Le' Lum' Uy' Lh

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• 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
  3010 - CCLR 19(1)(b)
• 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 record of the person’s work history
  3010 - CCLR 19(1)(c)
• 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: copies of any diplomas, certificates or other evidence of the person’s training and skills

  Observation. Licensing reviewed 20 staff files. Four staff did not have copies of their Early Childhood Education or Early Childhood Education Assistant certificates on file.

  Corrective action. Ensure all staff have a copy of any diplomas or certificates on file.

  3010 - CCLR 19(1)(d)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
  3010 - CCLR 22(2)(b)
• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.
  3010 - CCLR 22(2)(c)

• 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 20 staff files. Three staff did not have character references on file

  Corrective action. Ensure all staff have a minimum of two character references on file.

  3010 - CCLR 19(1)(b)
• 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 record of the person’s work history

  Observation. Licensing reviewed 20 staff files. One staff did not have a record of work history on file.

  Corrective action. Ensure all staff have a record of work history (or resume) on file.

  3010 - CCLR 19(1)(c)
• 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: copies of any diplomas, certificates or other evidence of the person’s training and skills

  Observation. Licensing reviewed 20 staff files. Four staff did not have copies of their Early Childhood Education or Early Childhood Education Assistant certificates on file.

  Corrective action. Ensure all staff have a copy of any diplomas or certificates on file.

  3010 - CCLR 19(1)(d)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Licensing reviewed fire drill records. No fire drills were practiced in January or February 2024.

  Corrective action. Ensure all employees practice implementing the fire drill system at least once each month.

  3010 - CCLR 22(2)(b)
• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

  Observation. Licensing reviewed emergency plan records. No emergency plan was practiced in the past 12 months.

  Corrective action. Ensure an emergency plan is practiced at least once each year.

  3010 - CCLR 22(2)(c)

No violations recorded at this inspection.

• 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
  3010 - CCLR 19(1)(b)
• 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 criminal record check for the person

  Observation. Licensing reviewed 19 staff records. 11 staff did not have valid CRC's. This violation is carried over from last Routine Inspection dated July 15, 2022.

  Corrective action. Ensure all staff have valid CRC's prior to employment.

  3010 - CCLR 19(1)(a)

• A licensee must keep (a) in the case of employees, all records required under section 19 (1) [character and skill requirements] for the entire time that the subject of the records is an employee of the community care facility,
  3010 - CCLR 60(3)(a)
• 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 criminal record check for the person

  Observation. Licensing reviewed 19 staff records. 11 staff did not have valid CRC's. This violation is carried over from last Routine Inspection dated July 15, 2022.

  Corrective action. Ensure all staff have valid CRC's prior to employment.

  3010 - CCLR 19(1)(a)
• 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]
  3010 - CCLR 56(1)(b)
• 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 19 staff files. One staff did not have two character references on file.

  Corrective action. Ensure all staff have a minimum of two character references on file prior to employment.

  3010 - CCLR 19(1)(b)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.
  3070 - CCLR 57(2)(a)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
  3010 - CCLR 22(2)(b)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
  3010 - CCLR 19(1)(f)
• 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: copies of any diplomas, certificates or other evidence of the person’s training and skills
  3010 - CCLR 19(1)(d)
• 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
  3010 - CCLR 19(1)(b)

• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Licensing reviewed fire drills for the last 12 months. One fire drill was practiced in September 2021 but not recorded and no other fire drills were practiced between January 2021 and July 15, 2022.

  Corrective action. Ensure at least one fire drill is practiced and recorded monthly.

  3010 - CCLR 22(2)(b)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing reviewed five children's records, two children did not have immunization status on file.

  Corrective action. Ensure all children have immunization status on file.

  3070 - CCLR 57(2)(a)
• Teach children to wear helmets & other sports safety equipment while riding & playing team sports. Staff aware of their responsibility to ensure such equipment is properly adjusted/worn
  3070 - SPS DOLSOP (Wear Helmets)
• Thorough daily, monthly and annual inspections, as well as maintenance and repairs of the outdoor play area are performed and recorded
  3000 - SPS DOLSOP (Inspected)
• 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 criminal record check for the person

  Observation. Licensing reviewed 19 staff files. Two staff had valid CRCs, three staff had CRCs addressed to another agency and require a sharing agreement and 14 staff had expired CRCs.

  Corrective action. Ensure all staff have valid CRCs on file.

  3010 - CCLR 19(1)(a)
• 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 19 staff files. Two staff did not have character references on file.

  Corrective action. Ensure all staff have character references on file.

  3010 - CCLR 19(1)(b)
• 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: copies of any diplomas, certificates or other evidence of the person’s training and skills

  Observation. Licensing reviewed 19 staff files and one staff had an expired Infant Toddler Certificate.

  Corrective action. Ensure all Educators and Infant Toddler Educators have a valid certificate on file.

  3010 - CCLR 19(1)(d)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing reviewed 19 staff files. Two staff did not have immunization status on file.

  Corrective action. Ensure all staff have immunization status on file prior to employment.

  3010 - CCLR 19(1)(f)
• A licensee, other than a licensee who provides a care program described as School Age Care on School Grounds, must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
  3000 - CCLR 47

• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Licensing reviewed fire drills for the last 12 months. One fire drill was practiced in September 2021 but not recorded and no other fire drills were practiced between January 2021 and July 15, 2022.

  Corrective action. Ensure at least one fire drill is practiced and recorded monthly.

  3010 - CCLR 22(2)(b)
• A licensee, other than a licensee who provides a care program described as School Age Care on School Grounds, must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

  Observation. Licensing measured the hot water in all the bathrooms/sinks that children access. The hot water in Room 3 measured 50 C. This represents an immediate risk to the health and safety of persons in care and must be corrected immediately. A plan for corrective action is to be submitted to Licensing. Full compliance will not be achieved until the plan has been implemented and completed.

  Corrective action. Ensure any hot water accessed by children is not heated to more than 49 C.

  3000 - CCLR 47
• Thorough daily, monthly and annual inspections, as well as maintenance and repairs of the outdoor play area are performed and recorded

  Observation. Licensing reviewed inspections of the outdoor play spaces. No records were available showing a thorough daily, monthly and annual inspections as well as any maintenance and repairs.

  Corrective action. Ensure a record is kept of daily, monthly and annual inspections as well as any maintenance and repairs.

  3000 - SPS DOLSOP (Inspected)
• 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 criminal record check for the person

  Observation. Licensing reviewed 19 staff files. Two staff had valid CRCs, three staff had CRCs addressed to another agency and require a sharing agreement and 14 staff had expired CRCs.

  Corrective action. Ensure all staff have valid CRCs on file.

  3010 - CCLR 19(1)(a)
• 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 19 staff files. Two staff did not have character references on file.

  Corrective action. Ensure all staff have character references on file.

  3010 - CCLR 19(1)(b)
• 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: copies of any diplomas, certificates or other evidence of the person’s training and skills

  Observation. Licensing reviewed 19 staff files and one staff had an expired Infant Toddler Certificate.

  Corrective action. Ensure all Educators and Infant Toddler Educators have a valid certificate on file.

  3010 - CCLR 19(1)(d)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing reviewed 19 staff files. Two staff did not have immunization status on file.

  Corrective action. Ensure all staff have immunization status on file prior to employment.

  3010 - CCLR 19(1)(f)
• Teach children to wear helmets & other sports safety equipment while riding & playing team sports. Staff aware of their responsibility to ensure such equipment is properly adjusted/worn

  Observation. Licensing inspected outdoor play equipment. Both categories of care at this facility allow children to ride bikes but no children's helmets are used.

  Corrective action. Ensure children wear helmets while riding bikes. Staff are to ensure the helmets are worn and adjusted properly.

  3070 - SPS DOLSOP (Wear Helmets)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing reviewed five children's records, two children did not have immunization status on file.

  Corrective action. Ensure all children have immunization status on file.

  3070 - CCLR 57(2)(a)

• 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 criminal record check for the person
  3010 - CCLR 19(1)(a)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.