1St Step Montessori Inc - Sunbury Hall

• 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. - Fridge temperature was recorded at 6 degrees - repeat contravention - the outlet next to a baby crib had a baby monitor plugged into it and accessible to the child. - corrected during inspection - this was a repeat contravention

  Corrective action. Corrective action plan regarding the fridge

  11010 - CCLR s.13(1)
• 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. The walls of the Infant Toddler classroom have chipped paint and drywall - this is a repeat contravention

  Corrective action. corrective action plan required

  11020 - CCLR s.13(2)
• PROGRAM

  A licensee, other than a licensee providing a care program described as Occasional Child Care, must provide each child with daily outdoor play periods unless weather conditions would make it unreasonable to do so. (4) Despite subsection (1), a licensee who provides a care program described as Occasional Child Care need not provide a program of outdoor activities. (5) Despite subsection (3), that subsection applies to a licensee who provides a care program described as Child-minding only if the program provides care for 3.5 hours or more each day.

  Observation. Children are not provided opportunities for daily outdoor play

  Corrective action. Corrective action plan required

  18060 - CCLR s.44(3)(4)(5)
• 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. - 4 files reviewed and 1 CRC has expired and 1 CRC was not specific to this facility

  Corrective action. Corrective action plan required

  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. No evidence that the certificate for one staff had been validated through the ECE registry

  Corrective action. Corrective action plan required

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

• 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. - In the Group 2 classroom, medication was stored in the children's backpacks and accessible to children - The fridge temperature was recorded at 16 degrees

  Corrective action. Ensure the medication is stored out of reach from the children in care Ensure the fridge is repaired or replaced in order to maintain a temperature of 0-4 degrees

  11010 - CCLR s.13(1)
• 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. Walls in the Infant Toddler and Group 1 classroom show signs of wear and tear

  Corrective action. Ensure there is a system in place to repair the walls when needed

  11020 - CCLR s.13(2)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. Staff have not been practicing proper sanitization in the classroom or washrooms in Group 2 classroom

  Corrective action. A system in place to practice proper sanitization

  15030 - CCLR s.46(1)
• 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 drills have not been practiced or recorded consistently in the Group 2 childcare room

  Corrective action. Ensure fire drills are practiced monthly

  13050 - CCLR s.56(1)(c)

No violations recorded at this inspection.

• 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. During the inspection licensing observed: -The heavy metal door in the washroom stall in the downstairs area, had fallen off and struck the toilet and broke the lid. The manager reported that the door fell over the weekend while the children were not in care approx 2 weeks before inspection. The broken toilet back was covered with a piece of plastic that was taped down. The door was propped on it's side against the wall in the stall. -The newly painted walls had chips and require repair in the downstairs infant toddler room and 30 months - school age rooms. - toys for disposal were stored in the hallway - items such as heater, air/fan unit, easel were stored in the nap room - The heat register in the upstairs childcare room is not longer adhered to the floor.

  Corrective action. A corrective action plan must be submitted to licensing

  11020 - CCLR s.13(2)
• 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. Medicated cream is stored in an unlocked cabinet in the washroom at child level. A tub of air freshener with an open top was stored on the counter in the washroom at child level

  Corrective action. Secure all medicated cream and air fresheners so that children do not have access

  11200 - CCLR s.17
• 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. During inspection the following was observed: -The windows on the second floor of the building have been replaced and now open up wide enough for a child to fit through. There are no restrictors on the windows and they present a severe fall hazard. -The refrigerator's temperature was measured at 8 degrees and appeared to not be working. Food that was to be served to children was stored in this section of the fridge. -A video monitor was plugged into the outlet next to a baby crib giving the child direct access to the plug going into the outlet. - A 5 foot unsecured ladder is stored up against the wall in the children's washroom. - Two fire extinguishers have been removed from the harness used to secure them to the wall and pose a hazard to children - A stall door in the children's washroom downstairs has fallen off and is being stored up against the washroom stall wall and is unsecured. -One set of Electrical plug covers were missing in the infant/toddler room (were replaced during inspection) and 2 sets in the nap room. -The sanitization bottle is shared between the kitchen and washroom -Nap mats are stacked together and are touching

  Corrective action. A corrective action must be submitted to licensing

  11010 - CCLR s.13(1)
• 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 licence was not posted in a prominent place in the facility.

  Corrective action. Ensure the licence is displayed in a prominent place in the facility

  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 (CORRECTED DURING INSPECTION): A review of daily attendance records and staff certificates revealed that since October, 2023 the infant toddler room has not had an Infant Toddler certified staff from 8am - 9AM each day.

  Corrective action. Ensure that the ratio of staff to children is not less that permitted in schedule E

  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. A review of records in the Infant/Toddler classroom found that fire and emergency drills had not been recorded since October of 2023

  Corrective action. Ensure all fire and emergency drills are recorded when practiced

  13050 - CCLR s.56(1)(c)
• 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. Some of the food supplies contained in the emergency kit had expired. Several of the fire extinguishers had signs on them that stated they had been inspected and failed inspection and required replacement.

  Corrective action. Ensure all supplies and equipment meant for responding to an emergency are in good working order and have not expired.

  13020 - CCLR s.22(1)(b)

• 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. Licensing observed the following: - 3-5 room nap mats were touching posing as a risk to the spread of communicable diseases or other bacteria - Plastic bags stored in the drawer in the children's bathroom

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

  11010 - CCLR s.13(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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. A selection of staff files were reviewed. Out of the 8 reviewed, 1 staff had an expired ECE certificate. This staff is currently not working.

  Corrective action. Ensure there are current and valid copies of any certificates or other evidence of the person's training and skills.

  12070 - CCLR s.19(1)(d)
• 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. A selection of staff files were reviewed. Out of the 8 reviewed 1 staff did not have their ECE certificate validated.

  Corrective action. Ensure staff who hold an educator or assistant certificate have their certificate validated by the Early Childhood Educator Registry.

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

• 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 noted the resilient surfacing in the 3-5 and infant/toddler playground is showing signs of wear and tear. The current mats used are loosing it's resiliency and poses a risk of injury to a child.

  Corrective action. Ensure all furniture, equipment and fixtures are clean and in good repair.

  11020 - CCLR s.13(2)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius. Observation (CORRECTED DURING INSPECTION): Licensing observed the hot water to be at 53 degrees celsius. The licensee turned off the hot water.

  Corrective action. Ensure heated water is no more than 49 degrees celsius.

  11230 - CCLR s.47
• 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): A selection of staff files were reviewed. One file did not contain a criminal record check. The Licensee stated a criminal record check was completed recently and a copy would be provided to Licensing.

  Corrective action. Ensure all employees have obtained a valid criminal record check.

  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 (CORRECTED DURING INSPECTION): Immunization status was not obtained for one employee.

  Corrective action. Ensure immunization status is on file for all employees. The licensee contact put a note confirming the immunization status of the staff.

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

• 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. Licensing observed medicated cream in an unlocked cupboard in the under three children's bathroom.

  Corrective action. Ensure children do not have access to substance that may be hazardous to their health and safety.

  11200 - CCLR s.17
• 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 some wear and tear on the walls in the under 3 and over three classrooms.

  Corrective action. Ensure that the community care facility is in good repair.

  11020 - CCLR s.13(2)
• LICENSING

  Licensees must not make any structural change to a community care facility unless the licensee first (a) submits plans for the change to a medical health officer.

  Observation. Licensing observed the preschool class had been moved the "gym" area. A clarifying conversation with the manager indicated that the classroom floors were being replaced, therefore the children's equipment had been moved. The licensee did not inform or provide licensing with a plan prior to the work commencing.

  Corrective action. Ensure that licensing is informed of any changes to the community care facility via submission of plans.

  10020 - CCLR s.10(2)(a)
• 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. Licensing observed that the February fire drill had not been logged.

  Corrective action. Ensure that fire drills are logged.

  13050 - CCLR s.56(1)(c)
• POLICIES AND PROCEDURES

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

  Observation. Licensing observed that all fire extinguishers were past due for servicing.

  Corrective action. Ensure that equipment required to mitigate, respond to and recover from any emergency is kept up to date.

  13020 - CCLR s.22(1)(b)
• RECORDS AND REPORTING

  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 inspected 6 children's files and noted that 2 files were missing the name and telephone number of a medical practitioner.

  Corrective action. Ensure children's files are complete as per legislative requirements.

  19100 - CCLR s.57(2)(d)
• 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 an inspection of 6 children's files, Licensing observed that one was missing a medical insurance plan number.

  Corrective action. Ensure children's files are complete.

  19070 - CCLR s.57(2)(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: (a) a criminal record check for the person.

  Observation. Upon an inspection of 6 staff files, it was noted that one staff's criminal record check had expired in 2018.

  Corrective action. Ensure that a valid criminal record check is obtained for each employee before the start of employment.

  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. Upon an inspection of 6 staff files, Licensing observed that 2 files were missing character references.

  Corrective action. Please ensure staff files are complete as per legislative requirements before start of employment.

  12050 - CCLR s.19(1)(b)