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: 1 staff file did not contain any evidence of training.
Corrective Action(s): Ensure that copies of certificates and evidence of training and skills are obtained.
Date to be Corrected: 9-Mar-2020
STAFFING: 12160 - CCLR s.20(1) - The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.
Observation: 1 person ordinarily present did not have a criminal record check on file.
Corrective Action(s): Ensure that each person ordinarily present has a criminal record check on file.
Date to be Corrected: 9-Mar-2020
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: No fire drills were completed in January or February 2020.
Corrective Action(s): Ensure that a fire drill is practiced monthly.
Date to be Corrected: 16-Mar-2020
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: a person who does not have training for a responsible adult was working as the second staff in ratio.
Corrective Action(s): Ensure that staff to child ratios are no less staff than permitted in Schedule E
Date to be Corrected: 6-Mar-2020
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: 1 of 6 children's files did not contain the name and telephone number of a medical practitioner.
Corrective Action(s): Ensure that each child has a record of the name and telephone number of a medical practitioner.
Date to be Corrected: 9-Mar-2020
RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: 1 care plan was observed that did not have the course of action recommended to address the needs of the child.
Corrective Action(s): Ensure the course of action to address the child's needs is on the care plan.
Date to be Corrected: 9-Mar-2020
RECORDS AND REPORTING: 19320 - CCLR s.59(a) - In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.
Observation: Staff files for multiple staff who worked at the facility this week were not available for review. There is a staff checklist that was last updated in October 2017 that does not have all staff written on it.
Corrective Action(s): Ensure that all staff files are kept in a single location at the facility.
Date to be Corrected: 9-Mar-2020
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