First Steps Daycare, First Steps Daycare - Inspection Report
Inspection Information
Facility typeChild Care - 300, Child Care - 300
Service type304 Family Child Care
304 Family Child Care
Inspection typeNon-Visit Follow-up, Non-Visit Follow-up
Inspection dateJanuary 19, 2018 January 19, 2018
Follow up requiredYes, Yes
Contraventions: A summary of the contraventions found during the inspection are listed below.
Code Category/Description
Outstanding contraventions that have been corrected.
Code CCLR Section 19(1)(a) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Staffing (At the time of inspection, it was apparent that the licensee does not have a criminal record clearance on file for each employee. The licensee's criminal record clearance expired may 2017 and no renewal was on file. )

Code CCLR Section 20(1) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Staffing (Persons who are over the age of 12 and ordinarily present while children are in care do not have a criminal record clearance on file. At time of inspection, observed two persons present over the age of 12 years, do not have a criminal record clearance on file. One clearance had expired and was not renewed, while the other was not applied for.)

Code Standard of Practice - Active Play noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (At time of inspection, it was determined the licensee has not developed an active play policy and screen time policy as outlined in the Director of Licensing Standard of Practice ((DOLSP). The licensee states outdoor activity occurs daily and no television screen was present in the facility. )
Code CCLR Section 19(1)(a) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Staffing (At the time of inspection, it was apparent that the licensee does not have a criminal record clearance on file for each employee. The licensee's criminal record clearance expired may 2017 and no renewal was on file. )

Code CCLR Section 20(1) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Staffing (Persons who are over the age of 12 and ordinarily present while children are in care do not have a criminal record clearance on file. At time of inspection, observed two persons present over the age of 12 years, do not have a criminal record clearance on file. One clearance had expired and was not renewed, while the other was not applied for.)

Code Standard of Practice - Active Play noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (At time of inspection, it was determined the licensee has not developed an active play policy and screen time policy as outlined in the Director of Licensing Standard of Practice ((DOLSP). The licensee states outdoor activity occurs daily and no television screen was present in the facility. )
The following were still in contravention as of January 19, 2018 January 19, 2018
Code CCLR Section 22(1)(b) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (The licensee does not currently have an emergency plan that sets out the procedures to prepare for, mitigate, respond to and recover from any emergency. The licensee confirmed no 72 hour disaster kit is kept on site which is consistent with the emergency preparedness plan. )

Code CCLR Section 53(4) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Medication (When a child self-administers medication, an employee must document in the care plan. At time of inspection, it was determined a care plan has not been developed for a child who currently self administers. )

Code CCLR Section 56(1)(c) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (At the time of inspection, it was determined that the licensee does not have current records respecting compliance with the requirements with emergency training and equipment as set out in section 22 of the regulation. The facility fire extinguisher was due for servicing August 2017 and was not serviced at the time of inspection. )

Code CCLR Section 56(1)(f) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (Licensee does not have a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H. Currently the care provider is not maintaining a log book for minor accidents, illnesses or unexpected events. )

Code CCLR Section 56.1(2)(b) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (At time of inspection, it was determined the licensee does not have a record of persons who prepay as introduced in the new legislation in 2016 and has not created the policy which addressed repayment agreements. )

Code CCLR Section 57 noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (The licensee must have a current record for each child which includes all of the prescribed information as set out in Section 57. Some of the children's records did not contain photographs, immunization status and date of enrolment.)

Code CCLR Section 58(1)(a) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (A care plan, for a child requiring extra support, does not include information regarding the child's diagnoses relevant to the child's requirement for additional support. At time of inspection, it was confirmed a child in care currently self-administers medication, however no care plan has been developed. )

Code Standard of Practice - Outdoor Playspace noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Physical Facility, Equipment and Furnishings (Documentation tracks inspections, maintenance and repairs to the outdoor playspace. Licensee confirmed daily checks of the outdoor playspace; however records were not available to confirm the inspections are occurring. )
Code CCLR Section 22(1)(b) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (The licensee does not currently have an emergency plan that sets out the procedures to prepare for, mitigate, respond to and recover from any emergency. The licensee confirmed no 72 hour disaster kit is kept on site which is consistent with the emergency preparedness plan. )

Code CCLR Section 53(4) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Medication (When a child self-administers medication, an employee must document in the care plan. At time of inspection, it was determined a care plan has not been developed for a child who currently self administers. )

Code CCLR Section 56(1)(c) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Policies and Procedures (At the time of inspection, it was determined that the licensee does not have current records respecting compliance with the requirements with emergency training and equipment as set out in section 22 of the regulation. The facility fire extinguisher was due for servicing August 2017 and was not serviced at the time of inspection. )

Code CCLR Section 56(1)(f) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (Licensee does not have a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H. Currently the care provider is not maintaining a log book for minor accidents, illnesses or unexpected events. )

Code CCLR Section 56.1(2)(b) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (At time of inspection, it was determined the licensee does not have a record of persons who prepay as introduced in the new legislation in 2016 and has not created the policy which addressed repayment agreements. )

Code CCLR Section 57 noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (The licensee must have a current record for each child which includes all of the prescribed information as set out in Section 57. Some of the children's records did not contain photographs, immunization status and date of enrolment.)

Code CCLR Section 58(1)(a) noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Records and Reporting (A care plan, for a child requiring extra support, does not include information regarding the child's diagnoses relevant to the child's requirement for additional support. At time of inspection, it was confirmed a child in care currently self-administers medication, however no care plan has been developed. )

Code Standard of Practice - Outdoor Playspace noted on Routine inspection # LTHS-ATTNP3 of Dec-05-2017 Physical Facility, Equipment and Furnishings (Documentation tracks inspections, maintenance and repairs to the outdoor playspace. Licensee confirmed daily checks of the outdoor playspace; however records were not available to confirm the inspections are occurring. )
Actions Required by Licensee/Operator
- Corrective action plan to be developed and submitted.
- Corrective action plan to be developed and submitted.
Action Required by Licensing Officer or Medical Health Officer
- Review and monitor corrective action plan > Follow up inspection required.
- Review and monitor corrective action plan > Follow up inspection required.