STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: During inspection Licensing was unable to locate a record showing that a full evacuation drill, where all emergency equipment is taken to the emergency evacuation site, has been completed within the past year.
Upon discussion with staff they did not recall conducting this drill within the past year.
Corrective Action(s): Ensure a full evacuation drill is conducted annually.
Date to be Corrected: Dec. 10/17
STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: During inspection Licensing reviewed the "Personnel File - BPP" document which shows the documentation on site at head office.
Licensing noted that one staff person's Criminal Record Approval letter appears, on this sheet, to have expired.
This violation was previously noted on inspection report # KSEY-AFBUPA (Nov. 2/16) with regard to a different staff person.
Corrective Action(s): Ensure "Personnel File - BPP" form is up to date & that all staff have vaild Criminal Record Approval letters.
Date to be Corrected: Dec. 10/17
POLICIES AND PROCEDURES: 13100 - DLSOP Active Play - The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.
Observation: During inspection Licensing discussed the new DoLSOP "Active Play" policy with staff. Staff were aware that children need to have at least 30 minutes of outdoor play on short days & 1 hour of outdoor play on longer days, but were unaware of the "facilitated play", "unfacilitated play", "sedentary play" sections of the policy. This requirement is being enforced as of Sept 1/17.
Licensing send numerous emails to managers and licensees throughout 2016 and 2017 regarding the new DoLSOP requirement.
Corrective Action(s): Ensure staff are aware of the facility policy regarding the DoLSOP "Active Play" requirement. Also ensure that parents are informed of this policy as well.
Date to be Corrected: Jan. 10/18
POLICIES AND PROCEDURES: 13120 - DLSOP Active Play - The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.
Observation: During inspection Licensing discussed the DoLSOP new requirement regarding a "Screen Use" policy. Staff told Licensing about the policy but did not show that this policy was in writing. This new DoLSOP requirement is being enforced as of Sept 1/17.
During inspection Licensing observed 2 children using a computer but they were not signed on the computer use sheet so Licensing was unsure about the length of time that they were using the computer. These children were informed by another child that their time was up & they left the computer. Licensing does acknowledge that the inspection was conducted on a ProD day where children were present at the facility all day which may alter the "Screen Use" policy regarding time and signing for computer usage.
Corrective Action(s): Ensure "Screen Use" policy is written, enacted by staff and shared with parents.
Date to be Corrected: Dec. 10/17
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 inspection Licensing randomly reviewed 6 children's files and noted that two children are missing medical insurance numbers.
Corrective Action(s): Ensure medical insurance numbers are on file for all children in care.
Date to be Corrected: Dec. 10/17
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: During inspection Licensing reviewed the sign in/ out sheet and noted that there were days where some children were not signed out.
Corrective Action(s): Ensure the sign in/ out times are recorded accurately throughout the day as this document is used by emergency personnel in times of emergencies to determine which children are present at the facility.
Date to be Corrected: Nov. 10/17
RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: During inspection Licensing randomly reviewed 6 children's files and noted 2 children's files were missing doctor/ medical clinic information.
Corrective Action(s): Enure doctor/ medical clinic information in on file for all children in care.
Date to be Corrected: Dec. 10/17
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