Marlbrough Neighbourhood Care

A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

Observation. CCFL reviewed 20 children's files & found that 1 lacked her start date.

Corrective action. All requirements of the CCLR s.57(2) must be obtained by children's 1st day of care.

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. 3 children's care plans were last updated in 2024.

Corrective action. Care plans must be reviewed annually (followed by signing & dating the document) w/ parents to discuss any updates to their children's support needs.

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. LO observed and discussed the following with the Manager: Transition strip on the door (playground area) is taped but started to lift; this is a tripping hazard.

Corrective action. Ensure that facility's furniture, equipment and fixtures within the facility are clean and in good repair.

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. 10 children's files were reviewed; 4 of them were missing their photos.

Corrective action. Ensure that all children's files are complete.

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 three cabinet doors were coming off their hinges.

Corrective action. Please ensure the facility is in good repair

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. The following was observed in the facility: -Custodian rooms in all three classrooms were unlocked. Various chemicals were present. -2 cans of Shaving cream and laundry detergent were in a covered cupboard on a low shelf. The label on both items read, "keep out of reach of children"

Corrective action. Please ensure children do not have access to any objects or substances that may be hazardous to their health and safety

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

Observation. The following was observed during the inspection: -A TV on a rolling cart was not anchored. This was not completed on the date specified on the routine inspection. This is a repeat contravention. The TV was in the office but in discussion with the Manager she moves this into the classroom on occassion. Please provide active supervision when the TV is in use until this is completed. -Several electrical outlet covers were missing. This was not completed on the date specified on the routine inspection. This is a repeat contravention.

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

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. The Staff qualifications list was observed. A criminal record check (CRC) for the Manager was not observed on the list. In discussion the Manager communicated the expiry date for her CRC

Corrective action. Please ensure staff and the Manager's records are complete.

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. The staff qualifications list was reviewed during the inspection. The Manager's references were not observed on the list. This is a repeat contravention.

Corrective action. Please ensure the staff and Managers records are complete

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/ Manager.

Corrective action. Please ensure staff and Manager records are complete

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

Observation. Licensing observed the following: -missing plug covers -loose cords under the overhead projector -an ice pack missing from the first aid kit -a large TV was on a rolling cart. The TV was not anchored to the cart.

Corrective action. Please ensure a healthy and safe environment is provided at all times

A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

Observation. The water temperature was measured. In one room the temperature was measured at 52.2 degrees Celsius.

Corrective action. Please ensure hot water is heated to no more than 49 degrees Celsius to comply with the legislation. Please ensure active supervision is provided until this is corrected

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. Licensing observed a bottle of bleach under the sink in the classroom. This was corrected during the inspection.

Corrective action. Please ensure children do not have access to any objects or substances that are harmful to their health and safety.

A licensee must make available to parents information on the food and drink given to children.

Observation. Licensing observed that a menu was not posted in the facility. In discussion with the staff she said she had removed the menu and has not replaced it.

Corrective action. Please ensure parents are made aware of the food and drink that is provided to their children.

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. Licensing observed that no record of monthly fire drills was present in each of the school age rooms. In discussion with the staff she stated that the fire drills were completed but were not recorded.

Corrective action. Please ensure to record monthly fire drills to comply with the legislation.

A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

Observation. The children's records were reviewed. Three children were missing a date of enrollment in their record.

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

A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.

Observation. Licensing reviewed the children's records. Two children's records were missing a name and phone number of a medical practitioner.

Corrective action. Please ensure children's records are complete. If a child does not have a medical practitioner, the name and phone number of a medical clinic is acceptable

Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or 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 volunteer.

Corrective action. Please ensure volunteer qualifications are on site or that a qualifications checklist is completed with this information.

Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

Observation. Immunization status was not obtained for one volunteer.

Corrective action. Please ensure documentation for volunteers is on site or that a qualifications checklist is completed with the required information.

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. The staff qualifications list was observed for the facility. For one of the employees the section for references was listed as N/A.

Corrective action. Please ensure references are completed for an employee prior to working in the facility.

Despite this section, licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following (a) a criminal record check for the person.

Observation. The staff qualifications checklist was reviewed. An entry was not listed for a volunteer that was volunteering in the program. No information was given for the volunteer on site. A criminal record check was not observed.

Corrective action. Please ensure the staff qualifications checklist is updated to include volunteer information for volunteers in attendance in the program.

A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].

Observation. The staff qualifications list was reviewed at the facility. A criminal record check (CRC) was listed as expired for one employee. In discussion with the employee she stated that she has applied and received the CRC.

Corrective action. Please ensure the staff qualifications list is updated to reflect an updated CRC.