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: The door to the electrical room was open during this inspection in the toddler room. Staff said they were using cleaning equipment stored in this room and the door is usually closed. Staff closed the door during the inspection. A water fountain is accessible to children in the school age/preschool room.To stop the spread of infection children should not have access to this.
Corrective Action(s): Please make sure the door to the electrical room is closed at all times so ensure children do not access this room and that children do not have access to the water fountain.
Date to be Corrected:
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation: The change mat in the infant program is cracked exposing foam and cannot be adequately sanitized. Staff stated that a new change mat will be brought to the facility today.
Corrective Action(s): Please make sure foam is not exposed on change mats.
Date to be Corrected: March 15, 2021
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: Four staff files were reviewed. Criminal record checks for three staff were from other programs and had not been obtained through the Criminal Record Review Sharing Program (CRRSP).
Corrective Action(s): Please ensure that all criminal record checks from other programs are obtained through the CRRSP.
Date to be Corrected: March 26, 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: Four staff files were reviewed There was no evidence of references being verified in any of the files.
Corrective Action(s): Please ensure all staff references are verified and proof of verification is available.
Date to be Corrected: March 2, 2021
STAFFING: 12130 - CCLR s.19(3) - Without limiting subsection (2), if the duties of an employee include care for a child who requires extra support, a licensee must ensure that the employee has the training and experience and demonstrates the skills necessary to care for that child.
Observation: One staff person is employed to provide 1:1 support for a child with extra needs. There is no evidence in the staff file that this person has the training or experience to work with the child.
Corrective Action(s): Please ensure that all support staff have the training and experience to work with children they are supporting and that evidence of this is available in the staff file.
Date to be Corrected: March 26, 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 (CORRECTED DURING INSPECTION): At the time of this inspection there were 11 children, 1 infant toddler educator and one ECE Assistant present in the infant room. Staffing in the room did not meet the requirements of Schedule E. Staff stated that they were calling a staff from another program to come to the room and this staff arrived while the Licensing Officer was in the room.
Corrective Action(s): Please make sure that staffing always meets the requirements of CCLR Schedule E.
Date to be Corrected:
RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: Two care plans do not have clear instructions so staff can adequately follow the care plan.
Corrective Action(s): Please ensure all care plans have clear instructions to guide staff actions when working with a child who requires extra support.
Date to be Corrected: March 2, 2021
RECORDS AND REPORTING: 19230 - CCLR s.58(1)(c)(i) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (c) the resources to be made available to the child requiring extra support by the licensee, including (i) any adaptation of the community care facility necessary to ensure the child's safety or comfort.
Observation: Medication required for two children had expired.
Corrective Action(s): Please make sure medication with a current expiry date is available as required by care plans.
Date to be Corrected: March 26, 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: Four care plans had not been reviewed in the past 12 months.
Corrective Action(s): To ensure care plans contain current information please ensure they are reviewed a minimum of once ever 12 months.
Date to be Corrected: March 16, 2021
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