LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: The name of the manager was not posted.
Corrective Action(s): Ensure the name of the manager is posted in a prominent place in the facility.
Date to be Corrected: November 9, 2022
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:
- Insufficient fall zone clearance around the outdoor equipment in the infant/toddler playground
- Insufficient fall zone clearance around a small slide in the infant classroom
- chipped walls in the toddler nap room, exposing the drywall
- Large storage bins stored on a 6ft shelf poses as a hazard in the event of an earthquake
Corrective Action(s): Ensure a healthy and safe environment is provided at all times.
Date to be Corrected: November 9, 2022
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: A random selection of staff files were reviewed. Out of the 4 reviewed, 1 did not contain a criminal record check.
Corrective Action(s): Ensure a current and valid criminal record check is on file.
Date to be Corrected: November 9, 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: A random selection of staff files were reviewed. Out of the 4 reviewed, 1 file did not contain any references.
Corrective Action(s): Ensure a record of staff's references is on file.
Date to be Corrected: November 9, 2022
STAFFING: 12070 - CCLR s.19(1)(d) - 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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: A random selection of staff files were reviewed. Out of the 4 reviewed, 1 file did not contain copies of any diplomas, certificates or other evidence of the person's training and skills.
Corrective Action(s): Ensure there is a record of staff's diplomas, certificates or training and skills.
Date to be Corrected: November 9, 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: A random selection of staff files were reviewed. Out of the 4 reviewed, an immunization status was not obtained for one employee.
Corrective Action(s): Ensure a record of staff's immunization status is on file.
Date to be Corrected: November 9, 2022
STAFFING: 12130 - CCLR s.19(3) - Without limiting subsection (2), if the duties of an employee include care for a child who requires extra support, a licensee must ensure that the employee has the training and experience and demonstrates the skills necessary to care for that child.
Observation: Licensing observed a support worker who is newly employed. In review of staff records and a conversation with the support staff, they do not have any training relevant to the care that is being provided to the child who requires extra support.
Corrective Action(s): Ensure staff who care for a child with extra support have the training and experience and demonstrates the skills necessary to care for that child.
Date to be Corrected: November 9, 2022
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: Licensing noted when children move between programs they are not signed out of one program and into another program.
Corrective Action(s): Ensure there is a record of children's arrival and departures within each program.
Date to be Corrected: November 9, 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: In review of the children's records, Licensing noted a child requiring extra support. While there is some information in a careplan, it does not outline the courses of action in regards to the child's diagnoses.
Corrective Action(s): Ensure there is a care plan in place that is developed in consultation with the parent that includes diagnoses and actions recommended.
Date to be Corrected: November 9, 2022
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