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 displayed within the facility. This has been identified as in previous inspections and remains in noncompliance.
Corrective Action(s): Ensure the name of the manager is displayed in a prominent place.
Date to be Corrected: May 11, 2018
LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate of any educator or assistant employed to work in the community care facility.
Observation: A staff that was working during the inspection did not have a certificate displayed anywhere in the facility. This staff was new to the program and the certificate had not been posted yet.
Corrective Action(s): Ensure educators certificates are posted if they are employed at the facility.
Date to be Corrected: May 11, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Items identified as requiring additional cleaning include; change tables, bathroom stools, window ledges, infant playroom mats, outdoor playground surface and equipment.
Items identified as requiring replacement due to damage; outdoor push cars, toddler playground climber platform, toddler playground climber sunroof window, sandbox cover not being used and hooks in place that are exposed, curtain rod in the infant classroom dislodged, the majority of books throughout the facility show significant wear and tear, several toys and equipment missing pieces and damaged.
Corrective Action(s): Ensure all furniture, equipment and fixtures are clean and in good repair.
Date to be Corrected: May 11, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11180 - CCLR s.16(4)(a) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (a) suitable for the age and development of the children.
Observation: Limited equipment and play materials was identified indoors and outdoors.
Two dump trucks were shared by 16 children and staff communicated that each child is restricted to 5 minute intervals for the use of the trucks.
Minimal play materials available on shelves in Baby Room Blue and Baby Room Green classrooms. Observations at three different intervals during the inspection (morning free play, lunch and after nap time). Staff communicated that the toys are all put away and then rotated weekly. Some toys stored on high shelf's and in a bathroom which is inaccessible to the children in care.
Photo's were taken for file.
Corrective Action(s): Ensure the children in care have assess to suitable and age appropriate toys and equipment at all times.
Date to be Corrected: May 11, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11190 - CCLR s.16(4)(b) - A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.
Observation: Uneven surface identified on the toddler play yard. A part of the resilient surfacing was damaged and removed posing a tripping hazard to the children in the area.
Their is significant build up of sand and bark mulch in the play yards. Brooms are available but not being used to contain the material and results in a risk to the children playing in the area.
The toddler climber platform is damaged (caved in) resulting in an uneven surface for the children to stand on. This poses a physical developmental risk based on the age of the children that use this structure.
Photos taken for file.
Corrective Action(s): Ensure equipment assessable to the children in care are free from hazards and in good repair.
Date to be Corrected: May 11, 2018
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: Ten staff files were reviewed and the Criminal Record Checks were identified as having the incorrect facility address.
Corrective Action(s): Ensure all staff files are complete including the correct facility address associated with the CRC's.
Date to be Corrected: May 25, 2018
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: Ten staff files were reviewed and three staff had incomplete character references.
Corrective Action(s): Ensure all staff files are complete including character references that have been verified.
Date to be Corrected: May 11, 2018
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: Ten staff files were reviewed and two staff did not have evidence of a resume or work history.
Corrective Action(s): Ensure all staff files are complete including resumes or work history.
Date to be Corrected: May 11, 2018
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: Ten staff files were reviewed and four were missing immunization record status.
Corrective Action(s): Ensure all staff files are complete including records of compliance with the Provinces Immunization control program.
Date to be Corrected: May 11, 2018
STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications].
Observation: Ten staff files were reviewed and five had no evidence of validation of the certificates from the ECE Registry. This was identified in past inspections and is a repeat noncompliance item.
Corrective Action(s): Ensure a all staff files are complete including verification of the certificates from the ECE Registry.
Date to be Corrected: May 11, 2018
STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: A second emergency exit on the playground has a pad lock on the gate restricting access of this gate. This pad lock was locked during the inspection. None of the staff on the playground were aware of the combination of this lock posing a risk in the event of an emergency. The Manager explained that the lock had frozen over the winter months and had been recently replaced.
Photo taken for the file.
Corrective Action(s): Ensure all staff are trained in the implementation of a fire drill system including the equipment noted in that system.
Date to be Corrected: May 11, 2018
CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation: Children registered as Service Type 303 Preschool (30 months to School Age) and children registered as Service Type 302 Group Child Care (30 months to School Age) were confirmed to be in attendance in the same classroom. Terms and Conditions on the facility Licence outlines that both care programs can not run concurrently. The Manager discussed that she would like to amend the facility License and move the Preschool children into an empty classroom. No application has been submitted to date.
Corrective Action(s): Ensure the terms and conditions outlined on the facility License are followed and that children are divided into groups outlined in Schedule E of the CCLR.
Date to be Corrected: May 11, 2018
HYGIENE AND COMMUNICABLE DISEASE: 15050 - CCALA s.7(1)(b)(i) - A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,
Observation: Face clothes are used in the infant program after snacks and meals. A staff asked about the option of using paper towels as an alternative to face cloths. The face cloths that were present during the inspection showed excessive wear and tear and not suitable for purpose of washing hands or faces.
Corrective Action(s): Ensure the material used for health and hygiene of the children in care promote dignity and healthy practices.
Date to be Corrected: May 11, 2018
PROGRAM: 18030 - CCLR s.44(1)(c) - A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (c) complies with the program standards set out in Schedule G.
Observation: No evidence of outdoor programming was present during the inspection. Staff relayed that free play was the core of outdoor experiences although the children had limited resources available and much of the equipment was damaged and insufficient in quantity.
Two programs were observed engaged in group circle activities. Two programs had no defined play areas or equipment set up for the children to engage in freely allowing for self exploration or social opportunities.
A paint stamping art activity was observed in the infant program. One child participated at a time as the staff explained that they only had one paint smock. Each child had to take turns reducing the time allotted for creative expression.
Corrective Action(s): Ensure indoor and outdoor programs meet the requirements of standards of practice set out in Schedule G of the CCLR's.
Date to be Corrected: May 11, 2018
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: Seven children's files were reviewed and one file did not have evidence of immunization status.
Corrective Action(s): Ensure all children's files are complete including immunization status.
Date to be Corrected: May 11, 2018
RECORDS AND REPORTING: 19370 - DLSOP Safe Play Space (maintenance of equipment [b3]) - [bullet 3] Keep a log of all inspections, maintenance and repairs.
Observation: Several items were identified as broken or damaged in the outdoor play yard. Staff relayed that this was communicated to the Manager. No log of maintenance and repairs was available and the Manager reported that items would be replaced if broken.
Corrective Action(s): Ensure a system is in place and followed through with regards to the inspection, maintenance and repairs of the outdoor play yard and equipment.
Date to be Corrected: May 11, 2018
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