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: During inspection Licensing observed:
·Disinfectant currently being used has an expiration date of November 2008 noted on the container. Licensing took photograph of the disinfectant container.
·Safety door latch to the boiler storage located in the children bathroom is not closing. Manager stated that she will replace the latch.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Date to be Corrected: December 2, 2021
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. Manager was not aware this staff had received their ECE certificate in the mail two weeks ago. Staff stated that they will provide a copy of the ECE certificate to the Manager and they showed a picture of the cuurent ECE certificate on their phone.
Corrective Action(s): Please ensure that staff files are complete.
Date to be Corrected: December 2, 2021
STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: During a review of the fire drill records, Licensing observed that there were no fire drill records available after May 2021. Manager stated that the fire drill was conducted monthly but was unable to find the records. Licensing provided a resource to record monthly fire drills.
Corrective Action(s): Please ensure fire drills are practiced and recorded monthly. Records must be available for review.
Date to be Corrected: December 2, 2021
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: Licensing was unable to view records of earthquake drill. Manager stated that an earthquake drill was practiced but can’t find the records. Licensing provided a resource to record annual earthquake drills.
Corrective Action(s): Please ensure that earthquake drill records are maintained and are available for review.
Date to be Corrected: December 15, 2021
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 (CORRECTED DURING INSPECTION): During inspection Licensing observed there were nine children in one of the multi-age program before the second staff arrived in approximately five minutes. For the multi-age service type, there can only be eight children. Licensing reviewed the attendance records for the past two weeks and observed there were ten children in care with one staff before the second staff arrived. Manager is aware that on certain days of the week most children arrive earlier resulting in being them out of ratio as per Schedule E CCLR.
Corrective Action(s): Please ensure that children are divided into groups, as permitted in Schedule E of the CCLR. Manager to provide Licensing a plan to be in compliance to CCLR Schedule E.
Date to be Corrected: December 2, 2021
CARE AND/OR SUPERVISION: 14030 - CCLR s.34(2)(b) - Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation: There is a staff whose ECE certificate expire tomorrow. Their shift entails that they are the only staff on site at the end of the day. The staff has applied for their ECE renewal. Discussed with the manager for this staff in regard to applying for an exemption for this staff while they wait for their updated ECE Licence to practice.
Corrective Action(s): Please ensure the staff to child ratio is as per Schedule E of the Child Care Licensing Regulation.
Date to be Corrected: December 2, 2021
RECORDS AND REPORTING: 19140 - CCLR s.57(2)(h)(i) - A licensee must keep, for each child, a record showing the following information: (h) any special instruction respecting the child's diet, medication, participation in a program of activities, or other matter relevant to the child's care, (i) given by the child's parent to the licensee in writing.
Observation: During inspection Licensing observed topical medication for a child in the washroom. Written parental consent to administer medication is unavailable. Manager was unaware that a parental consent was required for use of this topical medication.
Corrective Action(s): Written consent must be in place that reflects the type of medication, purpose, dosage and frequency.
Date to be Corrected: December 2, 2021
RECORDS AND REPORTING: 19260 - CCLR s.58(2)(b) - The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Observation: The care plan for two children was not reviewed annually with the parent or any person requested to by the parent. Manager was able to verbally explain the changes in the care plan and that included the use of emergency medication.
Corrective Action(s): Please ensure that the information is updated and reviewed regularly to clearly reflect the course of actions required by staff and any other direction pertaining to the care plan.
Date to be Corrected: December 6, 2021
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