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: Few walls in the facility had paint chipping and dry wall was exposed.
Corrective Action(s): Staff said that the manager was planning on painting the facility.
Date to be Corrected:
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: During the routine inspection 5 staff files were reviewed. A Criminal Record Check on file is not site specific for one staff.
Corrective Action(s): Ensure each staff has a site specific CRC.
Date to be Corrected:
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: During the routine inspection 5 staff files were reviewed and a minimum of two character references were not obtained for one employee.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected:
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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: During the routine inspection licensing reviewed 5 staff files. One staff had renewed their ECE certificate and a validation of the old certificate was present but no evidence that the new certificate was validated.
Corrective Action(s): Ensure ECE certificates are validated.
Date to be Corrected:
STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: During the routine inspection licensing observed that for the month of June 2024 the fire drill was not noted. Staff was unsure if the fire drill was conducted or not.
Corrective Action(s): Ensure fire drills are practiced and noted down monthly.
Date to be Corrected:
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Fire Extinguisher has not been serviced annually
Corrective Action(s): Ensure fire extinguisher has been services annually.
Date to be Corrected:
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: During routine inspection 9 children's files were reviewed and one child's file was missing an MSP number.
Corrective Action(s): Ensure all children's files are complete.
Date to be Corrected:
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: During routine inspection 9 children's files were reviewed and one child's file was missing a date of enrollment.
Corrective Action(s): Ensure all children's files are complete.
Date to be Corrected:
|