, cupboards and walls
-drywall and metal edging was exposed on corners of the wall
-an electrical outlet cover was broken
Corrective Action(s): Please ensure a that the facility is in good repair.
Date to be Corrected: Jan 6, 2020
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: Licensing observed the following inside the facility:
-the kitchen was left open and a cupboard that was accessible contained various chemicals. This could cause a potential poisoning hazard. Please correct by Dec 9, 2019
-rust on pipes in three out of four washrooms
-rust on a towel dispenser
Licensing observed the following outside the facility:
-a rusty wheelbarrow on the playground
Rust can cause a potential health hazard.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health.
Date to be Corrected: December 16, 2019
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: Licensing reviewed four out of eight staff records. One staff record was missing references. This is a repeat contravention from inspection # CLAN-B8XQ4D
Corrective Action(s): Please ensure staff have character references before they commence work at the facility.
Date to be Corrected: Dec 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: Licensing reviewed four out of eight staff records. One staff record was missing a record of immunization.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: Dec 23, 2019
STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Licensing reviewed four out of eight staff records. Two staff records was missing a site specific criminal record check (CRC). One CRC was noted from the RCMP. This is a repeat contravention from inspection # GSIU-ASYNPL. Licensing discussed the importance of completing CRC's through the criminal record review board. In addition one CRC was not present for a staff member that was working at the facility. Licensing reviewed the paperwork for the CRC application and discussed the serious health and safety risk to children in care. The staff member will not be left alone with the children until the CRC is completed.
Corrective Action(s): Please ensure staff records complete and CRC's are site specific.
Date to be Corrected: Dec 30, 2019
PROGRAM: 18030 - CCLR s.44(1)(c) - A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (c) complies with the program standards set out in Schedule G.
Observation: During the inspection licensing discussed the program of indoor and outdoor activities with the staff. The staff stated that the school age children only go outside to play two to three times a week.
Corrective Action(s): Please ensure that a program is in place to encourage daily outdoor activity as outlined in schedule G and that this also complies with the director of licencing standards of practice active play.
Date to be Corrected: Dec 23, 2019
RECORDS AND REPORTING: 19051 - CCLR s.56.1(2)(a) - A licensee must keep (a) a copy of the written statement, referred to in section 19 of the Act, that the licensee delivers to persons who prepay part of the cost of services
Observation: The policies and procedures were reviewed. A policy outlining the return of prepayment for the cost of services was not noted. This is a repeat contravention from inspection #CLAN-B8XQ4D
Corrective Action(s): Please ensure policies and procedures are complete.
Date to be Corrected: Dec 23, 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 for the school age program. Several departure times were missing. This is a repeat contravention from inspection # CLAN-B8XQ4D
Corrective Action(s): Please ensure attendance records are complete.
Date to be Corrected: Dec 10, 2019
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: Fourteen children's records were reviewed. One child was missing a doctor's name and phone number. This is a repeat contravention from inspection # GSIU-ASYNPL. In addition, one child did not have another emergency contact name other than the parents.
Corrective Action(s): Please ensure children's records are complete
Date to be Corrected: Dec 23, 2019
RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: Licensing reviewed 14 children's records. Several children were missing photos. This is a repeat contravention from inspection # GSIU-ASYNPL
Corrective Action(s): Please ensure children's records are complete
Date to be Corrected: Dec 23, 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: Licensing reviewed the care plan for one of the children at the facility. The care plan had not been reviewed since 2017. In addition the picture of the child was not up to date
Corrective Action(s): Please ensure care plans are reviewed on an annual basis.
Date to be Corrected: Dec 23, 2019
|