Description: A licensee must appoint a manager for the community care facility.

Corrective Actions Required: Ensure a manager is appointed to the community care facility.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By: February 10, 2023

Observations: Licensing observed that the previous manager left employment in May 2022 and no replacement manager had been appointed.

Description: 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: (b) character references in respect of the person

Corrective Actions Required: Ensure character references are obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Licensing reviewed three staff files. One file did not contain character references.

Description: 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: copies of any diplomas, certificates or other evidence of the person’s training and skills

Corrective Actions Required: Ensure evidence of training and skills is obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Licensing reviewed three staff files. One file did not have evidence of training.

Description: 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

Corrective Actions Required: Ensure immunization status is obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Licensing reviewed three staff files. One file did not contain immunization status.

Description: A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

Corrective Actions Required: Ensure employees practice implementing the fire drill system at least once a month.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Staff stated that fire drills had not been practiced at the facility.

Description: A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

Corrective Actions Required: Ensure employees practice implementing the emergency plan at least once a year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Staff stated that emergency drills had not been practiced.

Description: A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.

Corrective Actions Required: Ensure children are instructed in and to practice the rules of health and hygiene.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 11, 2023

Observations: Licensing observed that children were eating snack without handwashing, a child was walking while eating, no table washing occurred before or after eating snack and the children's personal belongings were stored on the floor in a pile.

Description: A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

Corrective Actions Required: Ensure records are kept for each child showing immunization status.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Licensing reviewed five children's files. One file did not contain immunization status.

Description: In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58,

Corrective Actions Required: Ensure records referred to in Sections 56-58 are kept in a single place at the community care facility.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 10, 2023

Observations: Licensing observed that one staff did not have a file on site.

Description: Log kept of all inspections, maintenance & repairs

Corrective Actions Required: Ensure a log is kept of all inspections, maintenance and repairs. Action Required by Licensing: Follow Up Inspection to be conducted

Corrective Actions Taken By Licensee:

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By: February 10, 2023

Observations: Licensing observed that a record was not kept of daily playground inspections. Staff stated that the play area was checked but this was not recorded.