Little Footprints Daycare (Nordel)

• 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. Baseboard heaters located in classroom 2 require repair to prevent the covers from coming off and exposing the heating elements. Classroom 1 has a missing cover from the overhead light fixture exposing the florescent light bulb tubing. The washroom downstairs has one sink that is no longer working. The tap has been taped closed with duct tape. The acting manager informed licensing that the property manager has been notified of the light fixture and baseboard heating problems on November 26, 2025 and they are awaiting a response.

  Corrective action. Corrective action plan required

  11020 - CCLR s.13(2)

• 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. LO observed the following items stored in classroom #2's corner area, accessible to the children posing fall hazard. - electric fire place - broken/jagged light panel

  Corrective action. Ensure that a healthy and safe environment is provided at all times while children are in care.

  11010 - CCLR s.13(1)
• 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. 3 children's files were reviewed; 1 child's photo/digital image was missing.

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

  19160 - CCLR s.57(2)(i)
• 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 staff files were reviewed; 1 staff's certificate was not validated through the ECE registry.

  Corrective action. Ensure that all staff files are complete.

  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. Furniture, equipment, and/or fixtures were in disrepair, including: loose heating metal baseboards accessible to the children in both rooms ( Rm. #1 and Rm. #2)

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

  11020 - CCLR s.13(2)
• 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. Fire extinguishers available on site were not serviced annually.

  Corrective action. Ensure that fire extinguisher is serviced and tagged annually.

  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. 6 children files were reviewed; 2 of them were missing their Dr. information and emergency contact.

  Corrective action. Ensure that all children files are complete.

  19100 - CCLR s.57(2)(d)
• 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. The care plan was not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. Ensure that care plans are reviewed at least once a year in consultation with the parent.

  19260 - CCLR s.58(2)(b)
• 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. 6 children files were reviewed; 2 of them were missing their pictures/ digital photographs.

  Corrective action. Ensure that all children files are complete.

  19160 - CCLR s.57(2)(i)
• 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. Staff certificate was not validated by the ECE registry.

  Corrective action. Ensure that all staff files are complete.

  12140 - CCLR s.19(4)(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. A staff certificate was not posted. This is noted to be a repeat contravention.

  Corrective action. Ensure staff who hold an educator or assistant certificate have their certificate posted in a prominent place.

  10070 - CCLR s.11(4)
• 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. This is noted to be a repeat contravention.

  Corrective action. Ensure the name of the manager is posted in a prominent place in the facility.

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

  A licensee must ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.

  Observation. Licensing observed a 16 year old working in the school age program. While the facility complied with staff to child ratio, the staff was not of age or qualified to work in the program.

  Corrective action. Ensure children are adequately supervised by qualified employees.

  14010 - CCLR s.34(1)
• 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. Licensing noted the following: - No attendance recorded on March 6 and 8. - No indication whether children were absent or present March 13, 14 and 15.

  Corrective action. Ensure there is an accurate daily attendance record indicating for each day whether the child is absent, or if the child is present, the time or arrival and departure.

  19090 - CCLR s.57(2)(c)
• 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 reviewed a child's record. The care plan within the file was last created and reviewed in 2020. This is noted to be a repeat contravention.

  Corrective action. Ensure care plans are reviewed once each year with the parent of the child requiring extra support and any person requested by the parent.

  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 2 staff files. Out of the 2 reviewed, 1 file did not have a criminal record check. There was evidence an application was submitted, however no dates indicating when. This is noted to be a repeat contravention.

  Corrective action. Ensure a current and valid criminal record check has been obtained.

  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. Licensing reviewed 2 staff files. Both files contained references however, the references were not checked to ensure the individual is of good character. This is noted to be a repeat contravention.

  Corrective action. Ensure character references in respect to the staff has been obtained and checked to ensure the individual is of good character.

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

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

  Observation. Behaviour guidance was not appropriate to the age and development of the child

  Corrective action. Corrective action plan required

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

• 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. Community Care Facility License was not displayed in the facility.

  Corrective action. Ensure the license is prominently posted in the facility.

  10050 - CCLR s.11(1)
• PROGRAM

  A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (b) is appropriate for the age and development of children in each group in the community care facility.

  Observation. Licensing observed the following: - Upon Licensing's arrival at the facility there were 4 children in care and no activities or equipment set up for the children. As more children arrived they were asked to find something to do, however the children were not provided with any toys or equipment. The staff reported the children choose to just hangout in their groups and don't want to do the activities the facility provides. - In classroom 1 lego available on the floor, a small foosball table top toy which appeared broken and some paper and coloring utensils - In classroom 2 there was a large cardboard box used as a fort, paw patrol car ramp, some lego and board games located on a high shelf - All tables were empty This is noted to be a repeat contravention.

  Corrective action. Ensure the facility provides a program that is age and developmentally appropriate for the group.

  18020 - CCLR s.44(1)(b)
• RECORDS AND REPORTING

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

  Observation. A random selection of children's files were reviewed. Out of the 4 reviewed, 2 files did not contain the date of enrolment. This is noted to be a repeat contravention.

  Corrective action. Ensure there is a record showing the date of enrolment.

  19080 - CCLR s.57(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: (b) character references in respect of the person.

  Observation. A random selection of staff files were reviewed. Out of the 5 reviewed, 2 files did not contain any record that the references were checked prior to working with children. This is noted to be a repeat contravention.

  Corrective action. Ensure there is a record of character references on file.

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must do all of the following: (d) appoint a manager for the community care facility.

  Observation. Licensing noted a manager's name posted, however, Licensing has not received the paperwork requesting a change in Manager.

  Corrective action. Ensure Licensing has received notice of a change in Manager.

  12010 - CCALA s.7(1)(d)
• 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 random selection of staff files were reviewed. Out of the 5 reviewed, 1 did not have a site specific criminal record check and another 1 had an expired criminal record check from August 2022.

  Corrective action. Ensure a current and valid criminal record check has been obtained and is on file.

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

No violations recorded at this inspection.

• 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: - Children were not directed to wash their hands prior to eating or returning to the facility from school. - Staff did not wash their hands upon returning to the facility or serving snack food (donuts) to the children. - There was one cube shelf with some toys, however there were insufficient toys for the number of children in attendance. (20children - a few board games, skipping ropes, 1 poppit, drawing papers, less than 4 puzzles) - The tables were not sanitized prior to the children eating and playing at them. - Enough seating for only 12 children to eat at a time, "gym" is licensed for 20.

  Corrective action. Please ensure a healthy and safe environment is maintained at all times.This is a repeat contravention.

  11010 - CCLR s.13(1)
• MEDICATION

  A licensee must ensure that an employee who supervises a child who self-administers medication documents the administration of the medication in the child's care plan.

  Observation. one child self-administers medication, the staff was unaware of the requirement to document this in the care plan. The sign in sheet shows a y/n, however no description of time and/or if the child was observed and if the medication was in the child's back pack as required.

  Corrective action. Please ensure that a medication administration form is completed for all medications including self-adminstered medication.

  16070 - CCLR s.53(4)
• 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 20 children on site and only 1 staff counted in ratio. There were 2 additional individuals, however they both confirmed that they were not included in the ratio of children to staff. Licensing spoke with the Licensee on the telephone during the inspection and she said the Manager was not on premise today and they did not replace them. -There is a supervision plan, as the washroom is located away from the program, the staff had to leave with children to accompany them to the bathroom, leaving the 16 children with the additional individuals.

  Corrective action. A Licensee must ensure that the ratio is maintained at all times as per schedule E.

  14030 - CCLR s.34(2)(b)
• 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. 4 of 6 care plans were not reviewed annually. 3/6 were dues to be reviewed in 2019 and 1 earlier this year.

  Corrective action. Please ensure that care plans are reviewed at least annually or sooner if needed.

  19260 - CCLR s.58(2)(b)
• RECORDS AND REPORTING

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

  Observation. 2/5 children's files reviewed did not contain a record of date of enrollment in the facility.

  Corrective action. Please ensure that children's files are completed prior to attending the facility.

  19080 - CCLR s.57(2)(b)
• 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. 4/5 children's files reviewed did not contain a photograph or digital image of the child. Staff did not know if there was a photograph readily available on site.

  Corrective action. Please ensure that children's files are complete prior to participating in the program

  19160 - CCLR s.57(2)(i)
• 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. 1/5 children's files reviewed did not contain a child's gender on file.

  Corrective action. Please ensure that children's files are completed prior to attending the facility.

  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: (b) character references in respect of the person.

  Observation. 2/4 staff files did not contain any record that their references were checked prior to working with the children.

  Corrective action. Please ensure that staff files are complete prior to working with the children

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

  Observation. 2/4 staff files reviewed did not contain any record of whether of not they are immunized.

  Corrective action. Please ensure that staff files are complete prior to working with the children

  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. 4 staff files were reviewed and 2 of the staff files contained a RCMP check and not a CRC from the Records review board in Victoria. 1 of these 2 staff had a receipt for payment for a CRC but the copy was not in the file.

  Corrective action. Please ensure that staff have a crc addressed to the facility from the CRC branch in Victoria.

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

• 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. A kitchen in the facility which houses hazardous items did not have the door secured at the time of the inspection.

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

  11200 - CCLR s.17
• EQUIPMENT AND FURNISHINGS

  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. The program was playing outdoors at the time of the inspection. The away outdoor play area that has been previously approved was not being used as it is closed. An alternate away outdoor play area is being used without prior approval and a health and safety plan being created. During today's inspection glass was discovered on the playground where the children were playing indicating ineffective safety checks or the space. Additionally off-leash dogs were in the park area which could pose an additional risk for the children. The LO reviewed with the manager the requirement for an Away Play Space Health and Safety Plan to be submitted for approval.

  Corrective action. Ensure the health and safety or children in care is promoted at all times.

  11480 - CCALA s.7(1)(b)(i)
• 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. Staff working in the program who is also the appointed manager had an expired ECE certificate posted in the facility.

  Corrective action. Ensure all qualified staff have certificates posted.

  10070 - CCLR s.11(4)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. The Manager working in the program was unable to locate her staff file during the inspection. This staff typically works at another location and confirmed to have a complete file but confirmed it was not available during the inspection.

  Corrective action. Ensure all records which includes staff files are available on demand.

  19340 - CCLR s.59(c)
• 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. The facility log book was not available for review during the inspection and the manager relayed that it has not been used in some time. The LO reviewed the requirement for log entries related to unexpected events on a regular basis.

  Corrective action. Ensure a record of minor accidents, illnesses and unexpected events is maintained on a regular basis.

  19050 - CCLR s.56(1)(f)