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 (CORRECTED DURING INSPECTION): Licensing observed the Licence behind a photocopier machine on the counter in the kitchen area.
Corrective Action(s): Please ensure that the Licence is displayed in a prominent place in the community care facility.
Date to be Corrected: February 28, 2019.
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 (CORRECTED DURING INSPECTION): Licensing observed the following that are accessible to children in care:
-Lysol wipes and spray bottle (with Vim and water mixture) in an unlocked cupboard below the sink in the kitchen area.
-3 big sized knives in an unlocked drawer in the kitchen area
Corrective Action(s): Please ensure that any hazardous objects and substances are not accessible to children in care.
Date to be Corrected: February 28, 2019.
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 observed the water temperature in the kitchen sink to be at 50.1 degrees Celsius.
Corrective Action(s): Please ensure that heated water accessible to children in care is no more that 49 degrees Celsius.
Date to be Corrected: March 7, 2019.
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 review of 2 staff records, Licensing observed that the staffs records were without any evidence that the 3 references had been checked.
Corrective Action(s): Please ensure that all staff records are complete.
Date to be Corrected: March 7, 2019.
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 review of 2 staff records Licensing observed that 1 staff's record was without an immunization status.
Corrective Action(s): Please ensure that all staff records are complete.
Date to be Corrected: March 7, 2018.
POLICIES AND PROCEDURES: 13010 - CCLR s.22(1)(a) - A licensee must have all of the following: (a) emergency exits and a fire drill system approved by a local assistant within the meaning of the Fire Services Act.
Observation: Licensing observed that the fire extinguisher was last serviced in 2017.
Corrective Action(s): Please ensure that a fire drill system is up to date and approved by a local assistant within the Fire Service Act.
Date to be Corrected: March 15, 2019.
POLICIES AND PROCEDURES: 13050 - CCLR s.56(1)(c) - A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Observation: Licensing observed that there was no documentation of fire drills for the months of March, April & May 2018.
Corrective Action(s): Please ensure that current records are kept for all emergency drills conducted.
Date to be Corrected: March 7, 2019.
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 a random review of 7 days in the month of February, Licensing observed the following:
-6 days children not identified as present or absent.
-5 days children's time of arrival not indicated.
-1 day a child's time of departure not indicated.
Corrective Action(s): Please ensure that attendance records are accurate on a daily basis.
Date to be Corrected: March 1, 2019.
RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Upon a random review of 4 out of 8 children's records, Licensing observed 1 child's record without an emergency contact.
Corrective Action(s): Please ensure that all children's records are complete prior to the children attending the facility.
Date to be Corrected: March 7, 2019.
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