Complaint Investigation
Inspection Information
Facility Type
Child Care - 300
Received Date
04-Apr-2022
Subject
["Behavioural Guidance","Reporting (Includes issues such as not reporting, insufficient reporting, etc.)","Health and Safety","Emotional Abuse","Recordkeeping (Includes issues such as not keeping records, insufficient records, care planning issues, health care consent, admission records.)","Restraints","Staffing (Includes issues such as suitability, insufficient levels, etc.)"]
Contraventions: A summary of the new contraventions found during the inspections are listed below.
Code
Category/Description
A licensee must ensure that a child is not, while under the care or supervision of the licensee, subjected to any of the following types of abuse or neglect: emotional abuse,
Observation: Through the investigation process, Licensing determined children had been subject to emotional abuse.
Corrective action: Ensure that a child is not, while under the care or supervision of the licensee, subjected to emotional abuse. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included termination of employee who subjected children to emotional abuse. This corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
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 reportable incidents described in Schedule H had not been reported to Licensing.
Corrective action: Ensure the medical health officer in notified within 24 hours after 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. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On March 9, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan indicated the Licensee Contact understood what constituted a reportable incident related to aggressive behaviors of children in care. She had attended the Manager Orientation Session as a refresher. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Safe Play Space.
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: Through the investigation process, Licensing determined the current facility Licence including Manager name had not been posted.
Corrective action: Ensure a community care facility Licence is displayed in a prominent place in the community care facility including any terms or conditions of the licence, and the name of the manager. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On March 9, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan indicated that the current facility Licence had been posed and she would ensure that any Licenses issued would be posted in a timely manner. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Safe Play Spaces.
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 children had been subjected to inappropriate behavior guidance.
Corrective action: Ensure that behavioral guidance is appropriate to the age and development of the child who is 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 October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included termination of employee who provided inappropriate guidance practices. New staff had been trained to provide appropriate guidance techniques and a new revised behavior guidance policy was implemented. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
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 staff did not have the skills and abilities to carry out the duties assigned.
Corrective action: Ensure a facility operates the 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 to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included termination of employee who did not have the skills and abilities to carry out duties assigned. Between December 5, 2022 and March 9, 2023 the Licensee Contact has worked to ensure the new staff were enacting appropriate behavior guidance as per facility policies. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP Safe Play Spaces.
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 determined the employee to children ratio had not been maintained.
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 to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included review of legislative requirements and that groups were not to be split without proper qualified educators. Licensee Contact stated she continued to monitor this. The corrective action plan was reviewed and accepted by Licensing. On Follow Up Inspection dated May 4, 2023 Licensing noted staff to child ratio was compliant with Schedule E. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
Observation: Through the investigation process, Licensing determined that care plans had not been created for children who required extra support.
Corrective action: Ensure a care plan is developed in consultation, with a parent of the child requiring extra support. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022 and March 9, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan indicated that the Licensee Contact would ensure care plans were competed in a timely manner. If a care plan was needed and identified at the time of registration, the care plan would be initiated. If the care planning was taking longer than expected, the child would not be allowed to return to care until a care plan was completed to better support the child during care hours. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of person in care
Observation: Through the investigation process, Licensing determined that the health and safety of children in care had not been ensured.
Corrective action: Ensure a community care facility operates in a manner that will promote the health, safety and dignity of person in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included termination of employee who provided inappropriate practices. New staff had been trained to provide appropriate guidance techniques and a new revised behavior guidance policy was implemented and staff had taken a Manger Orientation session. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
Height of equipment – Highest play surface as reported by Licensee or observed by LO: for toddlers (12 to 36 months) no more than .9 metres (3 feet) for preschool children (30 months to school age, no more than 1.5 metres (5 feet) for school-age children (attending school) no more than 2.3 metres (7 feet)
Observation: Through the investigation process, Licensing determined children under 36 Months were climbing equipment that was higher than .9 meters (3 feet).
Corrective action: Ensure that equipment used by children under 36 months is no more than .9 meters (3 feet). Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included Licensee had provided direction to staff to not allow children to access the higher platform. Licensee Contact stated she continued to monitor this plan. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.
A licensee must ensure that a child, while under the care or supervision of the licensee, is not subjected to confinement or physical restraint by an employee, except as authorized in a child care plan if the plan includes instructions respecting behavioural guidance.
Observation: Through the investigation process, Licensing determined a child had had been subjected to confinement and restraint by an employee.
Corrective action: Ensure that a child, while under the care or supervision of the licensee, is not subjected to confinement or physical restraint by an employee, except as authorized in a child care plan if the plan includes instructions respecting behavioral 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 October 13, 2022, Licensee submitted a corrective action plan to Licensing. The corrective action plan included termination of employee who provided inappropriate guidance practices. New staff had been trained to provide appropriate guidance techniques and are not using restraints unless required in an emergency or as outlined in a care plan. A revised behavior guidance policy was implemented to ensure no use of restraints. The corrective action plan was reviewed and accepted by Licensing. This investigation was identified in the Final Investigation Report which identified contraventions to the Community Care and Assisted Living Act, Child Care Licensing Regulations, and DOLSOP for Active Play.