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:
- Children were not directed to wash their hands prior to eating or returning to the facility from school.
- Staff did not wash their hands upon returning to the facility or serving snack food (donuts) to the children.
- There was one cube shelf with some toys, however there were insufficient toys for the number of children in attendance. (20children - a few board games, skipping ropes, 1 poppit, drawing papers, less than 4 puzzles)
- The tables were not sanitized prior to the children eating and playing at them.
- Enough seating for only 12 children to eat at a time, "gym" is licensed for 20.
Corrective Action(s): Please ensure a healthy and safe environment is maintained at all times.This is a repeat contravention.
Date to be Corrected: on going
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: 4 staff files were reviewed and 2 of the staff files contained a RCMP check and not a CRC from the Records review board in Victoria. 1 of these 2 staff had a receipt for payment for a CRC but the copy was not in the file.
Corrective Action(s): Please ensure that staff have a crc addressed to the facility from the CRC branch in Victoria.
Date to be Corrected: June 23 2021
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: 2/4 staff files did not contain any record that their references were checked prior to working with the children.
Corrective Action(s): Please ensure that staff files are complete prior to working with the children
Date to be Corrected: June 30 2021
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: 2/4 staff files reviewed did not contain any record of whether of not they are immunized.
Corrective Action(s): Please ensure that staff files are complete prior to working with the children
Date to be Corrected: June 30 2021
CARE AND/OR SUPERVISION: 14030 - CCLR s.34(2)(b) - Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation: Licensing observed 20 children on site and only 1 staff counted in ratio. There were 2 additional individuals, however they both confirmed that they were not included in the ratio of children to staff. Licensing spoke with the Licensee on the telephone during the inspection and she said the Manager was not on premise today and they did not replace them.
-There is a supervision plan, as the washroom is located away from the program, the staff had to leave with children to accompany them to the bathroom, leaving the 16 children with the additional individuals.
Corrective Action(s): A Licensee must ensure that the ratio is maintained at all times as per schedule E.
Date to be Corrected: June 18 2021
MEDICATION: 16070 - CCLR s.53(4) - A licensee must ensure that an employee who supervises a child who self-administers medication documents the administration of the medication in the child's care plan.
Observation: one child self-administers medication, the staff was unaware of the requirement to document this in the care plan. The sign in sheet shows a y/n, however no description of time and/or if the child was observed and if the medication was in the child's back pack as required.
Corrective Action(s): Please ensure that a medication administration form is completed for all medications including self-adminstered medication.
Date to be Corrected: June 23, 2021
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: 1/5 children's files reviewed did not contain a child's gender on file.
Corrective Action(s): Please ensure that children's files are completed prior to attending the facility.
Date to be Corrected: June 30 2021
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: 2/5 children's files reviewed did not contain a record of date of enrollment in the facility.
Corrective Action(s): Please ensure that children's files are completed prior to attending the facility.
Date to be Corrected: June 30 2021
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: 4/5 children's files reviewed did not contain a photograph or digital image of the child. Staff did not know if there was a photograph readily available on site.
Corrective Action(s): Please ensure that children's files are complete prior to participating in the program
Date to be Corrected: June 30 2021
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: 4 of 6 care plans were not reviewed annually. 3/6 were dues to be reviewed in 2019 and 1 earlier this year.
Corrective Action(s): Please ensure that care plans are reviewed at least annually or sooner if needed.
Date to be Corrected: June 30 2021
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