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: The following was noted:
-Shelving unit stacked on top of one another can act as a topple hazard as the unit is not secured to the wall.
-Thermometer within the fridge does not appear to be working, facility is unable to tell if fridge is within the appropriate temperature (0-4 Degrees Celsius).
Corrective Action(s): Please ensure a healthy and safe environment.
Date to be Corrected: December 22, 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: Some staff only have names of references noted but there is no notation to show when the references were called.
Corrective Action(s): In order to confirm that references have been checked, please provide date that references was contacted.
Date to be Corrected: December 22, 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: Copies of any diplomas, certificates or other evidence of the person's training and skills were not obtained.
Corrective Action(s): One staff does not have proof of training and skills on site.
Date to be Corrected: Please ensure staff files are complete.
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: The following were noted:
-Last emergency drill was carried out in September 2021, more than 1 year ago. Discussion had with staff about ensuring that emergency drill is conducted yearly.
-Within the emergency supplies, some of the items have a best before date of 2021. The bin appears to have a musty scent.
-Fire extinguisher is due to be serviced.
Corrective Action(s): Please ensure facility is able to prepare, mitigate, respond and recover to an emergency.
Date to be Corrected: January 15, 2023
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: 6 children's files reviewed, one child was missing enrolment date
Corrective Action(s): Please ensure children's files are complete.
Date to be Corrected: December 22, 2022
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: 6 children's files reviewed, 2 children were missing Dr information.
Corrective Action(s): Please ensure children's files are complete.
Date to be Corrected: December 22, 2022
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