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: Name of the manager was not observed to be posted within the facility
Corrective Action(s): Ensure that name of manager is displayed in a prominent place in the facility.
Date to be Corrected: February , 2023
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:
--Licensing observed that the sheets on the sleeping mats are not removed and are stored in a closet, stacked on top of each other.
--The bleach solution is not made on a daily basis and there is no bleach solution bottle available for bathroom.
--The closet in the play room did not have a lock on it as it used to stored some hazardous materials such as brooms, mops and plastic.
Corrective Action(s): Ensure that the sheets on the sleeping mats are removed and before storing them in the closet the mats are wiped with the bleach solution. The sheets are stored separately for each child. Beach solution is made daily and there is bottle available for the bathroom. The closet in the play room is kept locked.
Date to be Corrected: February 7, 2023
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: Criminal Record Check for both the staff working is not site specific.
Corrective Action(s): Ensure that the site specific CRC is obtained for staff prior to the start of the employment.
Date to be Corrected: February 7, 2023
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 minimum of two character references were not obtained for one or more employees.
Corrective Action(s): Ensure that the character references are obtained and validated and included in the staff file before the start of the employment.
Date to be Corrected: February 7, 2023
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: Copies of certificates or other evidence(transcript) of the person's training and skills were not obtained.
Corrective Action(s): Ensure that the certificates and transcripts are obtained and included in the staff file before start of employment.
Date to be Corrected: February 7, 2023
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 the staff wen asked by licensing was not able to explain the practice to implement the emergency plan.
Corrective Action(s): Ensure that the implementation of the Emergency Evacuation plan is reviewed and the schedule to implement the emergency evacuation drill at least once a year is decided.
Date to be Corrected: February 7, 2023
CARE AND/OR SUPERVISION: 14060 - CCLR s.39(1) - A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.
Observation: Licensing observed that child left the room to go to the bathroom without any supervision.
Corrective Action(s): Ensure that the children are supervised at all times.
Date to be Corrected: Ongoing
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Licensing observed that the single use towels are provided but they are stored in a tray which is left underneath the sink. Children are using the towels to dry their hands but leaving the used towels in the tray.
Corrective Action(s): Ensure that the single use towels are stored higher than sink so that the water is not dripping in the tray from the sink.
Date to be Corrected: February 7, 2023
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 six files reviewed had medical practitioner and contact number missing.
Corrective Action(s): Ensure that for each child a record showing medical practitioner name and phone number are included.
Date to be Corrected: Februaury 7, 2023
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: Three of six files reviewed did not have a photograph included in the respective files.
Corrective Action(s): Ensure that for each child a photograph is included in the file.
Date to be Corrected: February 7, 2023
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