LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: The name of the manager is not posted.
Corrective Action(s): Please post the name of the manager.
Date to be Corrected: 31-July-2018
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: 1 staff had a criminal record check from the RCMP. 3 staff had criminal record checks addressed to another employer.
Corrective Action(s): Please ensure that criminal record checks are completed through the criminal review program in Victoria. Employees may share their criminal record check with another employer by completing the sharing form. The criminal record check bulletin was provided.
Date to be Corrected: 31-July-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: 1 of 5 staff files did not contain evidence of immunization
Corrective Action(s): Please obtain evidence of each staff persons immunization.
Date to be Corrected: 31-July-2018
STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry,
Observation (CORRECTED DURING INSPECTION): 3 of 5 staff files reviewed did not contain verification of ECE or ECEA certificates. This is a repeat contravention. The Manager corrected this during the inspection.
Corrective Action(s): Please ensure that each ECE or ECEA certificate is verified by the system established and maintained by the ECE registry
Date to be Corrected: 31-July-2018
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: The staff stated that the fire drills and emergency drills were completed but was unable to provide a record.
Corrective Action(s): Please keep a record of fire drill and emergency plan.
Date to be Corrected: 31-July-2018
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: 3 medications observed did not have specific times or amounts to administer to the child.
Corrective Action(s): Please ensure that medication is administered in the specific times and amounts directed by the parent.
Date to be Corrected: 18-July-2018
MEDICATION: 16020 - CCLR s.53(1)(b) - 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 (b) readily accessible to employees.
Observation: One child's life saving medication was not available at time of inspection.
Corrective Action(s): Please ensure any life saving medication agreed to be given to a child is readily available to the employees.
Date to be Corrected: 18-July-2018
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: 2 weeks of attendance records were reviewed and 1 day a child did not have a departure time.
Corrective Action(s): Please ensure that each child has a time of arrival and departure documented.
Date to be Corrected: ongoing.
RECORDS AND REPORTING: 19210 - CCLR s.58(1)(a) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (a) the diagnoses relevant to the child's requirement for extra support, as made by health care professionals.
Observation: One child requiring a careplan does not have a relevant diagnosis to the need for the life saving medication.
Corrective Action(s): Please review care plan and add diagnosis.
Date to be Corrected: 20-July-2018
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