PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation: During the inspection it was observed that one of the bathrooms, which are accessible to the children, had hot water that reached up to 55.7 degrees Celsius. This is a repeat contravention.
Corrective Action(s): Please ensure any heated water accessible to children is heated to no more that 49 degrees Celsius.
Date to be Corrected: July 30, 2021
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: During the inspection it was observed that a record of fire drills was kept for each month, however there was no record of earthquake/emergency drill being implemented and recorded.
Corrective Action(s): Please ensure an earthquake/emergency drill is implemented at east once each year.
Date to be Corrected: July 30, 2021
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: A review of the emergency kits revealed the following:
- expired food in three of the emergency kits
- one child did not have any food in the emergency kit
- not enough supplies to mitigate, respond, and recover from any emergency
- the kits were hard to access
Corrective Action(s): Please ensure that you have enough supplies to mitigate, respond and recover from any emergency and that the kits are reviewed once a year for expiration dates.
Date to be Corrected: July 30, 2021
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: A total of 6 children's were reviewed and one child was missing immunization record.
Corrective Action(s): Please ensure children's files are complete.
Date to be Corrected: July 30, 2021
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: A total of 6 children's files were reviewed and 3 children were missing an enrollment date.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: July 30, 2021
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: A total of 6 children's files and care cards were reviewed and 2 children were missing a photo and one child had a picture that needed updating.
Corrective Action(s): Please ensure all children have a current and up to date photo.
Date to be Corrected: July 30, 2021
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 review of children's files indicated that there is one child in care that requires an EPI due to being allergic to fish. However, there is no care plan in place nor is it known what the course of action is in administering the EPI should the child need it.This is a repeat contravention.
Corrective Action(s): Please ensure that each child requiring extra support has a care plan in place to support staff in responding to the child's needs.
Date to be Corrected: Prior to the child returning to the facility.
RECORDS AND REPORTING: 19340 - CCLR s.59(c) - In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.
Observation: During the inspection the staff was unable to produce staff files for review due to them being locked in a cabinet. Staff was not aware where the key for the cabinet was located.This is a repeat contravention.
During the inspection the staff was unable to produce the following facilities policies:
- Active Play/Screen Time Policy
- Safe release Policy
- Emergency Plan /Procedure Policy
- Repayment Agreements Policy
- Medication Policy
Corrective Action(s): Please ensure staff can produce records, on demand, to the medical health officer.
Date to be Corrected: July 30, 2021
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