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: The following were observed during the inspection: Exposed drywall throughout the facility and Little Tykes equipment in need of cleaning in the yard.
Corrective Action(s): Please ensure that children do not have access to drywall and that all outdoor equipment is cleaned.
Date to be Corrected: November 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: A criminal record check for one staff has been applied for although the results have not been received.
Corrective Action(s): Please ensure a criminal record check is available for all staff before they start work.
Date to be Corrected: November 21, 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: A minimum of two references have not been verified for a staff member. The manager said she had verified one reference although there was no evidence to support this.
Corrective Action(s): Please ensure a minimum of two references are verified and proof of verification is available before staff start work.
Date to be Corrected: November 21, 2022
STAFFING: 12060 - CCLR s.19(1)(c) - 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: (c) a record of the person's work history.
Observation: A record of the person's work history was not obtained for a staff person.
Corrective Action(s): Please ensure all staff have a current resume on file before they start work.
Date to be Corrected: November 21, 2022
STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)
Observation: Evidence of a staff ECE Certificate was not available. The manager said she had verified the certificate although there was no evidence to support this.
Corrective Action(s): Please ensure ECE Certificates are verified and evidence of the verification is available before a staff starts work.
Date to be Corrected: November 21, 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: The manager said a fire drill had not been conducted in October.
Corrective Action(s): Please ensure a fire drill is conducted every month.
Date to be Corrected: Ongoing
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: On inspection the Licensing Officer observed expired food in the emergency supply kit and not enough supplies for 72 hours.
Corrective Action(s): Please ensure there are enough emergency supplies for all children for up to 72 hours and that all supplies have a current expiration date.
Date to be Corrected: November 28, 2022
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation (CORRECTED DURING INSPECTION): Single use towels were not available in the children's bathroom. The manager provided paper towels during this inspection.
Corrective Action(s):
Date to be Corrected:
RECORDS AND REPORTING: 19052 - CCLR s.56.1(2)(b) - A Licensee must keep (b) a current record of each person to whom the written agreement is delivered in accordance with that section [CCALA s.19]
Observation: Files for nine children were reviewed. A parent contract was not available for two children.
Corrective Action(s): Please ensure a parent contract is available for all children.
Date to be Corrected: November 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: Files for nine children were reviewed. One file did not have contact information for a doctor or medical clinic. The Licensing Officer recommended working with the family to ensure a plan is in place to obtain this information.
Corrective Action(s): Please ensure a doctor or medical clinic information is available for all children.
Date to be Corrected: November 28, 2022
RECORDS AND REPORTING: 19220 - CCLR s.58(1)(b) - A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.
Observation: A care plan including the course of action recommended by health care professionals for a child requiring additional support is not available for one child.
Corrective Action(s): Please ensure a written care plan is available for all children requiring additional support.
Date to be Corrected: November 28, 2022
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