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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
CLAN-CLH287

FACILITY NAME
Marlbrough Neighbourhood Care
SERVICE TYPES
303 Preschool (30 months to school age)
305 Group Child Care (School Age)
FACILITY LICENSE #
NGIL-BUNQC6
FACILITY ADDRESS
5151 Sanders St
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Karen Ho

INSPECTION DATE
November 24, 2022
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1
ARRIVAL
03:35 PM
DEPARTURE
04:35 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE

Introduction

An unannounced follow-up inspection was completed today. The inspection is in response to contraventions identified at the routine inspection #CLAN-CE6NX2

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
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: The following was observed during the inspection:

-A TV on a rolling cart was not anchored. This was not completed on the date specified on the routine inspection. This is a repeat contravention. The TV was in the office but in discussion with the Manager she moves this into the classroom on occassion. Please provide active supervision when the TV is in use until this is completed.
-Several electrical outlet covers were missing. This was not completed on the date specified on the routine inspection. This is a repeat contravention.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times the children are in care
Date to be Corrected: December 1, 2022

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: The Staff qualifications list was observed. A criminal record check (CRC) for the Manager was not observed on the list. In discussion the Manager communicated the expiry date for her CRC
Corrective Action(s): Please ensure staff and the Manager's records are complete.
Date to be Corrected: December 1, 2022

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: The staff qualifications list was reviewed during the inspection. The Manager's references were not observed on the list. This is a repeat contravention.
Corrective Action(s): Please ensure the staff and Managers records are complete
Date to be Corrected: December 1, 2022

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: Immunization status was not obtained for one employee/ Manager.
Corrective Action(s): Please ensure staff and Manager records are complete
Date to be Corrected: December 1, 2022


Comments

At the inspection dated November 24, 2022 there were 16 children, and three staff and the Manager was present. At this inspection the above noted contraventions were identified. Please correct the above noted contraventions by December 1, 2022 , unless otherwise specified in the report.

The inspection findings were reviewed with the Manager. A copy of this document was sent to the Manager. If you have any questions regarding this report please contact me. A business card was provided.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Dec 01, 2022

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.