LICENSING: 10070 - CCLR s.11(4) - A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.
Observation: One regular staff member's certificate was not posted at the facility.
Corrective Action(s): Ensure that employee certificates are displayed in a prominent place in the community care facility.
Date to be Corrected: June-28-22
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: One staff file did not contain evidence of immunization declaration. .
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected: June-27-22
STAFFING: 12430 - CCLR s.56(1)(b) - A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].
Observation: Licensing observed that the manager's criminal record check is not current.
Corrective Action(s): Ensure staff records are current at all times.
Date to be Corrected: June-27-22
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: Licensing observed that the food in the facility's emergency kit was expired. Licensing suggested systems of emergency supply refresh.
Corrective Action(s): Ensure all aspects of the emergency plan are current at all times to ensure that facility can mitigate respond to and recover from any emergency.
Date to be Corrected: June-27-22
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: At the time of Licensing's arrival there were 11 children in care with one educator. A second staff member arrived shortly after.
Corrective Action(s): Ensure that the ratio of employees to children attending the CCF is no less than that permitted in schedule E.
Date to be Corrected: June-22-22
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 observed 2 children's files did not contain a record showing the date of enrollment.
Corrective Action(s): Ensure children's records are complete.
Date to be Corrected: June-27-22
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: Upon inspection of the facility attendance records it was noted that only 4 of the 13 children in attendance were signed in with an accurate time of arrival. Intent of accurate record keeping was discussed with the Licensee.
Corrective Action(s): Ensure that for each child there is an accurate record of daily attendance including times of arrival and departure.
Date to be Corrected: June-22-22
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