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. This was not corrected by the date specified on the routine inspection. This is a repeat contravention.
Corrective Action(s): Please ensure the Manager's name is posted.
Date to be Corrected: May 25, 2022
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 employee who was working at the facility did not have her ECEA certificate posted. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure all staff certificates are posted.
Date to be Corrected: May 25, 022
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: A loose cord to a humidifier was not secured. This was corrected during the inspection. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: May 13, 2022
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: Licensing observed that landscape fabric was exposed in the outdoor play area. This could present a potential tripping hazard. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: June 1, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11090 - CCLR s.15(1)(b) - A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.
Observation: The emergency exit door was locked. When asked by Licensing, the staff retrieved a set of keys the Director had given them for the emergency exit. Licensing asked the staff to open the door. The keys did not work. The staff member contacted the people upstairs and received a key for the door and opened the door. The key was hung on the door hinge to the emergency exit. This serious health and safety risk to children was discussed. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure the emergency exit remains unlocked and that staff are aware of where the key is located.
Date to be Corrected: May 13, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: The laundry room door was unlocked. Inside the laundry room was a loose rope, and a chemical cleaner.
Corrective Action(s): Please ensure the children do not have access to any objects or substances that are hazardous to their health and safety. This was not corrected by the date specified on the routine inspection. This is a repeat contravention.
Date to be Corrected: May 13, 2022
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: A staff member in the facility did not have a Criminal record check. This is a serious risk to the health and safety of the children in care
Corrective Action(s): Please ensure staff records are complete prior to the employee starting work in the facility.
Date to be Corrected: May 13, 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: An employee at the facility did not have character references.
Corrective Action(s): Please ensure staff records are complete prior to the staff working in the facility and that they are on site for review.
Date to be Corrected: May 25, 2022
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: A record of the person's work history was not obtained for two employees. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: May 25, 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: One certificate was not obtained.
Corrective Action(s): Please ensure staff records are complete prior to the first day of work at the facility and that the records are on site for review
Date to be Corrected: May 25, 2022
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 was not obtained for one employee.
Corrective Action(s): Please ensure staff records are complete prior to starting the first day of work at the facility and that this is available for review.
Date to be Corrected: May 25, 2022
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: Staff records were reviewed and one staff did not have a verification for their certificate on file. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: May 25, 2022
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: During the inspection Licensing asked staff where the emergency evacuation supplies were located. The staff did not know where the supplies were located. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure staff are trained on how to implement the emergency plan and told where the emergency supplies are located.
Date to be Corrected: May 25, 2022
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 fire extinguisher was due for servicing on November 11, 2022. The fire extinguisher was observed as being within the area of fully charged. This was not corrected by the date specified on the routine inspection. This is a repeat contravention.
Corrective Action(s): Please ensure the fire extinguisher is serviced on an annual basis before the expiry date to be able to respond in the event of an emergency.
Date to be Corrected: May 25, 2022
NUTRITION AND FOOD SERVICES: 17120 - CCLR s.48(6) - A licensee must make available to parents information on the food and drink given to children.
Observation: The food menu was observed at the facility. The menu was written in Chinese characters. The food menu must be written in English as well as Chinese characters. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure the food menu is written in English as well as Chinese characters.
Date to be Corrected: May 25, 2022
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: During the inspection licensing observed minimal toys for the children in the facility. The staff showed licensing two bags of toys in the closet . These toys were more suitable for children from 0-36 months. Most children in attendance are over 3 years old. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure a coordinated program of indoor activities and materials is provided to the children in care that complies with Schedule G of the Child Care Licensing Regulation.
Date to be Corrected: May 25, 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: The children's files were observed. One child's record was missing an emergency contact other than the parent.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: May 25, 2022
RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: The children's records were reviewed. Two children's records were missing a photo. This was not corrected by the date specified on the routine inspection. This is a repeat contravention
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: May 25, 2022
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: Licensing observed that the Manager's staff record and the policies and procedures were not at the facility. This was not corrected by the date specified on the routine inspection. This is a repeat contravention.
Corrective Action(s): Please ensure the Manager's record and the facility policies and procedures are on site and available for review to comply with the legislation.
Date to be Corrected: May 25, 2022
|