LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: One staff certificate was not posted in the facility
Corrective Action(s):
Date to be Corrected: April 2, 2024
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 a bottle of cleaning solution on the washroom on the floor. The label stated keep out of reach of children.
Corrective Action(s):
Date to be Corrected: March 26, 2024
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: Two of the staff records did not contain a Criminal record check
Corrective Action(s): Please ensure to apply for a criminal record check prior to the start of employment. Please ensure staff are not working without an additional staff present until this is completed.
Date to be Corrected: April 9, 2024
RECORDS AND REPORTING: 19030 - CCLR s.55(2)(a) - A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.
Observation: Licensing observed the children's records. The Licensee did not notify the licensing officer within 24 hours that a child was involved in or may have been involved in a reportable incident as described in Schedule H as required.
Corrective Action(s): Please report reportable incidents to Licensing within 24 hours.
Date to be Corrected:
RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: The children's records were reviewed. Four children's records were missing consent to call a medical practitioner or ambulance in an emergency. This is a repeat contravention from inspection #CLAN-CQBPZ3 and #CLAN-BXTVP3
Corrective Action(s):
Date to be Corrected: April 2, 2024
RECORDS AND REPORTING: 19210 - CCLR s.58(1)(a) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (a) the diagnoses relevant to the child's requirement for extra support, as made by health care professionals.
Observation: No care plan available for a child requiring extra support. The child started care in September 2023
Corrective Action(s): Please ensure a child's care plan is reviewed and onsite prior to the child starting in the program.
Date to be Corrected: April 2, 2024
RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: Several care plans were observed from 2022. Care plans were not observed to be reviewed annually with the parent or any person requested to by the parent.
Corrective Action(s): Please ensure to have current documentation and current care plans located in one place in the facility.
Date to be Corrected: April 9, 2024
RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: The following policies and procedures were not readily available for review during the inspection:
-Behavioural guidance policy
-Nutrition Policy
-Emergency evacuation policy
-Health and Illness Policy
-Medication Policy
-Active Play
-Screen Use
-Safe Release policy
-Communicable Disease Policy
The following documentation was missing from the staff records and a staff documentation checklist was not completed:
-Character references (4 staff records)
-Immunization status(4 staff records)
-Copies of diplomas and certificates or evidence of training and skills (3 staff records)
-Record of a person's work history (5 staff records)
-Certificate validation (2 staff records)
Corrective Action(s): Please ensure the documentation for policies and procedures and staff records is on site and available for review.
Date to be Corrected: April 2, 2024
|