LICENSING: 10010 - CCLR s.10(1) - Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9.
Observation: Licensing notes that the manager did not notify licensing of the following changes:
- The approved outdoor play area is currently blocked off due to renovations. The outdoor time has continued in another area of the neighborhood.
- The staffing plan submitted to Licensing to support a Staffing Exemption changed over a month ago.
Corrective Action(s): Please ensure that any changes of information that has been previously approved by licensing, needs to be immediately disclosed to Licensing.
To correct the two above items, please submit:
- a new play space away plan, including all of the information required in the Play Space Away Bulletin
- A new staffing plan, and potentially a new exemption request.
Date to be Corrected: May 8, 2018.
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 manager's name was not posted.
A recently hired staff's certificate was also not posted.
Corrective Action(s): Please ensure the manager's name as well as all staff certificates are posted.
Date to be Corrected: May 8, 2018
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 (CORRECTED DURING INSPECTION): The cupboard in the washroom which contains cleaning products was left unlocked.
Corrective Action(s): Please ensure that a system is in place to guide ensure all hazardous substances are stored out of reach of children.
Date to be Corrected: May 8, 2018
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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: One staff's file does not have evidence that their ECE certificate has been validated.
Corrective Action(s): Please ensure staffing files are complete.
Date to be Corrected: May 10, 2018
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: A fire drill documentation was posted on the wall, there was no evidence of an April Drill. The manager confirmed that the April fire Drill was not conducted.
Corrective Action(s): Please ensure a monthly fire drill is practiced by all staff.
All drill must be recorded.
Date to be Corrected: May 11, 2018
STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: The facility has been licensed since November 2016, the manager stated that they have not practiced a complete Emergency Drill yet.
There are no emergency supplies on site.
Corrective Action(s): Please ensure all staff practice implementing a complete emergency evacuation drill.
These drills must be conducted at least once a year by all staff.
Emergency supplies to recover from any emergency, must be kept on site. A sample list was provided.
Date to be Corrected: May 15, 2018
POLICIES AND PROCEDURES: 13060 - CCLR s.56(1)(d) - A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.
Observation: There is no evidence of Active Play or Screen Use policies on site.
Corrective Action(s): Please ensure two new policies are created as outlined in the Director of Licensing Standards of Practice- Active Play
Date to be Corrected: May 15, 2018
CARE AND/OR SUPERVISION: 14010 - CCLR s.34(1) - A licensee must ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.
Observation: The licensed Group Child Care (30 months to School Aged) program was staffed today with an ECE and an RA.
This is the regular staff at the facility, since end of March.
Corrective Action(s): Please ensure staffing requirements of Schedule E are maintained.
Date to be Corrected: May 9, 2018
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