LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation (CORRECTED DURING INSPECTION): Licensing observed that the manager's name was not displayed in the facility.
Corrective Action(s): Ensure that the manager's name is displayed in a prominent place in the facility.
Date to be Corrected: Corrected during inspection
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: Licensing reviewed the staff files, and noted that one staff's criminal record check has expired.
Corrective Action(s): Ensure that the staff's criminal record check is renewed and updated, and included on file.
Date to be Corrected: May 30, 2022
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: Immunization status was not obtained for two employees.
Corrective Action(s): Ensure that the immunization status for all employees are included on file.
Date to be Corrected: May 16, 2022
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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation (CORRECTED DURING INSPECTION): During inspection, Licensing noted that two staff did not have on file their certificate validation.
Corrective Action(s): Ensure that staff certificates are validated, and the validation record should be included on file.
Date to be Corrected: Corrected during inspection
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation (CORRECTED DURING INSPECTION): Licensing observed that the annual emergency drills were not recorded.
Corrective Action(s): Ensure that the annual emergency drills are recorded and on file. This item was identified and contravened on Nov. 27, 2019 on routine inspection report #KSEY-BJBPXK.
During inspection, the facility recorded and placed on file the emergency drills that were previously completed.
Date to be Corrected: Corrected during inspection
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): During inspection, licensing observed that one child was not signed in on the attendance sheet.
Corrective Action(s): Ensure that children are signed in on the attendance sheet upon their arrival.
Date to be Corrected: Corrected during inspection
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 the children's files and observed that one child was missing their emergency contacts.
This item was identified and contravened on June 04, 2021 on routine inspection report #MZIN-C3NU9V.
Corrective Action(s): Ensure that the child's emergency contacts are included on file.
Date to be Corrected: May 11, 2022
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