Complaint Investigation
Inspection Information
Facility Type
Child Care - 300
Received Date
25-Aug-2021
Subject
["Staffing (Includes issues such as suitability, insufficient levels, etc.)","Health and Hygiene","Reporting (Includes issues such as not reporting, insufficient reporting, etc.)"]
Contraventions: A summary of the new contraventions found during the inspections are listed below.
Code
Category/Description
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 identified the health and safety plan in place stating a 1:10 staff to child ratio would be met in all programs, was not followed on July 12, 2021 and August 5, 2021. Licensing also identified their is no documentation stating when the Licensee is working and in ratio.
Corrective action: Ensure to operate a community care facility in a manner that will promote the health, safety and dignity of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan specific to the contravention. Action/s Required by Licensing: On October 11, 2021, October 15, 2021 and October 17, 2021 Licensee submitted a corrective action plan specific to the contravention. The corrective action plan included current Health and Safety Plans would be reviewed and signed off by staff at all staff meetings, and effective October 1, 2021 the Licensee's hours would be documented showing when he is in ratio. Licensing reviewed and accepted this corrective action plan. On January 15, 2022, Licensee Contact submitted evidence to Licensing showing the days and times the Licensee Contact was in ratio from October 1, 2021 to January 14, 2022 and that policies, guidance practices and current Health and Safety Plans were reviewed and signed off by all staff during staff meetings held on November 29, December 10 2021 and January 12, 2022. Licensing to review and monitor this corrective action plan during the Routine Inspection. No further action required; this contravention has been addressed.
To be corrected by: 26-Oct-2021
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 identified that the facility had ran out of water on July 5, 2021 and it was not reported to Licensing as a reportable incident.
Corrective action: Ensure to notify the medical health officer within 24 hours after a child was, or may have been involved in, a reportable incident. Action/s Required by Licensee: Licensee to submit a corrective action plan specific to this contravention. Action/s Required by Licensing: On October 11, October 15 and October 17 Licensee submitted a corrective action plan specific to the contravention. The corrective action plan included all staff and new hires would be trained or Incident Reporting. An Incident Reporting Log will be signed and dated once training is complete. This corrective action plan has been reviewed and accepted by Licensing. On January 18, 2022 Licensee Contact submitted evidence to Licensing showing Incident Reporting Log was reviewed and signed by staff on October 18, November 29, December 17 2021 and January 13, 2022.Licensing to review and monitor this corrective action plan during Routine Inspection. No further action required; this contravention has been addressed.
To be corrected by: 26-Oct-2021
Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Observation: Through the investigation process, Licensing identified that the facility had been in non compliance with staff to child ratios on August 12 2021, August 18, 2021 and August 19, 2021.
Corrective action: Ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E. Action/s Required by Licensee: Licensee to submit a corrective action plan specific to the contravention. Action/s Required by Licensing: On October 11, 2021, October 15, 2021 and October 17, 2021 Licensee submitted a corrective action plan specific to the contravention. The corrective action plan included the Licensee will review CCLR Schedule E and the facility "Supervision Plan" regarding ratios at all staff meetings. Documents stating these have been reviewed at the meetings will be signed off by all staff. This corrective action plan has been reviewed and accepted by Licensing. On January 15, 2022 Licensee Contact submitted evidence to Licensing showing Schedule E had been reviewed and signed off by staff at staff meetings on November 29, December 10, 2021 and January 12, 2022. Monthly children’s attendance reports for October, November and December 2021 were also submitted showing compliance had been maintained. Licensing to review and monitor this corrective action plan during Routine Inspection. No further action required; this contravention has been addressed.
To be corrected by: 26-Oct-2021
A licensee must immediately notify a parent or emergency contact if, while under the care or supervision of the licensee, the child is involved in, or may have been involved in, a reportable incident described in Schedule H.
Observation: Through the investigation process, Licensing identified the facility had run out of water on July 5, 2021 and the parents had not been notified.
Corrective action: Ensure to immediately notify a parent or emergency contact if the child was involved in, or may have been involved in, a reportable incident. Action/s Required by Licensee: Licensee to submit a corrective action plan specific to this contravention. Action/s Required by Licensing: On October 11, October 15 and October 17 Licensee submitted a corrective action plan specific to the contravention. The corrective action plan included all staff and new hires would be trained on Incident Reporting. An Incident Reporting Log will be signed and dated once training is complete. This corrective action plan has been reviewed and accepted by Licensing. On January 18, 2022 Licensee Contact submitted evidence to Licensing showing Incident Reporting Log was reviewed and signed by staff on October 18, November 29, December 17 2021 and January 13, 2022. Licensing to review and monitor this corrective action plan during Routine Inspection. No further action required; this contravention has been addressed.
To be corrected by: 26-Oct-2021