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: Licensing observed the following during the inspection:
-Loose cords
-Rust underneath paint chips on the slide in the outdoor play area. Please provide active supervision until this is corrected. (Please correct by February 5, 2025)
Corrective Action(s):
Date to be Corrected: Dec 9, 2024
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 inspection Licensing observed the staff records. One staff record was missing a site specific criminal record check
Corrective Action(s):
Date to be Corrected: December 19, 2024
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: The staff records were reviewed. Immunization status was not obtained for two employees.
Corrective Action(s):
Date to be Corrected: December 19, 2024
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: Licensing observed the fire extinguisher. The service date was noted on the service tag as August 17, 2024. The fire extinguisher was within the area of being fully charged.
Corrective Action(s): In discussion the Manager stated the pastor is responsible for servicing the fire extinguishers. Licensing discussed putting a system in place to check fire extinguishers.
Date to be Corrected: Dec 12, 2024
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