Ladner Community Centre

• 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. The emergency kit does not appear to contain sufficient food and supplies to respond for up to 72 hours in a major emergency

  Corrective action. Corrective action plan required

  13020 - CCLR s.22(1)(b)
• STAFFING

  A licensee must not employ as a manager a person who, at the time that the person is managing the licensee's community care facility, is also managing another community care facility.

  Observation. The manager specified for this location is also manager of another location.

  Corrective action. Corrective action plan required

  12020 - CCLR s.18
• 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. 2 of 4 files reviewed do no have evidence of the person's immunization status. This is a repeat contravention

  Corrective action. Corrective action plan required

  12170 - CCLR s.21(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: (b) character references in respect of the person.

  Observation. 3 of 4 files reviewed are missing character references. This is a repeat contravention

  Corrective action. corrective action plan required

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

  Observation. 3 of 4 files reviewed did not contain a record of the person's work history. This is a repeat contravention

  Corrective action. Corrective action plan required

  12060 - CCLR s.19(1)(c)
• 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. 2 of 3 files reviewed did not have evidence that the certificates had been verified. This is a repeat contravention

  Corrective action. corrective action plan required

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

  Observation. 3 of 4 files did not have evidence of a criminal record check for the person. This is a repeat contravention

  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 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 two employees.

  Corrective action. Ensure staff files contain evidence of immunization status for each employee

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

  Observation. Three files were reviewed and two files did not contain a record of the person's work history.

  Corrective action. Each employee file must have a record of the person's work history

  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. Three staff files were reviewed and two did not have evidence of verified character references.

  Corrective action. Staff files will have evidence that character references were verified

  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. A review of 3 staff files found that 2 files did not have evidence that a current criminal record check was conducted for these persons

  Corrective action. Staff files will have evidence that a criminal record check was conducted.

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

• 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. Five children's files were reviewed and 2 files were missing a medical practitioner and 2 flies were missing an emergency contact

  Corrective action. Ensure children's files are complete

  19100 - CCLR s.57(2)(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 review of staff files found that 1 staff did not have validation of the ECE certificate

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

  Observation. A review of two files found that one file is missing immunization status

  Corrective action. Ensure staff files are complete

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

No violations recorded at this inspection.

No violations recorded at this inspection.