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: During the inspection Licensing observed the laminate tile flooring showed signs of wear in more than 50% of the total flooring. Marks on the tiles where the laminate has been stripped away, have left a jagged and porous surface. Licensing is concerned that this surface is difficult to clean and may potentially harbour bacteria.
Corrective Action(s): Please ensure the flooring in the facility is in good repair.
Date to be Corrected: September 15, 2021
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: During the inspection Licensing reviewed the record of fire and emergency drills. In discussion with the staff the emergency drill was practiced but, the emergency drill was not recorded.
Corrective Action(s): Please ensure the emergency drill is recorded after it is completed.
Date to be Corrected: June 29, 2021
RECORDS AND REPORTING: 19160 - CCLR s.57(2)(i) - A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Observation: Licensing reviewed five children's files. One child was missing a photo.
Corrective Action(s): Please ensure children's records are complete.
Date to be Corrected: June 29, 2021
RECORDS AND REPORTING: 19300 - CCLR s.58(3)(d) - The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child: (d) any behavioural guidance provided to the child, and its effect.
Observation: During the inspection two out of three care plans were reviewed. Compliance with the individual care plans were not recorded. In discussion with the Manager she stated there are conversations with the team about the care plans. Recommendations were made for where to document ongoing compliance with the care plan on a consistent basis.
Corrective Action(s): Please ensure to record compliance with individual care plans.
Date to be Corrected: June 29, 2021
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