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 five electrical outlet covers were missing. This is a repeat contravention from inspection # CLAN-BFUVJS.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: February 26, 2021
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: During the inspection licensing asked the staff if they practiced the fire drill at least once a month. The staff have not practiced the fire drill monthly with the children in the facility.
Corrective Action(s): Please ensure the fire drill is practiced on a monthly basis.
Date to be Corrected: March 7, 2021
STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: During the inspection licensing asked the staff if they practiced the emergency plan once a year. The staff have not practiced the emergency plan with the children in the facility.
Corrective Action(s): Please ensure the emergency plan is practiced once a year.
Date to be Corrected: March 5, 2021
STAFFING: 12370 - CCLR s.37(3)(b) - Despite the employee qualifications required by Column 4 of the table in section 1 of Schedule E [group sizes and employee to children ratios], a licensee must replace an absent employee described in Column 1 of the following table who is absent (b) for 30 consecutive days or more with a person described in Column 3 opposite that employee and the row in Column 2 labelled as "≥ 30 days".
Observation: During the inspection the staff member stated that the Manager has been absent from the facility since November 2020. A new Manager must be apointed after a period of 30 days to comply with the legislation.
Corrective Action(s): Please ensure a Manager is appointed for the faiclity.
Date to be Corrected: March 7, 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: During the inspection licensing observed that the fire extinguisher has not been serviced since 2019. Please ensure the fire extinguisher is serviced annually to be prepared and be able to respond in an emergency. This is a repeat contravention from inspection # CLAN-BFUVJS
Corrective Action(s): Please ensure you follow the emergency plan.
Date to be Corrected: March 5, 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: Five children's records were reviewed. Two children's records were missing immunization status.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: February 26, 2021
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: Licensing reviewed five children's records. Three of five children's records were missing a date of enrollment. This is a repeat contravention from inspection # GSIU-ALTUF8
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: March 7, 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 attendance records for January and February. Four arrival and departure times were missing. This is a repeat contravention from inspection # CLAN-BFUVJS and inspection # SMOY-AA9VAL
Corrective Action(s): Please ensure that the attendance records are complete.
Date to be Corrected: February 26, 2021
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: Five children's files were reviewed. Two children's records did not have an emergency contact number.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: February 26, 2021
RECORDS AND REPORTING: 19250 - CCLR s.58(2)(a) - The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.
Observation: During the inspection it was noted that a child requires medication in an emergency. No care plan was noted on file.
Corrective Action(s): Please ensure a care plan is created for the child in the event that emergency medication is required to be administered.
Date to be Corrected: February 27, 2021
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: Licensing reviewed the childrens records. Three children's records were not present at the facility. The serious risk to health and safety of the children in care was discussed. During the inspection licensing requested to review the policies and procedures for the facility. The staff member stated that the policies and procedures were taken home for review.
Corrective Action(s): Please ensure children's records and policies and procedures are located at the community care facility at all times for review.
Date to be Corrected: February 26, 2021
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