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: During inspection Licensing discussed with staff and the Licensee contact, how the 3-5 program enter the upstairs enclosed patio area during time of inclement weather. Staff and Licensee contact stated that they go up the main stairs & through the Infant/ Toddler (I/T) Program to enter and exit the enclosed patio area as the stairs are not safe when it rains.
Licensing reminds the Licensee contact that when the 3-5 program was licensed, the written plan submitted to Licensing stated that the 3-5 program would enter and exit the enclosed patio area via the back staircase so as to not disrupt the I/T program.
Licensing also reminds the Licensee that the back staircase off the enclosed patio is an emergency exit for the I/T programs.
Licensee contact will write a plan regard in the use of these stairs until they can be made safe during all types of weather.
Corrective Action(s): Ensure emergency exit stairs are safe.
Date to be Corrected: May 16, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11080 - CCLR s.15(1)(a) - A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.
Observation: During inspection Licensing observed the following:
- air conditioner units in the 2 Infant/ Toddler (I/T) rooms are place on small platforms & are not secured to the platforms. These units can be tipped if hit hard enough or during an earthquake.
- The diaper pads in the I/T rooms are torn & are unable to be cleaned/ sanitized properly.
- Some mats in the 3-5 program have duct tape on the corners which are peeling causing the mats to not be able to be properly cleaned and sanitized.
Corrective Action(s): Ensure air conditioner units are secured to prevent them from falling. Ensure diaper pads and mats are repaired or replaced to ensure they can be properly cleaned and sanitized.
Date to be Corrected: May 16/ 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].
Observation: During inspection Licensing reviewed staff files and noted that there was no proof on file that the staff ECE Certificates had been validated on the ECE Registrar website.
Corrective Action(s): Ensure all staff ECE Certificates have been validated & proof is placed on the staff files to show this.
Date to be Corrected: May 16, 2018
STAFFING: 12200 - CCLR s.22(2)(c) - A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.
Observation: During inspection, in discussion with staff and the Licensee contact, it was determined that a full evacuation plan, where all emergency equipment is evacuated, has not been conducted within the past 12 months.
Corrective Action(s): Ensure a full evacuation drill is practiced annually as this allows staff to see if they can easily move the equipment and if the plan works for the team.
Date to be Corrected: July 1, 2018
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 inspection Licensing asked staff about the new DoLSOP "Active Play" and "Screen Use" policy requirement. Staff were not aware of the policies.
Licensing discussed the requirements noted in the DoLSOP "Active Play" (including "Screen Use") policy with the Licensee contact who stated they will amend their existing policy to include information regarding facilitated/ un-facilitated play, sedentary play & screen use.
Licensing had sent numerous emails to the Licensee during 2017 regarding this requirement which came into effect September 2017. Licensing left resources regarding this requirement with today's inspection report.
Corrective Action(s): Revise policy manual to include all aspects of the DoLSOP "Active Play (including "Screen Use") policy, share with staff and parents.
Date to be Corrected: May 16, 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: During inspection Licensing noted that the actual time of departure has not been recorded on numerous days, in the past month, for all 3 rooms.
Corrective Action(s): Ensure actual time of arrival and departure are recorded on the sign in/ out sheets as this is the information used be emergency personnel in case of an emergency.
Date to be Corrected: April 16, 2018
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