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 classroom had a staff certificate posted who is no longer working at this facility. The replacement staff certificate was not posted in the facility although a copy was available to review. One classroom has 3 staff but only 2 certificates were posted.
Corrective Action(s): Ensure all educator or assistant staff certificates are posted in a prominent place in the facility.
Date to be Corrected: November 1, 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: The change mats located in three of the infant/toddler washrooms are torn with the foam showing though. The change mats are no longer able to be sanitized adequately. (this is a repeat contravention)
Corrective Action(s): Ensure a healthy and safe environment is provided at all times
Date to be Corrected: October 19, 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: Walls in five out of six classroom had chipped paint and areas where the drywall was exposed at the child level. Nap rooms also had chipped paint and areas where the drywall was exposed. (This is a repeat contravention).
Corrective Action(s): Ensure the facility is in good repair.
Date to be Corrected:
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 following was observed:
1. All of the children's nap rooms have electrical outlets that have video surveillance cameras plugged into them and are accessible to children who may be sleeping in the room. The manager stated that staff supervise children through video surveillance while they are sleeping so this presents a possible hazard.
2. All washrooms were observed to have cleaners stored within reach of children (this is a repeat contravention) and some of the washrooms had diaper cream and sunscreen available at child level. (corrected during inspection)
Corrective Action(s): 1. Ensure the children do not have access to electrical plugs and outlets or provide direct adult supervision in the nap rooms until the outlets can be secured.
2. Ensure cleaners and creams are stored out of reach of children
Date to be Corrected: October 19, 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: - A minimum of two verified character references were not obtained for one staff member.
- A minimum of three character references were not obtained for the manager
Corrective Action(s): Ensure staff files are complete
Date to be Corrected: November 1, 2022
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: A review of six classrooms found that one classroom did not have all of the fire drills recorded for the year.
Corrective Action(s): Ensure records are kept current for each classroom.
Date to be Corrected: Ongoing
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: A review of ten files found that three files did not have immunization status identified.
Corrective Action(s): Ensure children's files are complete
Date to be Corrected: November 1, 2022
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 was not reviewed annually with the parent or any person requested to by the parent
Corrective Action(s): Review the care plan at least once per year with the parent of the child
Date to be Corrected: November 1, 2022
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