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: During the inspection the name of the Manager was not observed to be posted.
Corrective Action(s): Please ensure the Manager's name is posted
Date to be Corrected: April 20, 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: Licensing observed that the Manager's certificate was posted under the CCF License. Two certificates for the staff that were working in the facility were not posted.
Corrective Action(s): Please ensure staff certificates are posted.
Date to be Corrected: April 20, 2022
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: Licensing observed a loose cord to a humidifier was not secured. In addition licensing observed that climbing equipment in the outdoor play area was placed within 6 feet of other equipment and did not have a 6 foot fall zone around all sides. This was relocated to another area during the inspection.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: April 6, 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 the landscape fabric was exposed in the outdoor play area. This could present a potential tripping hazard.
Corrective Action(s): Please ensure the facility is in good repair.
Date to be Corrected: April 20, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11050 - CCLR s.14(1) - A licensee, other than a licensee who provides a care program described as Family Child Care or Child-minding, must have for each child at least 3.7 m2 of usable floor area in the community care facility, excluding (a) hallways, (b) built in storage areas, (c) bathrooms, and (d) fixed appliances, or, if not fixed, large appliances that are not normally moved from one area to another.
Observation: During the inspection Licensing observed that the children were having circle in the main play area. In discussion with the staff she stated the children do not use the other activity room space as it is used for storage. In reviewing the facility floor plan the facility does not have sufficient space to accommodate 8 children in care in the main play area only and must use the additional space allocated and licensed for the facility in the separate activity room. If this activity room is not being used the capacity of children in care will be reduced to reflect the reduction in space.
Corrective Action(s): Please ensure the entire licensed space is used to accommodate the licensed capacity.
Date to be Corrected: April 6, 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: During the inspection Licensing observed that the emergency exit was blocked by a play kitchen and a student completing an observation was sitting in front of the emergency exit.. This was discussed with the staff. The play kitchen and the student were relocated to another area. When circle time was completed another staff member stacked 8 child size chairs in front of the emergency exit. When Licensing brought this to the staff's attention the chairs were removed. In addition the emergency exit was locked. An additional secondary exit that may be used in an emergency was also locked. In discussion with the staff member she did not know the location of the key to unlock the emergency exit. The serious health and safety risk to children in care was discussed. The staff will consult with the Manager or Director as soon as possible.
Corrective Action(s): Please ensure nothing is located in front of the emergency exit and that the emergency exit remains unlocked to ensure a safe exit in case of an emergency.
Date to be Corrected: April 5, 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: Licensing observed that there was oven cleaner under the sink in the kitchen, several bottles of sunscreen were at the children's level and the laundry room door was unlocked
Corrective Action(s): Please ensure that children do not have access to any objects or substances that are hazardous to their health and safety.
Date to be Corrected: April 6, 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 one employee.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: April 20, 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 for one employee.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: April 20, 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: Two staff records did not have a verification completed by the ECE registry.
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: April 20, 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 the staff where the emergency evacuation supplies were located. The staff did not know where the supplies were located.
Corrective Action(s): Please ensure that the staff are trained on how to implement the emergency plan and where the emergency supplies are located.
Date to be Corrected: April 6, 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.
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: April 20, 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.
Corrective Action(s): Please ensure the food menu is written in English in addition to Chinese characters.
Date to be Corrected: April 20, 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. Many toys were observed that were suitable for children 0-36 months. Most children in attendance were over 3 years old.
Corrective Action(s): Please ensure a coordinated program of indoor activities and materials is provided to the children in care that complies with the program standards set out Schedule G of the Child Care Licensing Regulation.
Date to be Corrected: April 20, 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: Eight children's records of eight were reviewed. One child's record was missing an emergency contact other than the parents
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 20, 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: Eight children's records of eight were reviewed. One child's record was missing a photo.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: April 20, 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. In discussion with the staff member she stated she did not know where the policies and procedures were or where the Manager's record was located..
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: April 20, 2022
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