Complaint Investigation
Inspection Information
Facility Type
Child Care - 300
Received Date
20-Jan-2023
Subject
["Policies (Includes issues such as not following, insufficient information or policy missing)","Reporting (Includes issues such as not reporting, insufficient reporting, etc.)","Behavioural Guidance"]
Contraventions: A summary of the new contraventions found during the inspections are listed below.
Code
Category/Description
A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee,
Observation: Through the investigation process, Licensing determined that the Licensee had not notified the medical health officer within 24 hours after a reportable incident described in Schedule H, specifically related to service delivery interruptions.
Corrective action: Ensure the Licensee notified the medical health officer within 24 hours after a reportable incident described in Schedule H. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On April 2 and 5, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Licensee reviewed Schedule H on January 25, 2023 and would ensure that if the facility closed with short notice to families that the closure would be reported to Licensing. The corrective action plan was reviewed and accepted by Licensing. On January 25, 2023, Licensing received a copy of Schedule H that contained the Licensee signature, indicating the Licensee had reviewed reportable incidents described in Schedule H.
A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care
Observation: Through the investigation process, Licensing determined that the Licensee had not operated the community care facility in a manner that promoted the health, safety and dignity of persons in care, specifically related to the Licensee not following the facility repayment policy.
Corrective action: Ensure the community care facility was operated in a manner that would promote the health, safety and dignity of persons in care, specifically regarding staff implementing policies. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On April 2 and 5, 2023, Licensee submitted a corrective action to Licensing. The corrective action plan included: all currently enrolled families and future families, would receive updated facility policies including the repayment policy and would sign a parent agreement form that indicated they had agreed to the policies. The corrective action plan was reviewed and accepted by Licensing. During a Routine Inspection, dated April 12, 2023, Licensing observed signed parent contracts/agreements in each child file, indicating parents had received and agreed to the facility policies, including the Repayment policy.
A licensee must ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance,
Observation: Through the investigation process, Licensing determined that the Licensee implemented behavioural guidance techniques not appropriate to the age and development of the child who was receiving guidance, specifically the Licensee had utilized time out as a form of behavioural guidance.
Corrective action: Ensure behavioural guidance was appropriate to the age and development of the child who was receiving the guidance. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On April 2 and 5, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Licensee updated the facility Behavioural Guidance policy on January 25, 2023, to not include the use of time out as a behavioural guidance technique and would review the Guiding Children's Behaviour publication. On January 25, 2023, Licensing received by email a copy of the facility updated Behavioural Guidance policy that indicated time out was no longer included as a behavioural guidance technique. On April 12, 2023, during a Routine Inspection, Licensing observed signed parent contracts/agreements in each child file that indicated parents received and accepted the facility policies including the updated behavioural guidance policy.