STAFFING: 12010 - CCALA s.7(1)(d) - A licensee must do all of the following: (d) appoint a manager for the community care facility.
Observation: Staff informed Licensing Officer that the previously appointed Manager has not worked at the facility since the end of June 2021.
Corrective Action(s): Ensure to appoint a manager for the community care facility.
Date to be Corrected: September 30, 2021
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 three staff files reviewed did not include a criminal record check.
Corrective Action(s): Ensure to obtain a criminal record check prior to employment.
Date to be Corrected: September 30, 2021
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: One of three staff files reviewed did not include character references.
Corrective Action(s): Ensure to obtain character references prior to employment.
Date to be Corrected: September 30, 2021
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: One of three staff files reviewed did not include a record of the person's work history.
Corrective Action(s): Ensure to obtain a record of each staff's work history prior to employment.
Date to be Corrected: September 30, 2021
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: Two of the three staff files reviewed did not include immunization status.
Corrective Action(s): Ensure to obtain immunization status for employees prior to employment.
Date to be Corrected: September 30, 2021
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], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation (CORRECTED DURING INSPECTION): Two of three staff files reviewed did not include certificate verification by the Early Childhood Educator Registry. A staff obtained verification during the inspection.
Corrective Action(s): Corrected During inspection.
Date to be Corrected:
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: 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): Ensure to 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.
Date to be Corrected: September 23, 2021
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