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 staff have the required skills to implement facility polices. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On April 9, 2026 Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: clear facility verification procedures for authorized pick up policy, custody-related documentation clearly recorded and accessible, mandatory staff training, within three months, regarding legal documentation recognition, custody and pick up procedures with annual refresher training for all staff. 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: April 30, 2026

Observations: Regarding intake February 23, 2026. Through the investigation process, Licensing determined that the staff had not demonstrated the required skills and abilities and had not implemented facility policies related to safe release.

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

Corrective Actions Required: Ensure that polices and procedures at the facility are implemented by staff, specifically in regards to parental access. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On April 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Mandatory staff training within three months, to review legal documentation recognition, custody and pick up procedures, clear facility verification procedures for authorized pick up. 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: April 30, 2026

Observations: Regarding intake February 23, 2026. Through the investigation process, Licensing determined that staff did not follow the policies for parental access at the facility.

Description: CCLR 49(1) A licensee must ensure that a parent has reasonable access to his or her child while the child is in the community care facility.

Corrective Actions Required: Ensure access is permitted to parents on authorized pick up form at the facility when legal documentation does not indicate otherwise. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On April 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: mandatory staff training within three months on legal document requirements and recognition, clear facility verification procedures for authorized pick up, Child Care Licensing Regulation, and annual refresher training. 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: April 30, 2026

Observations: Regarding intake February 23, 2026. Through the investigation process, Licensing determined that a parent was not permitted to pick up their child without legal documentation to support the action.