Description: Licensee must employ at a community care facility only persons of good character who meet the standards for employees specified in the regulations

Corrective Actions Required: Ensure the community care facility is operated 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 the contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective plan included: staff would review the care plan development process and be aware of strategies that would be applied consistently among staff. In addition, regular updates would be made by staff and parents. Staff would also review the revised Behaviour Guidance policy that included direction for staff on examples where physical contact and physical; redirection would be permitted. The staff reviewed this information by February 9, 2026. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 11, 2026

Observations: Regarding intake December 12, 2025, Licensing determined staff used physical restraint and grabbed a child by the bicep area.

Description: A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.

Corrective Actions Required: Ensure the policies an procedures are implemented by employees. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective plan included: staff would review the revised Behaviour Guidance policy by February 9, 2026. The revised policy included direction to staff on examples where physical contact and physical redirection would be permitted. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 11, 2026

Observations: Regarding intake December 12, 2025, Licensing determined staff were not following the behaviour guidance policy.

Description: If the child has a care plan that includes instructions respecting behavioural guidance, the licensee must ensure that if the behavioural guidance includes the use of restraints, that the restraints are administered only by a person who is trained in the use of, and alternatives to the use of, restraints.

Corrective Actions Required: Ensure the care plan that included restraint as a form of behaviour guidance be administered only by a person who is trained in the use of restraints. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective plan included: staff would review the revised Behaviour Guidance policy by February 9, 2026. The revised policy included direction to staff on examples where physical contact and physical redirection would be permitted. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 11, 2026

Observations: Regarding intake December 12, 2025, Licensing determined the care plan for a child was not being followed, specifically the use of restraints.