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 the inspection licensing observed that a shelf that was over 4 feet tall was not secured. This could present a potential falling hazard.
Corrective Action(s): Please ensure that a healthy and safe environment is provided at all times.
Date to be Corrected: Aug 6, 2021
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: Licensing reviewed the staff record. A current criminal record check from the RCMP was observed. A criminal record check completed with the criminal record review board is required.
Corrective Action(s): Please ensure a criminal record check is completed with the criminal record review board.
Date to be Corrected: August 13, 2021
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Licensing observed that the fire extinguisher was due to be serviced on March 15, 2021. The fire extinguisher was within the area of being fully charged.
Corrective Action(s): Please ensure that the fire extinguisher is serviced on an annual basis to be prepared for, to mitigate, and respond in an emergency.
Date to be Corrected: August 6, 2021
POLICIES AND PROCEDURES: 13030 - CCLR s.22(3) - A licensee must display a copy of the fire drill system in a prominent place in the community care facility.
Observation: Licensing observed that the fire drill system was not posted in the facility. This was corrected during the inspection.
Corrective Action(s): Please ensure the fire drill system is posted in a prominent place in the facility.
Date to be Corrected: July 21, 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 observed that the emergency drill was not recorded. In discussion with the Licensee she stated she practiced the emergency drill and recorded this but she could not produce it.
Corrective Action(s): Please ensure to record the annual emergency drill after it is completed to comply with the legislation.
Date to be Corrected: August 6, 2021
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: During the inspection four children's records were reviewed. Two children's records were missing their immunization status.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: August 6, 2021
RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Licensing reviewed the record of attendance. Two children who were completing gradual entry were not recorded on the attendance record. A separate record recorded the gradual entry hours for the week but did not list the daily arrival and departure times.
Corrective Action(s): Please ensure the attendance records include the daily arrival and departure times for all the children in care.
Date to be Corrected: July 22, 2021
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: During the inspection four children's records were reviewed. Two children's records were missing a photograph.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: August 6, 2021
RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: During the inspection four children's records were reviewed. Two children's records were missing a consent to call a medical practitioner or ambulance in an emergency.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: August 6, 2021
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