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: During the routine inspection the following were observed:
- manager's name was not on display in a prominent location
- facility license was not on display in a prominent location
Corrective Action(s): Please ensure that the manager's name as well as the facility's license are on display in a prominent location.
Date to be Corrected: October 21, 2022
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: During the routine inspection 3 staff files were reviewed and 2 staff files had an RCMP CRC present. However, the CRC must be through the Criminal Record Check Review Program and not RCMP.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: October 21, 2022
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: During the routine inspection 3 staff files were reviewed and two (2) staff files were missing a resume.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: October 21, 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: During the routine inspection 3 staff files were reviewed and 3 staff files were missing an immunization record.
Corrective Action(s): Please ensure all staff files are complete.
Date to be Corrected: October 21, 2022
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: During the routine inspection it was noted that the facility did not have enough food to mitigate, respond and recover from any emergency.
Corrective Action(s): Please ensure you have enough food and water to prepare, mitigate, respond and recover from any emergency.
Date to be Corrected: October 21, 2022
POLICIES AND PROCEDURES: 13040 - CCLR s.56(1)(a) - A licensee must keep current records of each of the following: (a) written policies and procedures for the safe release of children.
Observation: During the routine inspection it was observed that a Safe Release of children policy was not available.
Corrective Action(s): Please ensure a Safe Release Policy is created and reflects the practices of the facility.
Date to be Corrected: October 21, 2022
POLICIES AND PROCEDURES: 13060 - CCLR s.56(1)(d) - A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.
Observation: During the routine inspection it was observed that an Active Play and Screen Time policy was not available. Documentation for Director of Licensing Standard of Practice (DOLSOP) link was provided to licensee via email.
Corrective Action(s): Please ensure that an Active Play and Screen Time policy is created and reflects the practice of the facility.
Date to be Corrected: October 21, 2022
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: During the routine inspection it was observed that on several days in September the daily attendance sheet was not completed.
Corrective Action(s): Please ensure that the daily attendance sheet accurately reflects the attendance of the children at the facility.
Date to be Corrected: October 21, 2022
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