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: CRC for staff not available for review
Corrective Action(s): please ensure staff have the appropriate CRC , Licensee stated they have applied but do not have the documents for review
Date to be Corrected: November 1,2017
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: Immunization status not available for all staff
Corrective Action(s): please ensure staff have a statement of their immunization
Date to be Corrected: November 1,2017
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: emergency response equipment/ supplies not available for all children
Corrective Action(s): please ensure the facility is equiped with enough supplies and equipment to care for the children for at least 72 hours
Date to be Corrected: December 1,2017
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: fire drill record not complete for the number of months children attending
Corrective Action(s): please ensure fire drill are conducted monthly and documented
Date to be Corrected: October 31,2017
CARE AND/OR SUPERVISION: 14230 - CCLR s.51(1)(b) - A licensee must (b) provide to employees and parents a written statement of the licensee's policy on behavioural guidance.
Observation: behavioral guidance policy not provided to all parents
Corrective Action(s): please ensure all parents are provided with the guidance policy
Date to be Corrected: November 1,2017
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: sanitizer not available
Corrective Action(s): please ensure sanitizer is available for tables/bathroom
Date to be Corrected: October 26,2017
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: immunization status not available for all children
Corrective Action(s): please ensure all children have a record as to if they have or have not been immunized
Date to be Corrected: November 7,2017
RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: daily attendance records do not accurately reflect the children time in and out to school and then back in to care and then out to home
Corrective Action(s): please ensure the record of attendance accurately reflects where the children are during the day
Date to be Corrected: October 26,2017
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: name and phone number not available for all children of medical practitioner of health care clinic
Corrective Action(s): please ensure all children have a name and number of their health clinics or medical practitioner
Date to be Corrected: November 7,2017
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