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: Overall level of cleanliness of the facility requires attention for example; Fridge visibly dirty used paper towels over flowing onto the bathroom floor, outdoor toys and play surfaces heavily soiled with dirt.
Corrective Action(s): Ensure a system is implemented which ensures the facility and equipment within it are cleaned regularly .
Date to be Corrected: Feb 14, 2020
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: Observed an outdoor wooden platform used for children's play which consists of rotted wood and a whole in the surface.
Gate at the stairs leading to the deck no longer latches therefore does not restrict access to the stairs.
Large wooden boards are leaning against the shed and may cause injury should they fall
A children's plastic slide is cracked on the sliding surface causing a pinching hazard
Corrective Action(s): ensure equipment and play materials both indoors and outdoors are safely constructed and in good repair in order to reduce risk of injury to children.
Date to be Corrected: Feb 14, 2020
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: An employee who works independently at the facility CRC is to expire on Feb 12, 2020. The licensee included that an application for renewal was submitted approximately 1 week earlier.
Corrective Action(s): ensure a system is developed to maintain CRC clearance and relevant documentation for staff screening. Provide in your written response your plan while waiting for the CRC to arrive.
Date to be Corrected: Feb 12, 2020
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: References listed for 1 staff however no evidence supports that the references have been contacted.
Corrective Action(s): please ensure references are obtained for staff working within the center
Date to be Corrected: Feb 14, 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: Immunization Status not obtained for 1 staff
Corrective Action(s): ensure staff screening and required documentation is complete.
Date to be Corrected: Feb 12, 2020
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: Last fire drill was conducted in Nov 2019 , the manager included that her staff has not conducted fire drills with children.
Corrective Action(s): ensure staff are trained in and carry out monthly fire drills as required to promote safe evacuation in the event of a fire of emergency.
Date to be Corrected: Feb 14, 2020
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: Licensee could not demonstrate annual review of the emergency plan.
Corrective Action(s): Ensure all staff are familiar with emergency procedures and implement a review of the emergency plan annually.
Date to be Corrected: Feb 14, 2020
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: Attendance records reviewed appear inconsistent to the number of children in care on some days reflecting 4 children under 36 months. The Date of birth of one child is inconsistent with DOB noted within subsidy file includes the child is 1 year older. Arrival and departure times are not documented on many days throughout the month of review.
Corrective Action(s): ensure a system is created to accurately reflect children in attendance to include times of arrival and departure and whether a child is absent or present.
Date to be Corrected: Feb 16, 2020
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: Two of four files reviewed did not list names of an emergency contact.
Corrective Action(s): Ensure children's registration information is complete with all required documentation including emergency contacts.
Date to be Corrected: Feb 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: It was noted that two of four children's files reviewed did not contain a photo or digital image.
Corrective Action(s): Please ensure a current system is developed which contains means of identifying children including such as a photo or digital image.
Date to be Corrected: Feb 14, 2020
RECORDS AND REPORTING: 19180 - CCLR s.57(2)(k) - A licensee must keep, for each child, a record showing the following information: (k) the date on which the child stops attending the community care facility.
Observation: Children's files ( 2 of 4 reviewed ) do not contain the date in which the child stopped attending.
Corrective Action(s): ensure children's files are maintained including both date of enrollment and withdrawal at the facility.
Date to be Corrected: Feb 16, 2020
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