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

Corrective Actions Required: Ensure that a community care facility operates in a manner that promotes 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 March 3 and 6, 2025 Licensee submitted a corrective action plan to Licensing. The corrective action plan included: new guidance strategies for all staff were created to support children's development, reportable incidents will be submitted to Licensing within 24 hours, the Licensee contact will review completion of the minor incident log weekly and a new proposed Manager will be appointed to the facility for 2025. The corrective action plan was reviewed and accepted by Licensing. On March 14, 2025 Licensing conducted a Follow Inspection to Complaint Inspection and confirmed that all staff on site had received training related to guidance practices, the Licensee contact was not on site at time of inspection. On July 23, 2025 Licensing observed that the new proposed Manager was issued on the License. The Manager confirmed the minor incident log book was not reviewed by the Licensee weekly. Licensing observed the minor incident log book was up to date and that no reportable incidents appeared to be reportable to Licensing. There appeared to be no new guidance strategies created for staff.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 29, 2025

Observations: Regarding intake dated December 16, 2024, Through the investigation process, Licensing determined that the Licensee Contact had extended absences from the site, and was not accessible to staff leaving the facility with no Licensee contact or Manager for extended periods of time and not demonstrated the skills and abilities to carry out the duties assigned.

Description: A licensee must ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance,

Corrective Actions Required: Ensure that behavioral guidance is appropriate for the age and development of the child receiving the guidance. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On March 3 and 6 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: New guidance practices had been created to support children's development with positive supports, children would not be subject to confinement or restraint, staff would receive continuous education and training regarding the guidance practices. The corrective action plan was reviewed and accepted by Licensing. On July 23, 2025 Licensing observed that there were no new guidance practices that had been created to support children's development with positive supports. The manager confirmed the policies were the same prior to March 3,and 6, 2025. Staff reviewed education and training regarding guidance practices during staff meetings. The most recent staff meeting was July 22, 2025. However, the manager could not provide any evidence the staff meeting occurred.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 29, 2025

Observations: Regarding intake dated December 16, 2024. Through the investigation process, Licensing determined that the behvaiour guidance strategies used by staff were no appropriate to the age and development of children in care, specifically a staff member not providing explanation of expected behaviours as per the facility policies and several staff applying restraints as part of behvaiour guidance practices.