Description: A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are safely constructed, free from hazards and in good repair.

Corrective Actions Required: Ensure depth surfacing around 5 feet elevated equipment (composite climber with three slides) has a minimum of six inches of depth surfacing.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 15, 2025

Observations: Director of Licensing Standards of Practice (DOLSOP) Safe Play Spaces speaks to depth surfacing around elevated equipment. Licensing measured the depth surfacing under the 5 foot elevated equipment (composite climber with three slides). Depth surfacing measured 2 to 5 inches around the equipment. Licensee stated children will not have access to this equipment until additional depth surfacing is added and Licensing returns to correct this violation.

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: a criminal record check for the person

Corrective Actions Required: Ensure all staff have a valid Criminal Record Check on file.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 30, 2025

Observations: Licensing reviewed eight staff files and one staff did not have a valid Criminal Record Check on file.