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 the inspection of the physical facility the following were observed:
- several fallen branches were tucked away by the fence, however the branches were reaching in the play yard causing a hazard to young children.
- two planks, approximately 1 foot long with rusted nails sticking out were scattered around the yard.
- the fall zone for two Little Tikes climbers was non existent.
- one box containing chalk and stencils was covered with green residue and the top of the box is beginning to peal.
- one long plank was in the way of children reaching play equipment.
- the majority of the play structures were covered in green residue and were in need of cleaning and maintaining.
- a mat was scattered on the stairs to the facility, causing a tripping hazard.
The licensee stated that she will use the weekend to clean up the back yard.
Corrective Action(s): Please ensure a healthy and safe environment is provided at all times.
Date to be Corrected: April 28, 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: During the file review of the facility and conversation with the licensee it was noted that a CRC for the licensee and another person living it the house were not obtained. License stated that they will apply for the CRC tomorrow.
Corrective Action(s): Please ensure all persons ordinarily present have a CRC available.
Date to be Corrected: April 28, 2022
STAFFING: 12180 - CCLR s.22(2)(a) - A licensee must ensure that each employee (a) is trained in the implementation of the fire drill system and emergency plan described in subsection (1), including the use of any equipment noted in the fire drill system and emergency plan.
Observation: During the inspection of the physical facility it was observed that the fire extinguisher was present but it has not been serviced. Staff on site stated that the fire extinguisher was serviced sometimes in January but the tag was not available to identify the date the service took place.
Corrective Action(s): Please ensure the fire extinguisher is serviced annually.
Date to be Corrected: April 28, 2022
STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: During the inspection it was observed that fire drills for the year 2020 were present. Fire drill for January, 2022 was present, however fire drills for February and March were not noted down. Licensee stated that she has conducted the fire drill but she did not mark it down.
Corrective Action(s): Please ensure fire drills are practiced and noted monthly.
Date to be Corrected: April 28, 2022
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: During the routine inspection a review of the emergency supplies took place. It was observed that some food items in the emergency supplies kit were expired.
Corrective Action(s): Please ensure that you have enough supplies to prepare for, mitigate, respond and recover from any emergency.
Date to be Corrected: April 28, 2022
POLICIES AND PROCEDURES: 13071 - CCLR s.56(2) - A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.
Observation: During the inspection of the physical facility the following was noted:
- the TV was on playing a children's movie.
- three school age children were on various electronic devices (I-pads and laptop) playing various games and watching videos.
- two younger children (over 2 years of age) were walking to the living room and glanced at the movie and then walked back to the kitchen. The children repeated this action several times.
- one child (under 2 years of age) glanced at the TV several times.
After approximately 40 minutes, the staff turned off the TV playing the movie and asked the school age children to turn off their devices. Licensee stated that this is not common practice and that today was a special circumstance because the school age children were on a pro-d day and they were allowed to watch TV and use their I-pads.
Corrective Action(s): Please ensure that all policies and procedures are implemented by all employees.
Date to be Corrected: April 28, 2022
POLICIES AND PROCEDURES: 13080 - CCALA s.19 - If a person prepays part of the cost of services provided by a class of community care facilities designated by the Lieutenant Governor in Council, the licensee must, at the time of the prepayment, deliver to the person a written statement setting out the terms and conditions on which a refund of all or any of the prepayment will be made.
Observation: During the routine inspection and the review of the policies and procedures it was noted that a repayment agreement policy was not available.
Corrective Action(s): Please ensure a repayment agreement/ policy is created and made available to parents and staff.
Date to be Corrected: April 28, 2022
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: During the inspection 8 random children's files were reviewed and one child's file was missing the gender of the child and one child's file was missing the Medical Service Plan number.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: April 28, 2022
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: During the inspection 8 random children's files were reviewed and one child's file was missing an enrollment date.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: April 28, 2022
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: During the routine inspection 8 random children's files were reviewed and two children's files were missing an emergency contact person.
Corrective Action(s): Please ensure all children's files are complete.
Date to be Corrected: April 28, 2022
RECORDS AND REPORTING: 19340 - CCLR s.59(c) - In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.
Observation: During the routine inspection the staff person was unable to produce her own file. Both staff person and licensee stated that a file is somewhere at the facility but were unable to produce it on demand.
Corrective Action(s): Please ensure all files are available to be produced on demand to the medical health officer.
Date to be Corrected: April 28, 2022
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