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: 3 staff files were reviewed; 1 staff's CRC is not obtained.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Sep 19, 2022
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: 3 staff files were reviewed, 1 staff's references were missing.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Sep 19, 2022
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: 3 staff files were reviewed; 1 staff's immunization records were missing.
Corrective Action(s): Ensure all staff files are complete.
Date to be Corrected: Sep 19, 2022
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: 3 staff files were reviewed; 1 staff's certificate (ECEA) was not validated by the ECE registry.
Corrective Action(s): Ensure that staff files are complete.
Date to be Corrected: Sep 15, 2022
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Fire drill records were not maintained for the month of May, June, July and August. No records for yearly emergency drill for 2021.
Corrective Action(s): Ensure that monthly fire drills and yearly emergency drill are practiced with the children and staff and recorded accordingly.
Date to be Corrected: Sept 28, 2022
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: Group Child Care - Staff to Child ratio not maintained. (ECE/ASST/ASST).
Corrective Action(s): Ensure staff to child ratio is maintained as per Sch.E of the CCLR.
Date to be Corrected: Sep 15, 2022
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: 10 children files were reviewed; 1 child's immunization records were missing.
Corrective Action(s): Ensure all children files are complete.
Date to be Corrected: Sep 19, 2022
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: A care plan does not include the course of action recommended by health care professionals for a child requiring additional support.
Corrective Action(s): Ensure care plans ( with sufficient information) are in place for children requiring extra support.
Date to be Corrected: Sept 19, 2022
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