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: Licensing observed that one staff's certificate is not displayed anywhere in the community care facility. The staff works at the facility two days a week and whenever needed.
Corrective Action(s): Ensure that all staff certificates or a copy of the certificate is displayed in a prominent place in the community care facility.
Date to be Corrected: April 19, 2023
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:
- There is not sufficient resilient surfacing under a dome shaped climber. Licensing had a discussion on what would meet the intent of this legislation.
- There is a big AC unit box with the AC unit in it in one of the play rooms. Potential for a child to grab it or bump into it and have it fall on them and injure them.
Corrective Action(s): Ensure that a healthy and safe environment is provided at all times while children are in care.
Date to be Corrected: April 26, 2023.
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: Licensing observed the following:
- Paint chipped in several areas inside.
- Broken soap dispenser in one of the bathrooms.
- Broken tile in one of the bathroom. One tile is half broken and sharp around the edges.
Corrective Action(s): Ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in care.
Date to be Corrected: May 3, 2023
STAFFING: 12050 - CCLR s.19(1)(b) - 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: (b) character references in respect of the person.
Observation: Upon a review of six staff records, Licensing observed that two staff's references have not been obtained.
Corrective Action(s): Ensure that staff records are complete prior to the staff working at the community care facility.
Date to be Corrected: April 26, 2023
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: Upon a review of six staff records, Licensing observed that one staff's work history was not obtained.
Corrective Action(s): Ensure that staff records are complete prior to the staff working at the community care facility.
Date to be Corrected: April 24, 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: Upon a review of six staff records Licensing observed that one staff's immunization status was not obtained.
Corrective Action(s): Ensure that staff records are complete prior to the staff working at the community care facility.
Date to be Corrected: April 24, 2023
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: Upon a review of six staff records, Licensing observed that one staff's certificate has not been verified by the Early Childhood Educators (ECE) Registry.
Corrective Action(s): Ensure that staff records are complete prior to the staff working at the community care facility.
Date to be Corrected: April 20, 2023
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 (CORRECTED DURING INSPECTION): Licensing observed 22 children in care with only 2 staff. The Manager arrived 15 minutes after Licensing arrived.
Licensing discussed the importance of ensuring staff to child ratio is maintained at all times and provided suggestions on how to avoid this in the future.
Corrective Action(s): Ensure that the ratio of employees to children attending the community care facility is no less than that permitted in Schedule E.
Date to be Corrected: April 19, 2023.
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Licensing observed 3 children use the toilet. After using the toilet the children did not use soap to wash their hands and only rinsed their hands with water. Licensing observed the soap located on the ledge and inaccessible to children in care.
Licensing discussed the importance of having soap available to children to ensure that they are properly cleaning their hands to decrease the spread of germs.
Corrective Action(s): Ensure that a program is establishes to instruct children in, and t practice the rules of, health and hygiene.
Date to be Corrected: April 19, 2023
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): Licensing observed that all 22 children in attendance had not been signed in.The Manager corrected this during the course of the inspection.
Licensing discussed the importance of ensuring that attendance records are accurate.
Corrective Action(s): Ensure that attendance records are accurate on a daily basis.
Date to be Corrected: April 19, 2023
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