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: Licensing observed that no staff certificates were posted in the facility. The certificates for two staff members were located in their staff records. This is a repeat contravention from inspection # CLAN-B4JRPY
Corrective Action(s): Please ensure the staff certificates are posted in a prominant place.
Date to be Corrected: July 23, 2020
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:
- several wear marks and puncture marks in the plastic tile flooring. This could harbour bacteria.
-wallpaper was peeling in the washroom. This is a repeat contravention from inspection # CLAN-BGDUCU
-several paint chips on the walls. This is a repeat contravention from inspection # CLAN-BGDUCU
Corrective Action(s): Please ensure the facility is clean and in good repair.
Date to be Corrected: July 23, 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: During the inspection the following was observed inside the facility:
-A bottle of bleach and water was within easy reach of the children. This could cause potential poisoning
-An open garbage can was observed in the washroom. As the garbage can is accessible at the children's level, this could cause potential for cross contamination from used paper towels and tissues. This is a serious health issue
The following was observed in the outdoor play area:
-A piece of metal trim with several rusty nails. This could cause a potential health hazard.
-Three plastic bags on the ground. This could cause a potential suffocation hazard
In discussion with the Director she stated she completed an outdoor play area inspection in the morning. Licensing is unsure why these potential hazards were missed during the inspection.
Corrective Action(s): Please ensure children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: July 3, 2020
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: Two staff records were reviewed. One record was missing a record of immunization status. This is a repeat contravention from inspection # GSIU-AM3PZV and inspection #CLAN-B4JRPY.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: July 23, 2020
STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: During the inspection licensing asked the staff if she was aware of where the secondary exit was located. She was unaware. An exit sign that was usually placed above the door had fallen off of the wall. This was corrected during the inspection.
Corrective Action(s): Please ensure that the staff are trained in the fire drill system and emergency plan to be able to respond quickly in an emergency.
Date to be Corrected: July 3, 2020
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: Licensing observed that the fire extinguisher was expired. The fire extinguisher was within the area of fully charged.
Corrective Action(s): Please ensure the fire extinguisher is serviced annually to be prepared, to mitigate, respond to and recover from an emergency.
Date to be Corrected: July 23, 2020
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: Five children's records of five were reviewed. Two children's records were missing immunization status. This is a repeat contravention from inspection # CLAN-BGDUCU. In addition one child's record was missing a care card number. In discussion with the Director she stated she has asked the families for this information but it has not been provided.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: July 16, 2020
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: Five children's records were reviewed. No children's pictures were observed in the records. This is a repeat contravention from inspection # GSIU-AM3PZV and inspection # CLAN-BGDUCU.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: July 23, 2020
RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: During the inspection licensing observed that one staff record was not present at the facility. In discussion with the Director she stated that the file was located in her home. The serious health and safety risk was discussed as a criminal record check was not present at the facility.
Corrective Action(s): Please ensure staff records are at the site where the individual staff are working
Date to be Corrected: July 6, 2020
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