LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation: Licensing observed that the Manager's name wasn't posted anywhere within the facility.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
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;
- several areas that the rubber mats are lifting in the outdoor play area. Potential tripping hazard.
- a hole between two rubber mats in the outdoor play area. Potential tripping hazard.
- two carpets curling at the corners. Potential tripping hazard
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 12, 2025
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 paint chipping in several areas throughout the facility.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 12, 2025
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 the following that are accessible to children in care;
- diaper rash ointment on a shelf in the group child care (30 months to SA) bathroom.
- blind cords in the nap room hanging low when blinds are opened. Potential strangulation hazard.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
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: Upon a random review of three staff records, Licensing observed that immunization status was not obtained for three staff.
Licensing provided further clarification on what documents were required to be obtained for staff records.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 9, 2025
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 was informed that fire drills were practiced for the months of November and December 2024 however, they were not recorded.
Corrective Action(s): Will ensure that all fire and emergency drills are recorded.
Date to be Corrected:
CARE AND/OR SUPERVISION: 14030 - CCLR s.34(2)(b) - Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation: Upon discussion with the Manager and Director Licensing observed the following;
- There is no infant and toddler educator in the group child care (under 36 months) every morning for half an hour. An early childhood educator (ECE) is opening and present
- There is no ECE in the group child care (30 months to SA) every morning for an hour. An ECEA is opening and present.
Licensing reviewed schedule E, staff to child ratio, and ensuring that it is maintained at all times when in operation.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
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: Upon a random review of four children's records, Licensing observed that the start date was not recorded for two children's records.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
RECORDS AND REPORTING: 19090 - CCLR s.57(2)(c) - A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Observation: Upon a review of 8 days of the attendance records for the months of April and May 2025, Licensing observed that there were five days that children were not identified as absent.
Licensing discussed the importance of ensuring that attendance records are accurate on a daily basis.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
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: Upon a random review of four children's records, Licensing observed the following;
- doctor's information was not obtained for two children's records
- emergency contact information was not obtained for one child's record
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 9, 2025
RECORDS AND REPORTING: 19180 - CCLR s.57(2)(k) - A licensee must keep, for each child, a record showing the following information: (k) the date on which the child stops attending the community care facility.
Observation: Upon a review of children's records, Licensing was informed that a child no longer attends. However, the date of withdrawal was not recorded.
Corrective Action(s): A written response to be submitted to Licensing on how this contravention has been addressed.
Date to be Corrected: May 7, 2025
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