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: Licensing observed the following:
- Four plastic blinds on one side of the shed accessible to children in care.
- Two medium sized wood pieces on one side of the shed accessible to children in care.
- Children's blankets for nap time are stored together on the hallway shelf. Education provided on cross contamination and spreading of germs.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times while children are in care.
Date to be Corrected: February 14, 2020.
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: Licensing observed the following;
- One shelf with buckets of toys on it, in the main play area, that is wobbly upon touch.
- A hole in the wall behind the nap room door.
Corrective Action(s): Please ensure that the furniture, equipment and fixtures within the care facility are clean and in good repair.
Date to be Corrected: February 18, 2020
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: Licensing observed the following that are accessible to children;
- Two knives in an unlocked kitchen drawer.
- One adult scissor in an unlocked kitchen drawer.
Corrective Action(s): Please ensure that children do not have access to any object or substance that may be hazardous to the health and safety of a child.
Date to be Corrected: February 13, 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: Upon a review of two staff files Licensing observed one staff's record missing character references.
Education provided on the importance of having character references and complete staff records.
Corrective Action(s): Please ensure that staff records are complete prior to the staff working at the care facility.
Date to be Corrected: February 18, 2020.
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: Upon a review of two staff records Licensing observed one staff's record missing a resume.
Education provided on the importance of having a resume and complete staff records.
Corrective Action(s): Please ensure that staff records are complete prior to the staff working at the care facility.
Date to be Corrected: February 13, 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: Upon a review of two staff records Licensing observed one staff's record missing immunization status.
Corrective Action(s): Please ensure that staff records are complete prior to the staff working at the care facility.
Date to be Corrected: February 13,2020.
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: Licensing observed that a fire drill has not been practiced since August 2019.
Licensing provided education on the intent of the legislation and practicing fire drills at least once a month.
Corrective Action(s): Please ensure that each employee practices implementing the fire drill system at least once each month.
Date to be Corrected: February 12, 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: Licensing observed that an emergency drill was not practiced once last year.
Education provided on the important of practicing an emergency drill once a year.
Corrective Action(s): Please ensure that each employee practices implementing the emergency plan at least once each year.
Date to be Corrected: February 28, 2020.
STAFFING: 12210 - CCLR s.23(1)(a) - A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: Licensing observed that there is one staff that is alone with the children for some time that does not hold a valid first aid and CPR certificate that meets the requirement of Schedule C.
Education provided.
Corrective Action(s): Please ensure that children have at all times immediate access to an employee who holds a valid first aid and CPR certificate provided on completion of a course that meets the requirement of Schedule C.
Date to be Corrected: February 12, 2020.
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: Upon a review of two staff records Licensing observed that one staff's criminal record check is addressed to another facility and not site specific.
Education provided on sharing forms.
Corrective Action(s): Please ensure that current staff records are maintained.
Date to be Corrected: February 28, 2020.
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: Upon a review of six children records Licensing observed two children's records missing immunization status.
Corrective Action(s): Please ensure that children's records are complete prior to attending the care facility.
Date to be Corrected: February 18, 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: Upon a review of six children's records Licensing observed two children's records missing the name and telephone number of a medical practitioner.
Licensing provided education on what would meet the intent of this regulation.
Corrective Action(s): Please ensure that children records are complete prior to attending the care facility.
Date to be Corrected: February 18, 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: Upon a review of six children's records Licensing observed two children missing a photograph or digital image
Corrective Action(s): Please ensure that children records are complete prior to attending the care facility.
Date to be Corrected: February 13, 2020.
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