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

Corrective Actions Required: Ensure that policies and procedures are implement 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 October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included staff would be expected to know, understand, and comply with centre policies, which would be distributed; and evidence of these expectations would be reflected in the staff meeting minutes provided to Licensing on October 16, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not ensured that policies and procedures were implemented by employees as behavioural guidance practices described were inconsistent with the behavioural guidance policy.

Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of person in care

Corrective Actions Required: Ensure that a Licensee 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 the contravention. Action/s Required by Licensing: On October 8, 2025 the Licensee submitted a corrective action plan to Licensing. The corrective action plan included the Licensee would partake in online training relating to inclusion and guiding behaviours, maintain professional conduct, ensure compliance and safety within the centre, and follow the centre's Professional Development Policy; and evidence of online training would be completed by November 1, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not demonstrated the necessary skills to ensure the community care facility operated in a manner that would promote the health, safety and dignity of persons in care.

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 a Licensee ensures behavioural 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 the contravention. Action/s Required by Licensing: On October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included respectful, positive behaviour guidance strategies would be used exclusively with no punitive or exclusionary strategies allowed; behavioural guidance would adhere to its policy and the Policy Compliance Policy; a staff meeting would occur on October 3, 2025; and monthly staff and peer evaluations would be conducted and submitted to Licensing by October 31, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not ensured behavioural guidance was appropriate to the age and development of the children receiving the guidance as children were subjected to confinement.

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,

Corrective Actions Required: Ensure that children, while under the care and supervision of the Licensee, have not been subjected to the following form of abuse: emotional abuse. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included there would be no shaming, belittling, threatening, or ignoring children's emotional expressions; staff would be retrained on the definition and prevention of emotional abuse; tones and voices would be gentle, calm, and respectful with no yelling, shaming or raised voices and align with the Child Protection and Emotional Safety Policy prohibiting harms and mandating respectful care; evidence of these corrective actions would be immediate and ongoing; and evidence of training would be reflected in the staff meeting minutes provided to Licensing on October 16, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not ensured that children, while under the care and supervision of the Licensee, had not been subjected to the following form of abuse: emotional abuse, as children in care had been yelled at and appeared afraid.

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: Neglect

Corrective Actions Required: Ensure that children, while under the care and supervision of the Licensee, have not been subjected to the following form of abuse: neglect. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included children's needs would be responded to promptly with active supervision and no child being left alone; there would be an immediate response to washroom needs aligned with the Child Care Service Policy and Health & Safety Policy; evidence of these corrective actions would be immediate and ongoing; and evidence of these discussion and expectations would be reflected in the staff meeting minutes provided to Licensing on October 16, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not ensured that children, while under the care and supervision of the licensee, had not been subjected to the following form of abuse: neglect, as children had been denied the necessary use of the washroom and had not been helped with independent tasks.

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: physical abuse

Corrective Actions Required: Ensure that children, while under the care and supervision of the Licensee, have not been subjected to the following form of abuse: physical abuse. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included staff would be retrained on safe and respectful physical contact; where all physical contact would be purposeful, gentle, and respectful; there would be no physical punishment or coercion, and verbal warnings would be given before any physical intervention, aligning with the Physical Contact & Safety Policy prohibiting physical punishment; evidence of these corrective actions would be immediate and ongoing; and evidence of this training would be reflected in the staff meeting minutes provided to Licensing on October 16, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not ensured that children, while under the care and supervision of the licensee, had not been subjected to the following form of abuse: physical abuse, as children had been grabbed forcefully.

Description: 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,

Corrective Actions Required: Ensure to notify the medical health officer within 24 hours after a child had been involved in a reportable incident described in Section 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 the contravention. Action/s Required by Licensing: On October 8, 2025 Licensee submitted a correction action plan to Licensing. The corrective action plan included all incidents would be reported without delay. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not notified the medical health officer within 24 hours after a child had been involved in a reportable incident described in Section H while under the care or supervision of the Licensee as Licensing was made aware of multiple incidents relating to emotional and physical abuse that had not been reported.

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 Licensee 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 the contravention. Action/s Required by Licensing: On October 8, 2025, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included staff would adhere to capacity limits for each program with only planned and documented transitions permitted; evidence of adherence to capacity limits would be immediate and ongoing; and evidence of this corrective action would be discussed and documented in the staff meeting minutes provided to Licensing on October 16, 2025. 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: October 8, 2025

Observations: Regarding intake dated July 30, 2025. Through the investigation process, Licensing determined that the Licensee had not operated the community care facility in a manner that would promote the health, safety and dignity of persons in care as they exceeded the capacity allowed for their category of care.