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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-BGATJC

FACILITY NAME
Kingsway Christian Children's Centre - Clubhouse
SERVICE TYPES
305 Group Child Care (School Age)
303 Preschool (30 months to school age)
FACILITY LICENSE #
3201817
FACILITY ADDRESS
4505 Kingsway
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Marie Sanders

INSPECTION DATE
September 23, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
02:10 PM
DEPARTURE
04:10 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE

Introduction

An unscheduled follow up inspection was completed today as a follow up to the routine inspection # completed on March 13, 2019.

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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 three plug covers were missing. his item was not completed by the correction date noted on the routine inspection. This is a repeat contravention from inspection # CLAN-BAEM4K
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: September 24, 2019

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: Four staff records out of seven were reviewed. One staff record was missing a character reference. This item was not completed by the correction date noted on the routine inspection. This is a repeat contravention from inspection # CLAN-BAEM4K
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: September 30, 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: Four out of seven staff records were reviewed. Two staff records were missing a copy of a certificate. This item was not completed by the correction date noted on the routine inspection. This is a repeat contravention from inspection # CLAN-BAEM4K
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: September 30, 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: Four out of seven staff records were reviewed. One staff records did not have documentation of immunization status
Corrective Action(s): Please ensure staff records are complete.
Date to be Corrected: September 30, 2019

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: Four out of seven staff records were reviewed. One staff record was missing an ECEA verification. This item was not completed by the correction date noted on the routine inspection. This is a repeat contravention from inspection # CLAN-BAEM4K
Corrective Action(s): Please ensure certificates are verified using a system established by the ECE registry. .
Date to be Corrected: September 30, 2019

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: During the inspection licensing observed the following at 3:25 pm:
Group 1 -18 children with two employees
Group 2 -19 children with two employees
Group 3- 20 children with one employee

This portion of the facility is licensed for three groups of 20 children. It was observed that there was insufficient staffing for Group 3 as only one responsible adult was with 20 children. In discussion with the Manager she stated that an employee was away due to illness and she was unable to find sufficient staffing. Licensing discussed the serious concern to health and safety when the child to staff ratio is not met as outlined in Schedule E. Some suggestions such as reorganizing the groups to meet the correct staff to child ratio and communicating with families when there is insufficient staffing was discussed. Licensing recommended that the Manager call families to ensure the facility is in compliance. At 3:46 pm the facility was in compliance.
Corrective Action(s): Please ensure sufficient employee to children ratios are met at all times to ensure the health and safety of children in care and to comply with schedule E in the Child Care Licensing Regulation.
Date to be Corrected: September 23, 2019


Comments

During the inspection on September 23, 2019 there were 57 children and 4 staff and the Manager was present. The following above noted contraventions and repeat contraventions were identified. Please submit a written response to licensing addressing how the identified contraventions have been corrected. Licensing recommends the development of a system to to ensure staff records are complete.

Licensing and the Manger discussed the use of the upstairs portion of the facility. The Manager is in the process of submitting documentation as the space is no longer being used.

The following resources were given to the Manager:
-application to amend an existing license

The following resource will be sent to the Manger:
-Staffing qualifications form

This report was reviewed with the Manager prior to signing. Thank you for your time. If you have any questions please contact me.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Sep 30, 2019

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.