Aldergrove Daycare Centre

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Group Child Care - Staff to Child ratio not maintained. (ECE/ASST/ASST). This is a recurring contravention.

  Corrective action. The manager confirmed that she will provide Licensing with a long term plan to ensure required staffing qualifications at all times.

  14030 - CCLR s.34(2)(b)

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. A staffing exemption has been obtained; however, upon Licensing arrival the approved staffing plan for the exemption was not in place.

  Corrective action. The Licensee will provide an updated staffing plan to ensure that compliance is maintained at all times.

  14030 - CCLR s.34(2)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. A Screen Use Policy and an Active Play Policy were not available to guide staff.

  Corrective action. The Licensee will ensure that these policies are on site.

  13060 - CCLR s.56(1)(d)

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Group Child Care - Staff to Child ratio not maintained. (ECE/ASST/ASST). This is a recurring item of non-compliance.

  Corrective action. The manager confirmed that she will provide Licensing with a long term plan to ensure required staffing qualifications at all times.

  14030 - CCLR s.34(2)(b)

• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. Licensing observed that, after hand washing, all of the children were sharing the same towel to dry their hands.

  Corrective action. Ensure to use single use towels for hand drying.

  15030 - CCLR s.46(1)
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Group Child Care - Staff to Child ratio not maintained. (ECE/ASST/ASST). This is a recurring item of non compliance.

  Corrective action. You must ensure that staff are qualified as per CCLR Schedule E.

  14030 - CCLR s.34(2)(b)
• OR SUPERVISION

  A licensee must (b) provide to employees and parents a written statement of the licensee's policy on behavioural guidance.

  Observation. The licensee's policy on behavioral guidance is under the licensee's review and is not provided to parents.

  Corrective action. Ensure to provide the Licensee's policy on behavioral guidance to parents.

  14230 - CCLR s.51(1)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. The Licensee has not developed an Active Play Policy or a Screen Use Policy.

  Corrective action. Ensure to develop an Active Play Policy and a Screen Use Policy which is to be provided to the staff and the parents.

  13060 - CCLR s.56(1)(d)
• POLICIES AND PROCEDURES

  A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

  Observation. Emergency Supplies are insufficient to implement the emergency plan

  Corrective action. Ensure to have sufficient food and water to mitigate, respond to and recover from any emergency.

  13020 - CCLR s.22(1)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. The licensee explained that the last fire drill was in September 2023. The last recorded fire drill was in August 2023. This is an item of recurring non-compliance.

  Corrective action. Ensure to practice fire drills monthly and maintain a written record of each drill.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  A licensee must keep (a) a copy of the written statement, referred to in section 19 of the Act, that the licensee delivers to persons who prepay part of the cost of services

  Observation. The Licensee does not have a written statement that the licensee delivers to persons who prepay part of the cost of services.

  Corrective action. Ensure to provide a written statement to persons who prepay part of the cost of services and keep a current record of each person to whom the written statement is delivered..

  19051 - CCLR s.56.1(2)(a)
• RECORDS AND REPORTING

  A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.

  Observation. A current log of minor accidents, illnesses and unexpected events involving children is not maintained.

  Corrective action. Ensure to maintain a current log of minor accidents, illnesses and unexpected events involving children.

  19050 - CCLR s.56(1)(f)
• STAFFING

  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: (c) a record of the person's work history.

  Observation. A record of the person's work history was not obtained for one or more employees. This is a recurring item of non-compliance.

  Corrective action. Ensure to obtain a record of work history for each staff prior to employment.

  12060 - CCLR s.19(1)(c)
• STAFFING

  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.

  Observation. A minimum of two character references were not obtained for one employee. This is a recurring item of non-compliance.

  Corrective action. Ensukre to obtain character references for each employee, prior to employment.

  12050 - CCLR s.19(1)(b)
• STAFFING

  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) a criminal record check for the person.

  Observation. Criminal Record Check not obtained. This is a recurring item of non-compliance.

  Corrective action. Ensure to obtain a site specific criminal record check for each staff, prior to employment.

  12040 - CCLR s.19(1)(a)

No violations recorded at this inspection.

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Group Child Care - Staff to Child ratio not maintained. (ECE/ASST/ASST).

  Corrective action. Ensure staff to child ratio is maintained as per Sch.E of the CCLR.

  14030 - CCLR s.34(2)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. Fire drill records were not maintained for the month of May, June, July and August. No records for yearly emergency drill for 2021.

  Corrective action. Ensure that monthly fire drills and yearly emergency drill are practiced with the children and staff and recorded accordingly.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. 10 children files were reviewed; 1 child's immunization records were missing.

  Corrective action. Ensure all children files are complete.

  19070 - CCLR s.57(2)(a)
• RECORDS AND REPORTING

  A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  Observation. A care plan does not include the course of action recommended by health care professionals for a child requiring additional support.

  Corrective action. Ensure care plans ( with sufficient information) are in place for children requiring extra support.

  19220 - CCLR s.58(1)(b)
• STAFFING

  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) a criminal record check for the person.

  Observation. 3 staff files were reviewed; 1 staff's CRC is not obtained.

  Corrective action. Ensure all staff files are complete.

  12040 - CCLR s.19(1)(a)
• STAFFING

  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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. 3 staff files were reviewed; 1 staff's immunization records were missing.

  Corrective action. Ensure all staff files are complete.

  12090 - CCLR s.19(1)(f)
• STAFFING

  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.

  Observation. 3 staff files were reviewed, 1 staff's references were missing.

  Corrective action. Ensure all staff files are complete.

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. 3 staff files were reviewed; 1 staff's certificate (ECEA) was not validated by the ECE registry.

  Corrective action. Ensure that staff files are complete.

  12140 - CCLR s.19(4)(a)

No violations recorded at this inspection.

• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. Licensing observed that the facility license was posted in a dark corner of the play space in the GCC(30-sa) program and not in a prominent position for public review. The Manager name is also not posted.

  Corrective action. Please ensure the facility licence is posted where the public can see it along with the manager name so that the public/families know who to contact if required.

  10050 - CCLR s.11(1)
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. On arrival, Licensing observed nine children in the Group Child Care (30 months to school age) program with one staff. A tenth child arrived shortly after before the second staff arrived. In discussion with second staff, she said that the sibling groups are generally not here until older siblings are dropped off at school. - Licensing also observed that staffing qualifications didn't meet the requirements of Schedule E. One ECE was on site along with two Responsible Adults. This is a repeat contravention

  Corrective action. Please ensure adequate and qualified staffing at all times to meet the staff to child ratio.

  14030 - CCLR s.34(2)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. On review of fire drill and evacuation drill records, Licensing observed that compliance for recording was not complete for the end of the year, 2020 and June, July and September of 2021. Licensing had provided a sample record sheet for facility use at the previous inspection. This is a repeat contravention

  Corrective action. Please ensure drills are recorded as per requirements of Section 56.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. On review of 5 child files, Licensing observed a missing medical insurance plan number for 1 file.

  Corrective action. Please ensure all children's files are current and complete

  19070 - CCLR s.57(2)(a)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.

  Observation. On review of attrendance records, only four children were signed in on Licensing's arrival, when there were 9 children in care.

  Corrective action. Please ensure attendance records are accurate at all times in case of an emergency situation.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.

  Observation. On review of 4 child records, 1 was missing emergency consent. It was observed that emergency information was not readily available to staff should they be outdoors and dealing with an emergency situation. Staff said that the information had been removed to update.

  Corrective action. Please ensure that staff have immediate acess to children's emergency information.

  19190 - CCLR s.57(3)(a)
• RECORDS AND REPORTING

  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. Observation (CORRECTED DURING INSPECTION): On review of children's files, Licensing observed that 2 children on the attendance record did not have a complete file on site containing emergency contact information. Staff said that they were currently being completed off site as they were new attendees. In an emergency, a staff would be unable to locate pertinent information to assist the child.

  Corrective action. Please ensure that all children's information remains on site and accessible to all staff at all times.

  19320 - CCLR s.59(a)
• STAFFING

  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: (c) a record of the person's work history.

  Observation. A record of the person's work history was not obtained for one employee.

  Corrective action. Please ensure staff are appropriately screened prior to employment

  12060 - CCLR s.19(1)(c)
• STAFFING

  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) a criminal record check for the person.

  Observation. On review of 3 staff files, Licensing observed that all 3 did not have a current criminal record check clearance on file. Licensee/Manager said that she was in the process of applying for them yet there was no evidence on file attesting to that. Further discussion was had as to the requirements of legislation. Staff should not be working with children until clearance is in place.

  Corrective action. Please ensure all staff have criminal record check clearances on file

  12040 - CCLR s.19(1)(a)
• STAFFING

  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.

  Observation. On review of 3 staff files, Licensing observed that all 3 did not have evidence that the references were checked by the Licensee prior to employment. This is a repeat contravention and further discussed with the Licensee/Manager

  Corrective action. Please ensure staff are screened prior to employment

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.

  Observation. Licensing observed that for a period of time during inspection, the children did not have immediate access to a staff holding a first aid certificate.

  Corrective action. Please ensure that any staff left alone on site has a current first aid certificate

  12210 - CCLR s.23(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. On review of 3 staff files, licensing observed that one qualified staff did not have verification of certification on file. This is a repeat contravention

  Corrective action. Please ensure certificates of qualified staff are verified through the ECE Registry

  12140 - CCLR s.19(4)(a)
• STAFFING

  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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Immunization status was not obtained for one employee.

  Corrective action. Please ensure staff are fully screened prior to employment

  12090 - CCLR s.19(1)(f)

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Licensing observed 11 children in the Group Child Care (30 months to School age) with 1 qualified staff supervising. The Manager said that two or three other children were brought over to the School Age program to be cared for by the Manager due to a sudden shortage of staff this morning.

  Corrective action. Please ensure that children are cared for in appropriate numbers by the appropriately qualified staff.

  14030 - CCLR s.34(2)(b)

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child. Observation (CORRECTED DURING INSPECTION): Day 1 - Licensing observed a cleaning cart in the GCC(30-sa) program container various cleaning products. This was accessible to the children in care. Staff purses were also in the children's playspace and as the contents are unknown, could pose a risk to children. Day 2 - The Manager has removed all items and relocated them to be inaccessible to the children

  Corrective action. Please ensure that all hazardous cleaning materials remain inaccessible to children at all times.

  11200 - CCLR s.17
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Licensing observed that the second staff on site (the Manager) did not hold ECE certification to meet the requirements of legislation. The Manager has currently lost some members of staff and is currently working on a staffing plan.

  Corrective action. Please ensure staff meet qualifications required. Discussed staff exemption and requirements of supporting information to be submitted.

  14030 - CCLR s.34(2)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]. Observation (CORRECTED DURING INSPECTION): Licensing observed that monthly fire drills and annual evacuation drills have not been recorded. Manager confirms that they have been completed as per legislation.

  Corrective action. Please ensure all records are completed everytime a drill occurs. Manager has rectified this on day 2 of inspection.

  13050 - CCLR s.56(1)(c)
• STAFFING

  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) a criminal record check for the person. Observation (CORRECTED DURING INSPECTION): On review of 4 staff files on Day 1, Licensing observed that 3 staff files did not have any Criminal Record Status. Manager stated that she was having difficulty processing requests through the CRRP. Licensing would accept current clearances from other facilities/agenciew here staff were employed until this can be corrected. Day 2 - Manager has copies of all 3 CRC's and is working through obtaining clearances for all 3 to be site specific. Please communicate with Licensing once this is completed.

  Corrective action. Please ensure that any new staff have a current Criminal Record Check on file prior to starting working with the children.

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry,

  Observation. Licensing observed that all certified staff employed did not have verification of certification. Discussed with the Manager and provided education.

  Corrective action. Please ensure all certified staff currently employed are verified through the ECE Registry.

  12140 - CCLR s.19(4)(a)