LICENSING: 10020 - CCLR s.10(2)(a) - Licensees must not make any structural change to a community care facility unless the licensee first (a) submits plans for the change to a medical health officer.
Observation: Licensing observed the preschool class had been moved the "gym" area. A clarifying conversation with the manager indicated that the classroom floors were being replaced, therefore the children's equipment had been moved. The licensee did not inform or provide licensing with a plan prior to the work commencing.
Corrective Action(s): Ensure that licensing is informed of any changes to the community care facility via submission of plans.
Date to be Corrected: March-6-2021.
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: Licensing observed some wear and tear on the walls in the under 3 and over three classrooms.
Corrective Action(s): Ensure that the community care facility is in good repair.
Date to be Corrected: March-17-2021
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: Licensing observed medicated cream in an unlocked cupboard in the under three children's bathroom.
Corrective Action(s): Ensure children do not have access to substance that may be hazardous to their health and safety.
Date to be Corrected: March-3-2021
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: Upon an inspection of 6 staff files, it was noted that one staff's criminal record check had expired in 2018.
Corrective Action(s): Ensure that a valid criminal record check is obtained for each employee before the start of employment.
Date to be Corrected: March-10-2021
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 an inspection of 6 staff files, Licensing observed that 2 files were missing character references.
Corrective Action(s): Please ensure staff files are complete as per legislative requirements before start of employment.
Date to be Corrected: March-10-2021
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: Licensing observed that all fire extinguishers were past due for servicing.
Corrective Action(s): Ensure that equipment required to mitigate, respond to and recover from any emergency is kept up to date.
Date to be Corrected: March-10-2021
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: Licensing observed that the February fire drill had not been logged.
Corrective Action(s): Ensure that fire drills are logged.
Date to be Corrected: March-3-2021
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: Upon an inspection of 6 children's files, Licensing observed that one was missing a medical insurance plan number.
Corrective Action(s): Ensure children's files are complete.
Date to be Corrected: March-10-2021
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: Licensing inspected 6 children's files and noted that 2 files were missing the name and telephone number of a medical practitioner.
Corrective Action(s): Ensure children's files are complete as per legislative requirements.
Date to be Corrected: March-10-2021
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