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: Licensing observed that the manger's name was not displayed
Corrective Action(s): Please ensure the name of the manager is displayed in a prominent place.
Date to be Corrected: September 26, 2018
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 four staff certificates were not displayed.
Corrective Action(s): Please ensure all staff certificates are displayed in a prominent place.
Date to be Corrected: September 26, 2018
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 that some of the washcloths used by children were touching. This could present a concern with cross contamination. Licensing observed that mats in the nap room were touching each other
Corrective Action(s): Please ensure that children's cloths and mats in the nap room are spaced far enough apart to prevent touching and cross contamination.
Date to be Corrected: September 26, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11200 - CCLR s.17 - A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Observation: Licensing observed the following in the outdoor play area:
A laundry room with a broken door knob that was accessable to children
bleach and paint in the laundry room accessable to children
A gate missing at the bottom of the stairs that led to a deck
Wood debris, an old door and broken tiles at the side of the house
An open gate to the front yard that was not secured
garbage and debris in the corner of the yard
wire fencing at children's eye level
two boards with rusty nails and screws sticking up
a broken clothesline at ground level that could be a strangulation hazard
broken glass at ground level
Licensing observed the following inside the facility:
Bleach and cleaners accessable to children in the kitchen
Plastic bags in the nap room
A missing plug cover in the nap room
Hot dogs served to children were not cut to decrease the risk of a potential choking hazard
Corrective Action(s): Licensing spoke with the director Jenny about the above observations. The director stated a daily checklist and review of the playground was usually completed, but the staff forgot to complete it today. Records indicate the last outdoor area maintenance check was completed on August 31, 2018. The director disclosed to licensing that last week the children found a rat trap on the playground and brought this to the staff. The director was not able to assess or identify the risk to health and safety of the children. Please ensure a written plan is submitted to licensing that describes how the staff will ensure the children do not have access to any objects or substances that may be hazardous to their health and safety both inside and outside the facility.
Date to be Corrected: September 14, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11230 - CCLR s.47 - A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Observation: Licensing measured the temperature of the water from the tap in the washroom at 56.9 degrees Celcius. Licensing spoke to the director about the high temperature. The director mentioned a new sink was recently installed and a temperature regulator was not installed. The director was not able to identify the risk as she was not sure what temperature the water needed to be as outlined in the Community Care and Assisted Living Act Child Care Licensing Regulation.
Corrective Action(s): Please ensure the water temperature is heated to no more than 49 degrees Celcius to comply with the legislation. This is a repeat contrevention from the last routine inspection completed on May 5, 2017.
Date to be Corrected: September 12, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11450 - DLSOP Safe Play Space (maintenance of equipment [b1]) - [bullet 1] Thorough daily, monthly and annual inspection programs must be performed regularly. If needed repairs/replacement cannot be made immediately, equipment must be removed from service until repaired or the licensee must ensure that additional safety precautions are put into action. Checklists will assist in reminding staff of the types of checks to be performed and in ensuring that proper maintenance and repair are completed. Daily: check the play space for garbage, broken glass, animal feces and other hazardous items. This is especially important if the play space is located in an area to which the public has access, such as parks or schools. Monthly: check the play space in greater detail, including a check of the landscaping and fencing and overall condition of equipment to ensure that they do not pose any hazards to children. Annually: conduct a detailed audit of the play space, landscaping, and all equipment.
Observation: Licensing observed that there was a checklist in place to document routine maintenance of the outdoor equipment and area. Records were observed for May-August 2018. No records of playground maintenance were present for September 2018.
Corrective Action(s): Please ensure there is a system in place to document routine maintenance of the outdoor equipment and area, and that this is completed on a daily basis.
Date to be Corrected: September 14, 2018
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 observed 2 staff criminal record checks (CRC) were expired since April 2018 and 2 staff CRC's were not site specific. The manager stated that two criminal record checks were in process. Licensing observed documentation that two criminal record check request forms were completed on September 9th and 10th, 2018. Licensing discussed the importance of keeping CRC's up to date to ensure the health and safety of children in care.
Corrective Action(s): Please ensure CRC's are requested before the expiry date and that all staff files are complete. Please ensure all CRC's have the address of the facility the staff is currently working in on the CRC. This is a repeat contrevention from the last routine inspection completed on May 5, 2017.
Date to be Corrected: September 26, 2018
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: Licensing observed one staff was missing an immunization record.
Corrective Action(s): Please ensure all staff files have immunization records. Corrected during inspection.
Date to be Corrected: September 26, 2018
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 licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: Licensing observed that the staff files did not include proof of verification of early childhood certificates. The director disclosed to licensing that her certificate expired in May 2018 and she has applied for renewal. The director stated she sometimes supervises the children alone.
Corrective Action(s): Licensing discussed the process of verifying a certificate with the director. Please ensure all staff certificates are verified and doccumentation is placed in the staff file. Licensing discussed the importance of have a current certificate. The director was not able to self- identify this as a risk.
Date to be Corrected: September 26, 2018
POLICIES AND PROCEDURES: 13070 - CCLR s.56(1)(e) - A licensee must keep current records of each of the following: (e) written policies and procedures respecting food and drink to be given to children.
Observation: The director stated that morning and afternoon snacks are provided to the children. The foods that are offered are: fruit, vegetables and crackers. Snacks have been provided since the summer of 2018.
Corrective Action(s): Please ensure there are written policies and procedures outlining what food and drink are given to children.
Date to be Corrected: September 26, 2018
POLICIES AND PROCEDURES: 13110 - DLSOP Active Play - [The Licensee must develop and implement an Active Play Policy to engage children in daily active play, consisting of un-facilitated play and facilitated games and activities.] This policy should also be shared with parents/families.
Observation: Licensing observed that the active play policy was posted on the wall at the facility.
Corrective Action(s): Please ensure the active play policy is shared with the parents and families in the program.
Date to be Corrected: September 26, 2018
POLICIES AND PROCEDURES: 13130 - DLSOP Active Play - [The Licensee must develop and implement a Screen Use Policy to guide employees in the use of screen time activities.] This policy should also be shared with parents/families.
Observation: Licensing observed that the screen use policy was posted on the wall in the facility.
Corrective Action(s): Please ensure the screen use policy is shared with parents and families in the program.
Date to be Corrected: September 26, 2018
NUTRITION AND FOOD SERVICES: 17120 - CCLR s.48(6) - A licensee must make available to parents information on the food and drink given to children.
Observation: The director stated that the facility provides lunch to the children on Wednesdays. Licensing observed the menu is written in Chinese.
Corrective Action(s): Please ensure that parents have information on what type of food and drinks are given to the children at the facility.
Date to be Corrected: September 26, 2018
RECORDS AND REPORTING: 19051 - CCLR s.56.1(2)(a) - A licensee must keep (a) a copy of the written statement, referred to in section 19 of the Act, that the licensee delivers to persons who prepay part of the cost of services
Observation: Licensing read the repayment agreement policy and spoke to the director about the repayment policy. The director stated that the verbal policy agreement is to ask the parents upon registration to pay half a months fee as a deposit that will be added to the first month's payment. The director stated when the parents pay with post-dated cheques the cheques are returned to them when their children withdraw from the program.
Corrective Action(s): Please ensure that the repayment policy is up to date to include the information that was discussed. Please ensure the parents are given a written copy of the revised repayment policy.
Date to be Corrected: September 26, 2018
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 observed the daily attendance records from August to September 2018. Six blank spaces were identified on the daily attendance records.
Corrective Action(s): Please ensure the attendance record indicates in writing which days the children are absent and present.
Date to be Corrected: September 12, 2018
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