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: Licensing observed the following:
- Wipable surface of the diaper mat was rough and dirty with holes poked through it making it hard to ensure it is sanitized appropriately from bodily fluids between changes.
- Cabinet located under the change mat that is accessible to children with plastic bags located inside.
- Cabinet located under the hand washing sink in the bathroom is accessible to children and has glass cleaner inside.
Corrective Action(s): Please ensure that the environment is healthy and safe while children are in care.
Date to be Corrected: September 01, 2023
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: Licensing reviewed 8 staff files of which 1 was missing immunization status.
Corrective Action(s): Please ensure all staff files are up to date and complete.
Date to be Corrected: September 01, 2023
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: Licensing reviewed 11 children's files of which 2 were missing the name and phone number of a medical practitioner.
Corrective Action(s): Please ensure all children's files are complete and up to date.
Date to be Corrected: September 01, 2023
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: Licensing reviewed 3 care plans. All 3 had been written with consultation of the parent however they had not been reviewed yearly.
Corrective Action(s): Please ensure all care plans are reviewed at least once a year with a parent of the child requiring a care plan.
Date to be Corrected: September 01, 2023
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