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: CCFL reviewed 9 employees' files & found that 1 employee's CRC expired 5 months ago.
Corrective Action(s): W/o a valid CRC from the BC Ministry of Justice, this employee can't work alone w/ children or assist w/ toileting.
Date to be Corrected: 04/Nov/2019
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: CCFL reviewed 9 employees's files. The manager stated that the employees have taken additional training that would count towards RA hours; however, there was no evidence of this training in employees' files.
Corrective Action(s): Evidence of RA training must be added to employees' files.
Date to be Corrected: 25/Oct/2019
STAFFING: 12090 - CCLR s.19(1)(f) - 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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: CCFL reviewed 9 employees' files & found that 1 employee lacked their immunization status.
Corrective Action(s): All requirements of s. 19(1) must be obtained by employees' 1st day of employment.
Date to be Corrected: 25/Oct/2019
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: Most food & water bottles in the 72 hour emergency kit expired in 2018 or early 2019.
Corrective Action(s): Food & water bottles past their best before date must be discarded & replaced.
Date to be Corrected: 25/Oct/2019
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation (CORRECTED DURING INSPECTION): CCFL reviewed 20 children's files & found that 1 child lacked their start date.
Corrective Action(s):
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): The attendance records showed children signed into the CCF in the morning & out upon pickup.
Corrective Action(s): Children who attend AM & PM must be signed:
- in upon arrival to the CCF
- out upon transfer of care to school
- in upon arrival to the CCF
- out upon pickup
Date to be Corrected:
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: CCFL reviewed 10 children's files & found that:
- 1 child lacked their medical practitioner's contact information
- another child lacked their walk-in clinic's phone #
Corrective Action(s): All requirements of s. 57(2) must be obtained by children's 1st day of care.
Date to be Corrected: 25/Oct/2019
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