Pango Childcare Group Inc

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.

  Observation. Licensing observed the bathroom walls and facility ledges to be visibly dirty and damaged with peeling paint and exposed drywall.

  Corrective action. Staff will clean all surfaces and the damaged ledges will be repaired.

  11020 - CCLR s.13(2)
• 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. The name of the manager was not posted.

  Corrective action. The name of the manager will be posted.

  10050 - CCLR s.11(1)
• 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 or more employees.

  Corrective action. Immunization status will be obtained for 2 employees

  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: (a) a criminal record check for the person.

  Observation. Two staff did not have criminal record checks on site

  Corrective action. The supervisor said they were ordered; however, they have not yet been received to date.Evidence of ordering was provided for one staff.

  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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Licensing reviewed four staff files and two were missing verifications of certificates that are maintained by the ECE registry.

  Corrective action. The licensee will complete the verification process

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

• A licensee must (a) ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance.

  Observation. A staff used inappropriate guidance with children in care when she tapped a child's face to get their attention, made inappropriate comments to children, restrained a child in a chair and picked a child up by her clothing.

  Corrective action. This staff member no longer works at the facility. No further action is required.

  14220 - CCLR s.51(1)(a)

• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. Licensing observed that educators certificates were not posted in the facility

  Corrective action. The Licensee contact said that the certificates will be posted in the facility

  10070 - CCLR s.11(4)
• MEDICATION

  A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,

  Observation. Licensing observed one epi-pen was expired. One child who requires an epi-pen did not have one on site.

  Corrective action. The Licensee contact will ensure that the epi-pens are available and not expired.

  16080 - CCALA s.7(1)(b)(i)
• RECORDS AND REPORTING

  The licensee must (b) review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing observed that two children's care plan was not reviewed annually

  Corrective action. Licensee contact said that the care plan will be reviewed by the parents

  19260 - CCLR s.58(2)(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. Licensing reviewed 7 staff files. 7 files did not have site specific Criminal Record Checks

  Corrective action. The Licensee Contact said that the Criminal Record Checks will be site specific

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

No violations recorded at this inspection.

• 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. Staff to children ratios were not being maintained on April 2 and April 3, 2024.

  Corrective action. The Manager said that she will correct the staffing schedule.

  14030 - CCLR s.34(2)(b)
• In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. Staff files could not be produced. Staff did not know where the files were stored in the facility.

  Corrective action. The Manager said that she will show staff where the files are kept.

  19340 - CCLR s.59(c)

• Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9.

  Observation. Changes to the application occurred prior to notifying the medical health officer.

  Corrective action. The Manager said that meals provided will be ordered from a restaurant and if any additional changes are made, she will inform Licensing first.

  10010 - CCLR s.10(1)

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

  Observation. Upon inspection there was a large sign, with metal frame leaning against the playground wall that posed a fall hazard should it fall over.

  Corrective action. Please ensure a healthy and safe environment is provided at all time the children are in care.

  11010 - CCLR s.13(1)
• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. Upon inspection, 3 staff certificates were not posted in a prominent place in the facility.

  Corrective action. Please ensure staff certificates are posted.

  10070 - CCLR s.11(4)
• 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. Upon review of the children's records, 10 files did not contain an immunization status.

  Corrective action. Please ensure children's files are complete.

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

  A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.

  Observation. Upon inspection there were 9 children files that did not contain a photo or digital image.

  Corrective action. Please ensure the children's files are complete.

  19160 - CCLR s.57(2)(i)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (h) any special instruction respecting the child's diet, medication, participation in a program of activities, or other matter relevant to the child's care, (i) given by the child's parent to the licensee in writing.

  Observation. Upon review of the children's files, 1 child did not have a care plan developed in consultation with the parent.

  Corrective action. Please ensure children's files are complete

  19140 - CCLR s.57(2)(h)(i)
• 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.

  Corrective action. Upon review of the staff files, 2 staff did not have work history's on file at the facility.

  12060 - CCLR s.19(1)(c)
• STAFFING

  A licensee must not continue to employ a person in a community care facility unless the licensee has evidence that the person continues to comply with the Province's immunization and tuberculosis control programs.

  Observation. Upon review of staff files, 2 staff did not have an immunization status on file at the facility.

  Corrective action. Please ensure staff files are complete.

  12170 - CCLR s.21(1)
• STAFFING

  Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (a) the care program is described as Multi-Age Child Care, Group Child Care (Under 36 Months), Group Child Care (30 Months to School Age) or Group Child Care (School Age). Observation (CORRECTED DURING INSPECTION): Mixing of groups longer than 30 minutes (at the beginning and/or end of the day).

  Corrective action. Please sure groups are not being mixed unless it is as described in section 34(4)(a) of the regulations.

  12280 - CCLR s.34(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: (b) character references in respect of the person.

  Observation. Upon review of staff files, 2 staff did not have character references on site.

  Corrective action. Please ensure staff files are complete

  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. Upon inspection 1 staff did not have a criminal record check that was site specific.

  Corrective action. Please ensure staff files are complete

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must keep (b) in any other case, all criminal record check results and character references for the entire time that the subject of the criminal record check or character reference is ordinarily present on the premises.

  Observation. Upon reviewing the staff files, there were 2 staff on site that did not have their Criminal records available for review.

  Corrective action. Please ensure staff files are complete.

  12460 - CCLR s.60(3)(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. Upon inspection 2 staff did not have certificate validations on file at the facility.

  Corrective action. Please ensure staff files are complete.

  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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. Copies of any diplomas, certificates or other evidence of the person's training and skills were not obtained.

  Corrective action. Please ensure staff certificates are obtained kept on site at the facility.

  12070 - CCLR s.19(1)(d)