Cloud Nine Kids Childcare Centre

Observation. It was alleged that staff may not have the proper credentials and may not have complete staff files. SUBSTANTIATED: Staff files are incomplete. Some files are missing character references, work history and immunization status. One employee record is missing. A record to verify qualifications of a childcare support worker is not kept on file. A record for a substitute bus driver is missing. The driver does not provide care or supervision to children and facility staff on the bus have first aid, however records required under section 19 (5) are missing. Incomplete staff files pose an increased health and safety risk to children, as they are intended to verify employees on volunteers meet the minimum character and skill requirements prior to being employed. Provide evidence that all staff files are complete by February 25, 2026.

Observation. It was alleged that a child's care plan is incomplete and there are concerns about the ability of staff to safely supervise a child in care who may be an elopement risk. SUBSTANTIATED: Based on a review of the child’s care plan, it states: “SEE SAFETY RESPONSE PLAN – ELOPEMENT PROTOCOL - SEE SAFETY RESPONSE PLAN ATTACHED.” The child’s care plan was reviewed and does not contain a safety response plan or elopement protocol. This poses an increased risk to the child's safety and must be addressed immediately. Provide a copy of the child's care plan, safety response plan and elopement protocol by February 19, 2026. The following contraventions, unrelated to the complaint, were identified during a complaint investigation inspection on February 5, 2026: Based on information gathered, an employee used an emergency restraint on a child to protect the child from physical harm; that is not approved and documented in the child’s care plan. This incident was not reported to Licensing as required under Section 55 and Schedule H of the Child Care Licensing Regulation. Submit an incident report to Licensing by February 25, 2026. A current log of minor accidents, illnesses and unexpected events is missing for a child. Incomplete minor incident logs prevents proper monitoring of a child's unique needs. Provide a copy of the child's minor incident log by February 19, 2026. An incomplete care plan and a photo are the only records on file for a child. The child’s record, consents and emergency contact information is missing. An employee had taken the record home to review and has since been absent with an undetermined return date. Another child’s record is missing a photo or digital image that could be used to identify the child in an emergency. Provide a copy of the missing child record and evidence of the child's missing photo by February 19, 2026. Children’s attendance records are incomplete. Some children are not signed in on the attendance record indicating that they are present. Children whose parents picked them up earlier in the day are not signed out on the attendance record and their time of departure is missing. This poses a risk that children are not accurately accounted for. This contravention was corrected during the inspection. A child's care plan is not signed as evidence that it was developed in consultation with the parent. The care plan is not dated as evidence that it is reviewed at least once each year. A record of compliance with respect to any behavioral guidance provided to the child and it’s effect is not kept, despite the care plan stating that employees will keep a daily behavior log. Incomplete care plans pose a risk that a child's care and supervision needs are not being adequately addressed. Provide evidence that the care plan meets all requirements of Section 58 of the Child Care Licensing Regulation by February 25, 2026. Employee records and records for each child are not kept in a single location at the facility. One record was retrieved from a cell phone and another from a vehicle, however the record is incomplete. Missing records, or records that cannot be retrieved in a reasonable time; poses an increased risk to the health and safety of children. Provide evidence that community care facility records are kept in a single location at the facility by February 25, 2026.

Observation. The complaint alleged that while at an off-site location, two children were observed wandering away from the group unsupervised. The children walked to the far end of the beach and the complainant had to tell the children to return to the group. The two employees were interviewed, one employee confirmed two children had walked to the other end of a beach unsupervised and without the employees’ knowledge. The other employee stated they were not aware of this incident, but they may have been assisting children in the washroom. The Licensee is required to ensure children are supervised at all times. Substantiated. Submit by July 8, 2025, confirmation that employees are providing children with continuous supervision. The complaint alleged that while at an off-site location, a child had walked away from the group and into a car park unsupervised. The two employees were interviewed. Both employees stated the child was on the grass area near the car park. One employee stated the child stayed on the grass waiting for the employee to return. The other employee said they were focused on the children on the beach, but did not see the child go into the car park. Unable to substantiate. Unrelated to the complaint. On June 23, 2025, it was observed that an employee had signed four children into care. Two children requested to use the washroom. The employee left two children on their own in the school grounds and took two children inside the school to use the washroom. The children left in the school play ground were unsupervised for approximately 3 minutes. During an interview with the employee, they also confirmed they allow a child to play in an area on the other side of the school unsupervised. The Licensee is required to ensure children are supervised at all times while in care. Submit by July 8, 2025, confirmation that employees are providing children with continuous supervision.

Observation. An employee confirmed on while at an off-site location, that two children wandered away from the group without employees noticing. Licensing has not received an incident report regarding this event. When a child is involved in an incident described in Schedule H, it must be reported to Licensing within 24 hours. Submit by July 8, 2025, the reportable incident from June 11, 2025, regarding the missing/wandering children. Unrelated to the complaint. Employee records were reviewed, and it was observed that an employee who works alone with children did not have a valid first aid certificate in their employee file. The employee stated they did hold a valid first aid certificate, this record was not available at the facility to be inspected. The Licensee must ensure all required information related to employees is kept in a single location at the facility. Submit by July 8, 2025, confirmation that employee records are kept in a single location at the facility and are available to be inspected.

Observation. Unrelated to the complaint. Employee records were reviewed, and it was observed that some required information was missing including employees’ immunization status and character reference checks. The Licensee must obtain required records prior to an employee starting work with children. Submit by July 8, 2025, confirmation that missing employee documents have been added to employee files.

Observation. The complaint alleged employees released a child into the care of an adult they had not previously met, and did not check the photo ID of this adult. This does not align with the requirements of the facility's Safe Release of Children policy. The two employees were interviewed, and both employees confirmed they do not check photo ID as per the policy. One employee stated they rely on the text message from the parent and the child confirming the person collecting them is someone the child knows. The other staff member said they check with the other employee. Substantiated. The Licensee must ensure that the policies and procedures are implemented by employees. Submit by July 8, 2025, confirmation and evidence that all employees have reviewed the Safe Release of Children policy; and provide information on how the Licensee will ensure it is being implemented. Unrelated to the complaint. On June 23, 2025, it was observed that a single employee collected children from Casorso Elementary School. The transportation policy states two employees will collect children from the school. The daily transportation plan is not being implemented by the Licensee. Submit by July 8, 2025, confirmation and evidence the Safety Plan for Regular or Daily Transportation is being implemented.

Observation. C1.1A - The grassy area outside of the fenced outdoor play area is being used during outdoor play periods. This area was not approved for use as part of the licensed premise as plans were not submitted for assessment with the original licence application. If the Licensee wants to use this area in the future, written notification of an outdoor play space change is required under Section 10 (1) to ensure any health and safety risks are properly assessed prior to use and written approval is provided by Licensing.

Observation. C3.1H - A criminal record check that expired in September 2023 has not been renewed. This must be addressed immediately. C3.1V - Employee records for bus drivers employed by the facility did not contain a criminal record check, character references or evidence of immunization as required under Section 19 (5) of the Child Care Licensing Regulation.

Observation. C4.1E - 9 children's records were reviewed during the inspection. Some records were missing consent forms, the name and telephone number of a medical practitioner, an emergency contact person and a photo or digital image of the child to be used in an emergency. C4.1O - Some employee records were missing first aid, criminal record checks, evidence of the person's training/skills, record of work history and immunization. The Licensee was able to produce these records electronically during the inspection, however they are not being kept in a single location at the facility as required under Section 59 (a) of the Child Care Licensing Regulation.

Observation. C7.1B - The inspection tag on the facility's fire extinguisher indicates the equipment is overdue for servicing since September 2023. C7.1K - The fence around the playground facing the road has been modified and the area is no longer fully enclosed posing an increased risk of injury. C7.1L - An drawer near the fridge containing a sharp chef knife and a lighter was unsecured, making these items potentially accessible to children. C7.1AP - The resilient surfacing under the swings is insufficient leaving the ground and large tree roots exposed posing a risk of injury due to trips or falls.

Observation. C2.1J - The facility's repayment agreement for parents who have prepaid part of the cost of services is noted in the parent handbook, however a current record of each person to whom the written statement is delivered is not being kept.

Observation. It was alleged that the Licensee is not ensuring children are being provided with continuous supervision. Substantiated. During the investigation it was confirmed with school administrative staff, Cloud Nine employees and witnesses that; - An educator working on their own was leaving children in the school playground, while taking other children to the washroom inside the school. - A child who was upset was taken to the school office by a concerned adult who was not able to locate the Cloud Nine employee, and the child had to be collected from the office. - On another occasion, a child left the small play ground in the school grounds where the Cloud Nine children play and was later found in the large playground at the school. On each occasion, employees were not providing continuous supervision. It was alleged that the Licensee is not ensuring children are being provided with continuous supervision. Unable to substantiate. It was alleged that an employee was not supervising children as they are walked to and from the local school. It was alleged that the employee allowed children to either walk a long way ahead or a long way behind, and out of the employee's line of sight. During the investigation inspection an employee and children were observed walking both to and from school, on both occasions the children were being provided with supervision.

Observation. Unrelated to the complaint - contravention identified during the investigation inspection. The Licensee has developed policies to guide employees. One employee said they had not read the behaviour guidance policy. Both employees were not familiar with the content of the policies. The Licensees policies are not being consistently implemented. Unrelated to the complaint - contravention identified during the investigation inspection. The screen time policy has not been shared with families enrolled at the facility.

Observation. It was alleged that the Licensee did not report a missing or wandering person to Licensing. Substantiated. On 18-September-2023 and 05-December-2023 it was confirmed that a child who had been signed into the Licensee's care, was missing and unable to be accounted for. These two reportable incidents were not reported to Licensing.

Observation. Unrelated to the complaint - contravention identified during the investigation inspection. During the investigation employees confirmed that not all children are provided with regular daily outdoor play periods. Unrelated to the complaint - contravention identified during the investigation inspection. During the investigation inspection children were observed watching a movie for over an hour. Employees reported they regularly watch a movie for more than 30 minutes once a week.

Observation. It was alleged that the Licensee was not providing appropriate behaviour guidance to the children in their care. Substantiated. During the investigation inspection children were observed in potentially risky behaviour such as , standing on chairs, sitting and jumping on peers laying under foam mats, wrestling in and under sheets etc. Employees provided limited to no guidance to children on safe play in accordance with the facilities behaviour guidance policy.

Observation. It was alleged that parents often arrive to pick up their children at the center to find the group is on a field trip and do not know where to find them. C10.1L - SUBSTANTIATED - The Licensee stated that parents are advised of the location on the field trip calendar and when plans change they are notified of the change of location via the communication app used by the facility. A parent poster is posted at the bottom of the stairs for parents information and it has been added to the parent handbook that parents can't register unless they join the app used by the facility. Based on the findings of the investigation, numerous examples were provided where parents would arrive at pick-up time and their children were not at the facility, causing them to have to call or text employees to find out the location. Field trips are changed quite frequently by the Licensee on short notice. A trip planned to a splash park was changed to another park in the area and parents were notified via the app but when parents arrived, children were at the beach. Sometimes changes are made so late in the day that parents are already on their way to the facility to pick their child up and don't see the notification until they arrive. On a couple occasions, the change was a far distance from the original location causing logistical challenges for pick up. Planned field trips have been changed and not communicated to parents by the Licensee and parents were advised by their children at the end of the day that they didn't go and took the city bus or walked to another location instead. In an emergency, parents may not know where to find their children and if an alternate authorized person had to pick a child up, they wouldn't have access to the facility's communication app to know where to find the child. It was alleged that children are not assisted to apply sunscreen during the day. UNABLE TO SUBSTANTIATE - The facility's policy states, “Please apply sunscreen to your child every morning before dropping off. As needed throughout the day, your child’s care provider will assist with applying sunscreen to bare surfaces including the face, tops of ears and bare shoulders, arms, legs, and feet 15-30 min before outdoor activity. Sunscreen will not be applied to any broken skin or if a skin reaction has been observed. Any skin reaction observed by staff will be reported promptly to the parent/guardian." Parents sign a consent form indicating whether or not they want sunscreen applied to their child, however not all consents were kept in children's records at the facility. Based on interviews conducted, it was confirmed that employees do assist children to reapply sunscreen during the day however, there have been occasions where some children had mild sunburns due to the number of hours spent outdoors. Older children usually apply sunscreen themselves and if younger children ask for help, they are assisted by an employee. It is not clear how often children are reminded to reapply sunscreen during the day, or whether children were wearing hats or sun smart clothing. It is recommended that a system be in place to minimize exposure to harmful UV rays by appropriate scheduling. C10.1Y - SUBSTANTIATED - As noted above, a child was left on the facility's bus without supervision at a field trip. The Licensee confirmed that a sweep of the bus was not conducted on this day after children had disembarked. The Licensee is to submit an incident report for "neglect", which means the failure of a care provider to meet the needs of a child, including food, shelter, care or supervision under Schedule H of the CCLR. The incident report must include details regarding the follow up that has occurred in response; including a copy of the facility's transportation policy that identifies how children will be accounted for on field trips at all times when using public transportation and the facility's van or bus.

Observation. It was alleged that the Licensee does not provide a refund when parents have pre-paid for field trips that are frequently cancelled. C2.1L - SUBSTANTIATED - The Licensee stated that the money is either applied to another field trip or is deducted from the next month's child care fees. Based on the complaint investigation, parents who have asked about the fees have been compensated, others parents who didn't ask were not credited or refunded. The facility's Repayment Agreement doesn't address what happens when a parent has prepaid for a field trip that has been rescheduled or cancelled.

Observation. It was alleged that the Licensee employed a person that did not have a Criminal Record Check. C3.1C & C3.1H - SUBSTANTIATED - One person was employed to work in the summer program on July 10th. The Licensee accepted a Criminal Record Check addressed to the person's previous employer but did not receive official 'shared results' from the Criminal Record Review Program until August 17, 2023. Another person was ordinarily present on a trial basis without first obtaining a criminal record check for the person. C3.1M - Unrelated to the complaint - During an inspection of employee records on September 6, 2023, it was observed that one employee's first aid had expired on September 4, 2023. The other employee's first aid certificate did not meet the requirements of Schedule C of the Child Care Licensing Regulation. As a result, children did not have had immediate access to an employee with a valid first aid certificate at all times between September 5-13, 2023.

Observation. It was alleged that children are not provided access to drinking water causing them to become over heated after many hours outside during the summer. UNABLE TO SUBSTANTIATE - Although this has been noted as a contravention on a past inspection, the Licensee stated they now only plan field trips where children have access to washrooms and to water to refill their water bottles. Some children are bringing bigger water bottles and some children's water bottles are empty when they come home. It is unclear if staff are reminding children to take a water break or to refill their bottles so it is recommended this be reviewed by the Licensee. It was alleged that children were provided unhealthy snacks during the summer program without parental consent. C5.1G - SUBSTANTIATED - The Licensee has on occasion, treated the children to ice cream and slurpees without communicating this to parents.

Observation. It was alleged that children are taken on field trips with no bathroom access causing toileting accidents and a child was told by the Licensee to use the school grounds rather than taking them to a washroom. UNABLE TO SUBSTANTIATE - Based on parent interviews, no concerns were brought forward with children having toileting accidents. Concerns regarding the length of time children are on the bus being transported to and from field trips in nearby communities have been brought forward by parents to employees. Employees ensure children use the washroom prior to going on the bus and choose locations where children have access to a washroom. It was alleged that a dog has been present in the facility and was encouraged to use training pads in children's play area. UNABLE TO SUBSTANTIATE - Based on interviews conducted, the Licensee has brought a puppy to the program on occasion for short periods of time. The puppy had a toileting accident at the facility and employees cleaned and sanitized the area. No other health and safety concerns were identified. It was alleged that a child under 8 years of age was allowed to swim in the lake fully dressed with no life jacket despite the facility's policy which states, "Because we will use public beaches where no lifeguard is on duty all children under age 8 or children who are not adequate swimmers must wear a life jacket in any water over knee depth. I understand that if my child cannot swim or is under the age of 8 they will be required to wear a life jacket in any water above knee depth. No exceptions." Parents were provided a swimming permission form which reiterated these requirements. UNABLE TO SUBSTANTIATE - Children under 8 were permitted to go in the water up to knee depth without a life jacket with an employee in the water supervising children. Based on interviews conducted, no other concerns were brought forward regarding employees not following the facility's policy on the use of life jackets.

Observation. It was alleged that inappropriately rated movies are watched at the center by children as young as 5 years old without parental consent. C8.2A - SUBSTANTIATED - The facility provides care to school aged children between 5-12 years of age. PG or PG-13 movies have been watched at the centre and/or the movie theater as part of the facility's program. Although the movies may have been suitable for some of the older children, some of the material may not be suitable for younger children or may be inappropriate for children under 13 years of age. C8.2A- Unrelated to the complaint - There have been occasions where field trips provided were not designed for the age and development of children. It was observed that children were taken to a local brewery where lunch and a tour of the kitchen and the brewing equipment was provided. C8.2H - Unrelated to the complaint - Based on interviews conducted, it has been determined that the TV is on at the facility in excess of 30 minutes a day during full day programs, in addition to planned movies on Friday at the facility or at the movie theater.

Observation. C10.2D - One child was observed in the washroom down the hallway unmonitored by staff.

Observation. C3.1C - One employee file was incomplete/missing a record of the person's training and immunization. All other employee files were complete.

Observation. C7.1L - A hot iron being used for an art activity was left unattended on an activity table increasing the risk of injury. C7.1L - Outstanding Contravention from previous routine inspection - Radon testing is in progress but not complete.

Observation. On 17-August-2022, the program was operating over the licensed capacity, with 26 children in attendance. - On 29-August-2022 the Licensee stated, “this was a mistake, two children were sign in accidentally.” - On 29-November-2022, the Licensee provided the names of the children she believed were accidently signed in. The Licensee stated she was not working that day, and was there with three children for one hour. One of the three children named was not signed in, one child had attendance times of 10:00am - 4:45pm, and the other child’s attendance was noted as 9:45am-1:00pm. Based on the Licensee's attendance records and evidence that the children were participating in the program, it is confirmed that there were 26 children in attendance on 17-Aug-2022. Still outstanding: Please confirm you have a clear understanding of your licensed capacity, and how you ensure the licensed capacity is not exceeded. On 15-September-2022, the program was operating in non-compliance to the employee to child ratio with 19 children and one responsible adult. Based on the ages of children present, the Child Care Licensing Regulation requires an employee to child ratio of 1:12. - On 25-September-2022, the Licensee stated “they were short staffed, due to a sick staff”. - On 29-November-2022, the Licensee confirmed additional staff have been hired, and if they were unable to maintain ratios, they would close for the day. Confirmed resolved on 29-November-2022. On 15-September-2022, children were not signed in. This was pointed out to the Licensee, who then only signed 14 of the 19 children in. - The Licensee stated, "We have switched to a cleaner attendance sheet so that nobody gets missed on the sign in sheet." Confirmed resolved on 29-November-2022. On 15-September-2022, children were not consistently supervised while accessing the washrooms, and one child was observed exiting the facility alone and walking to the outdoor play space where the other children were playing. - On 25-September-2022, the Licensee stated, "As stated in our active supervision policy children are supervised while using the washrooms. We have a mirror in the hallway that lets a staff see both the hallway where the washroom is and the classroom. I was not aware of any children going outside without a staff member to join in with the outside group. When we do split into two groups, we always ensure that if someone goes in then everyone goes together to maintain ratio. We will ensure that children continue to be actively supervised while going in/out to the playground." Please provide your supervision policy, and how employees are informed of the supervision requirements.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. There was not consistent hand washing/sanitizing before eating, or after using a public porta-potty. - On 02-August-2022, the Licensee stated, "We have posted some reminder posters on proper hand washing and will remind children daily to wash their hands after using the washrooms and before eating children will all go wash their hands together upon eating at lunch and snack times." - On 18-August-2022, employees confirmed that while on a field trip the children did not wash their hands prior to eating. - On 29-August-2022, the Licensee stated, “hand sanitizer is in the backpack, and children will be asked to wash their hand at the start of the afternoon school program, and before eating.”, “staff would go over this at the staff meeting on 05-September.” Please provide confirmation/documentation on how employees have been guided on ensuring children are instructed in hand hygiene.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. During field trips children only have access to the water they have in their personal drink bottle. - On 02-August-2022, the Licensee stated, "We will be taking extra water on trips where there is no access to drinking water. We will now be doing our best to only plan trips to places where there is access to water for children." - On 18-August-2022, employees confirmed they did not take extra water for children, and had not been guided to do so by the Licensee. - On 29-August-2022, the Licensee stated, “only off-site play spaces with drinking water will be used by the program.” Please provide confirmation/documentation on how employees have been guided to ensure children have access to drinking water while off-site.

Observation. On 15-September-2022, children were not signed in. This was pointed out to the Licensee, who only signed 14 of the 19 children in. The Licensee was requested to provide a response to the contraventions noted in the inspection report by 23-September-2022. - On 25-September-2022, the Licensee responded to the inspection report, stating, they have “switched to a cleaner attendance sheet so that nobody gets missed on the sign in sheet.” Confirmed resolved on 29-November-2022. Outstanding infraction from routine inspection dated 26-July-2022 and 18-August-2022. The daily, monthly, and annual inspection logs are not being completed for the play spaces. - On 29-August-2022, the Licensee stated, “the safe play space logs are in the emergency bags and will be completed each time the children are in an outdoor play space both on and off-site.” Still outstanding: On 29-November-2022, the daily, monthly, or annual inspection logs were not being consistently completed for the play spaces.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. The Licensee does not ensure food supplied by parents is maintained at the recommended servable temperature. During a field trip, foods such as meat and dairy products were not able to be kept cold during the 5 hour outing. - 02-August-2022, the Licensee stated, “Parents have been reminded that they are expected to pack their child a bagged lunch or ensure that their child has an ice pack in their lunch kit. Tania suggested adding some water bottles to the freezer in case a child forgets their ice pack and we have done that so we can add an ice pack in if forgotten.” On 18-August-2022, employees confirmed they did not check for ice packs or if children had perishable food items, they were not aware of frozen water bottles that could be added to the children's lunch kits to aid in keeping food items cold. - On 29-August-2022, the Licensee stated, “staff would go over this at the staff meeting on 05-September.” Please provide confirmation/documentation on how families and employees have been guided on safe storage of food provided by parents.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. During a field trip to the beach children were only offered swimming, climbing or playing in the sand as activities. No resources and/or activities were taken to enhance the educational program. - On 02-August-2022, the Licensee stated "We have compiled a "go bag" of activities to take off site including colouring, card games, sand toys and a few books in case a child doesn't want to participate or just to offer more activities for the children." - On 18-August-2022, the employees did not know about the additional resources in the "go bag". - On 29-August-2022, the Licensee stated, “additional resources have been added to the backpacks. These resources include card games, colouring, balls and frisbees.”, “staff would go over this at the staff meeting on 05-September.” Please provide confirmation/documentation on how employees have been guided on what activities are available to children while off-site.

Observation. On 17-August-2022, the program was operating over the licensed capacity, with 26 children in attendance. - The Licensee stated this was a mistake, two children were sign in accidentally. Still unresolved, not inspected at the follow-up inspection. New Infractions: 15-September-2022, the program was operating over ratio of 1:12, with 19 children and one responsible adult. 15-September-2022, children were not consistently supervised while accessing the washrooms, and one child was observed exiting the facility alone and walking to the outdoor play space where the other children were playing.

Observation. Outstanding infraction from routine inspection dated 26-July-2022. The daily, monthly, or annual inspection logs are not being completed for the play spaces. 18-August-2022 employees confirmed they were not completing play space inspections on-site or off-site. - The Licensee stated the safe play space logs are in the emergency bags and will be completed each time the children are in an outdoor play space both on and off-site. Still unresolved, not inspected at the follow-up inspection. New Infraction: 15-September-2022 - Children were not signed in. This was pointed out to the Licensee, who only signed 14 of the 19 children in.

Observation. 18-August-2022 - There was no record that employees practiced the monthly fire drill in the month of July. - The Licensee stated the fire drill and record have been completed. Confirmed resolved on 15-September-2022. New Infraction: 15-September-2022 - There was no record that employees practiced the monthly fire drill in the month of August.

Observation. Outstanding infraction from complaint investigation dated 08-July-2022 and follow-up inspection 18-August-2022. The Licensee does not have confirmation from the Criminal Record Review Program that each employee holds a valid criminal record check. - The Licensee stated all criminal record checks are now in staff files. Confirmed resolved on 15-September-2022. Outstanding infraction from follow-up inspection dated 18-August-2022. Children were being cared for by an employee who did not hold a valid first aid and CPR certificate. - The Licensee stated all staff have first aid except for one, and this staff member will not be able to work alone with children. Confirmed resolved on 15-September-2022. New Infraction: 15-September-2022 - There is no record on file that the person who drives the bus holds a valid licence to operate this type of vehicle.

Observation. New infraction: On 17-August-2022, the program was operating over the licensed capacity, with 26 children in attendance.

Observation. New infraction: 18-August-2022 - There was no record that employees practiced the monthly fire drill in the month of July.

Observation. Outstanding infraction from complaint investigation dated 08-July-2022 and follow-up inspection 18-August-2022. The Licensee does not have confirmation from the Criminal Record Review Program that each employee holds a valid criminal record check. Still unresolved. Outstanding infraction from complaint investigation dated 08-July-2022. One employee has not provided the Licensee with confirmation that they have complied with the Provinces immunization program. Confirmed as resolved on 18-August-2022. 22-July-2022 - There is no record on file that the person who drives the bus holds a valid licence to operate this type of vehicle. Confirmed as resolved on 18-August-2022. New infraction: Children were being cared for by an employee who did not hold a valid first aid and CPR certificate.

Observation. Outstanding infraction from routine inspection dated 26-July-2022. The daily, monthly, or annual inspection logs are not being completed for the play spaces. 18-August-2022 employees confirmed they were not completing play space inspections on-site or off-site. Still unresolved. 26-July-2022 - Attendance records were left at the facility while children and employees were on a field trip. Confirmed resolved 18-August-2022.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. During field trips children only have access to the water they have in their personal drink bottle. On 02-August-2022 The Licensee stated "We will be taking extra water on trips where there is no access to drinking water. We will now be doing our best to only plan trips to places where there is access to water for children". 18-August-2022 employees confirmed they did not take extra water for children and had not been guided to do so by the Licensee. Still unresolved.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. There was not consistent hand washing/sanitizing before eating, or after using a public porta-potty. On 02-August-2022 the Licensee stated "We have posted some reminder posters on proper hand washing and will remind children daily to wash their hands after using the washrooms and before eating children will all go wash their hands together upon eating at lunch and snack times". 18-August-2022 employees confirmed that while on a field trip the children did not wash their hands prior to eating. Still unresolved.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. The Licensee does not ensure food supplied by parents is maintained at the recommended servable temperature. During a field trip, foods such as meat and dairy products were not able to be kept cold during the 5 hour outing. 02-August-2022 the Licensee stated Parents have been reminded that they are expected to pack their child a bagged lunch or ensure that their child has an ice pack in their lunch kit. Tania suggested adding some water bottles to the freezer in case a child forgets their ice pack and we have done that so we can add an ice pack in if forgotten". 18-August-2022 employees confirmed they did not check for ice packs or if children had perishable food items, they were not aware of frozen water bottles that could be added to the children's lunch kits to aid in keeping food items cold. Still unresolved. 22-July-2022 - There is not a 6ft clearance around climbing equipment. Confirmed resolved 18-August-2022. 22-July-2022 - The first aid kit had expired items/products. 18-August-2022 not observed by Licensing, this will be reviewed at the next inspection.

Observation. Outstanding infraction from routine inspection dated 22-July-2022. During a field trip to the beach children were only offered swimming, climbing or playing in the sand as activities. No resources and/or activities were taken to enhance the educational program. On 02-August-2022 the Licensee stated "We have compiled a "go bag" of activities to take off site including colouring, card games, sand toys and a few books in case a child doesn't want to participate or just to offer more activities for the children". On 18-August-2022 the employees did not know about the additional resources in the "go bag". Still unresolved. 22-July-2022 - During a field trip children were at the beach, and in the water playing from 12noon until the end of the day, there was no plan to ensure children had reduce sun exposure. Sunscreen was applied to some children. Not all children wore a hat or sun smart clothing. Children were expected to self monitor their own time in the sun. Confirmed resolved 18-August-2022.

Observation. 22-July-2022 - The resilient surfacing under the climbing equipment was insufficient in depth to protect a child from an injury. The drainage fabric under the rubber chips is exposed and could be a trip hazard.

Observation. 22-July-2022 - On a hot day during a field trip to the beach, this Licensing Officer observed improper food storage. Children's lunch kits were left open, and food was left out on the ground, children were observed returning to this food after a period of time.

Observation. Licensing was not notified of the change to the transportation policy.

Observation. 22-July-2022 - During a field trip to the beach children were only offered swimming, climbing or playing in the sand as activities. No resources and/or activities were taken to enhance the educational program.

Observation. 22-July-2022 - During a field trip children were at the beach, and in the water playing from 12noon until the end of the day, there was no plan to ensure children had reduce sun exposure. Sunscreen was applied to some children. Not all children wore a hat or sun smart clothing. Children were expected to self monitor their own time in the sun.

Observation. 22-July-2022 - During field trips children only have access to the water they have in their personal drink bottle. Their water bottles were not filled prior to the field trip. On a 5 hour field trip to the beach, there was no water accessible at the location, and no additional water taken to ensure children have access to safe drinking water.

Observation. Outstanding infraction from inspection dated 09-March-2022 - Child Care Licensing Regulation 22(2)(c): - Emergency plan had not been practiced. During the inspection on 26-July-2022 the Licensee provided the record showing the emergency evacuation was completed on 14-October-2021. This infraction is resolved on 26-July-2022. Outstanding infractions from complaint investigation dated 08-July-2022 - Child Care Licensing Regulation 19(1)(a-f), Act 7(1)(a): - The Licensee does not have confirmation from the Criminal Record Review Program that each employee holds a valid criminal record check - still unresolved. - One employee has not provided the Licensee with confirmation that they have complied with the Provinces immunization program - still unresolved New infractions: 22-July-2022 - Children were being cared for by employees who did not hold a valid first aid and CPR certificate. 24-July-2022, the Licensee provided confirmation that two more employees hold a valid first aid certificate as of 24-Jul-2022. The Licensee has also provided a staff schedule showing how children will have access to staff with valid first aid certificate at all times care is being provided. This infraction is resolved on 24-July-2022. 22-July-2022 - There is no record on file that the person who drives the bus holds a valid licence to operate this type of vehicle.

Observation. 22-July-2022 - Records that the monthly fire drill has been practiced, were not available to be inspected. These were found by the next inspection and reviewed. This infraction is resolved on 26-July-2022. 22-July-2022 - Records that each employee has practiced implementing the emergency plans, were not available to be inspected. These were found by the next inspection and reviewed. This infraction is resolved on 26-July-2022.

Observation. Outstanding infraction from inspections dated 09-March-2022 and 11-May-2022 - Child Care Licensing Regulation 57(2)(i): - "Emergency cards" were missing for 8 children. This infraction is resolved on 26-July-2022. New infractions: 21-July-2022 - During a field trip staff took children in their own personal vehicles. During the time they were being transported not all staff had access to children's emergency information. The Licensee has since put together three bags that contain a full set of emergency information for each child. This infraction is resolved 26-July-2022. 22-July-2022 - All child registration records were reviewed and several children were missing required information such as, emergency contacts, name and phone number of medical practitioner, start date, and medical insurance number. 22-July-2022 - One child did not have an "emergency card". This was corrected during the inspection on 26-July-2022. 22-July-2022 - One child did not have a digital image/photograph that may be used to identify the child in an emergency. This was corrected during the inspection on 26-July-2022. 22-July-2022 - There was one child without identifying information recorded in the child's file. This was corrected during the inspection on 26-July-2022. 22-July-2022 - At 8.15am there were 5 children in attendance, however only one child signed in. This was corrected during the inspection on 26-July-2022. 26-July-2022 - Attendance records were left at the facility while children and employees were on a field trip. 26-July-2022 - The daily, monthly, or annual inspection logs are not being completed for the play spaces.

Observation. 22-July-2022 - There was not consistent hand washing/sanitizing before eating, or after using a public porta-potty.

Observation. Outstanding infraction from inspections dated 09-March-2022 and 11-May-2022 - Child Care Licensing Regulation 13(1): - Two bottles of cleaning solution, one label stated that the solution needed to be changed daily and the other bottle was missing a label and didn't contain instructions to ensure surfaces are effectively sanitized. - May 11, 2022, the same 2 bottles continue to be used. 26-July-2022 these bottles were still in the resourced cupboard in the room, the Licensee removed them from the cupboard, and said she would remove them from the facility during the inspection. This infraction is resolved on 26-July-2022. New infractions: 22-July-2022 - The Licensee does not ensure food supplied by parents is maintained at the recommended servable temperature. During a field trip, foods such as meat and diary products were not able to be kept cold during the 5 hours outing. 22-July-2022 - The first aid kit had expired items/products. 21-July-2022 - During a field trip staff took children in their own personal vehicles. During the time they were being transported, not all staff had access to a first aid kit. The Licensee has since put together three bags that contain a first aid kit. This infraction is resolved on 26-July-2022. 22-July-2022 - There is not a 6ft clearance around climbing equipment.

Observation. The complaint outlined concerns regarding child to staff ratio not being met. During the investigation, the Licensing Officer confirmed that twice this week the child to staff ratio was not met. Complaint is substantiated.

Observation. During the inspection, additional non-compliance was identified regarding staff files. Only three staff files were at the facility and all were incomplete, missing documentation such as criminal record checks, reference checks, work history, immunization status. Two other staff did not have a staff file. During the inspection, additional non-compliance was identified regarding first aid. There is not an employee with valid first aid immediately available at all times while care is being provided.

Observation. During the inspection, additional non-compliance was identified regarding child. Some child files were incomplete, files are missing information such as medical insurance number, doctor's name and contact number, and emergency contacts. Some child files were not at the facility.

Observation. New Contravention: C1.1A - NOTIFICATION/AMENDMENT/USE OF ADDITIONAL ROOM. On February 5, 2022, the Licensee inquired about submitting an amendment application to increase the facility's capacity and use an adjacent room that hasn't been previously assessed or approved by Licensing. On February 25, 2022, Licensing provided amendment application resources and the Licensee was advised in writing to submit an application to amend the facility licence and include documentation specific to the amendment however to date an application hasn't been submitted to reflect any potential operation changes. At the March 9, 2022 inspection, Licensing verified the room's measurements in preparation for the amendment application but did not do a full health and safety assessment as the room wasn't being used as part of the Licensed space. During the inspection on May 11, 2022, Licensing observed children using this room for free-play without a written notification or amendment application as required by the Child Care Licensing Regulation. The Licensee must submit a written notification or an amendment application if there will be any changes from the original application. This room is not to be used until the required documentation is reviewed and accepted by Licensing.

Observation. RESOLVED from March 9, 2022 routine inspection: C10.2D - The Licensee submitted a revised copy of the facility's off-site transportation plan on April 20, 2022 to ensure that a safe transfer of care is implemented by employees when dropping off and picking children up at school. NEW CONTRAVENTION: C10.2.D - When Licensing arrived for the inspection, some children were playing in the main room with one staff present. The remaining children and the other staff person were down the hall washing their hands as they had just arrived from school. 2 of the children returned from handwashing and went to play in the adjacent room that hasn't been approved for use by Licensing without staff supervision for approximately 5 minutes. Facility staff didn't appear to know Licensing had arrived or that there were children playing in the adjacent room. When the other staff came back down the hall with the children after handwashing, the children continued playing in the room and other children joined them. It appeared that the use of this room is a common practice and a plan is needed to ensure children are supervised at all times, including during transition times when one staff is supervising children in the washroom.

Observation. RESOLVED from March 9, 2022 routine inspection: C4.1B – On March 14, 2022, the Licensee submitted an incident report for 'service delivery problem' for an incident that occurred on February 7, 2022. C4.1O – Facility records: - The Licensee provided a copy of the facility's daily attendance records on March 10, 2022. - The Licensee provided a copy of the facility's log of minor accidents, illness and unexpected events on March 11, 2022. UNRESOLVED from March 9, 2022 routine inspection: C4.1T - The facility's log of all play space inspections, maintenance and repairs was submitted on March 10, 2022. On March 17, 2022, Licensing requested further information on the Licensee's system to ensure the log identifies what the Licensee inspected and what maintenance and repairs were made. At this time, this contravention is unresolved. NEW CONTRAVENTIONS: C4.1 H - At the routine follow up inspection on May 11, 2022, it was observed that daily attendance records indicating whether each child is absent or present and the time of their arrival and departure are not being maintained. The employee explained that they ran out of attendance sheets so attendance had not been recorded for March 9-11, 2022. Children's attendance was not completed when picking children up from school. Licensing inquired as to how many children were present and the employee did not seem certain and there was no means of verification. This contravention must be addressed immediately. C4.1E & C4.1J – Child Records - At the routine inspection completed on March 9, 2022, emergency information that is taken with employees when children are attending regular or daily activities and being transported off-site was missing for 8 children. The Licensee must keep current records for each child identifying personal information including a current photo or digital image of each child and other information that can be used to readily identify the child in an emergency (e.g. hair color, eye color, birthmarks etc.). During the routine follow up inspection on May 11, 2022, staff were unaware where these records were and called the Licensee to assist in locating them. A review of the records indicate they are still incomplete and Licensing was unable to determine if a child record was in place for each child as the attendance record was not maintained. This contravention requires immediate follow-up to ensure health and safety and for emergency purposes.

Observation. RESOLVED from March 9, 2022 routine inspection: C7.1A - Masks are no longer required to be worn for School Age Children in child care facilities. C7.1A - Electrical outlets have child safety covers in place to prevent injury. UNRESOLVED from March 9, 2022 routine inspection: C7.1A - The Licensee has 2 bottles of cleaning solution for disinfecting snack tables and high touch surfaces, however one label stated that the solution needed to be changed daily and the other bottle was missing a label and didn't contain instructions to ensure surfaces are effectively sanitized. Ensure the facility is using an approved disinfection/sanitizer as directed on the label by the manufacturer to prevent the risk of illness. On March 17, 2022 Licensing requested confirmation that this has been addressed but a response has not been provided. At the time of inspection on May 11, 2022, the same 2 bottles are being used, one without a label or instructions.

Observation. RESOLVED from March 9, 2022 routine inspection: C2.1B - The Licensee has replenished the emergency kit supplies and has tagged it as a system to follow up to ensure expired items are removed and replaced. C2.1E - The Licensee submitted a copy of the facility's monthly fire drill logs on March 11, 2022. C2.1M - The Licensee submitted a revised copy of the facility's off-site transportation plan on April 20, 2022 to ensure that a safe transfer of care is implemented by employees when dropping off and picking children up at school. NEW CONTRAVENTIONS observed during this Routine Follow-up Inspection: C2.1E - The facility's monthly fire drill log was unable to be located at the time of inspection. C2.1M - Employees have not fully implemented the facility's off-site transportation plan. The facility's policy states that staff will carry emergency cards for staff and children that contain photos of each child, emergency contacts, allergies or medical alerts, parent/guardian information, doctor information, care card number, permission to call ambulance, etc. At the time of inspection, staff did not have any of this information with them while transporting children off-site. A review of children's records found that this information is not complete in children's records. This contravention must be corrected immediately to ensure health and safety and for emergency purposes.

Observation. UNRESOLVED from March 9, 2022 routine inspection: C3.1L - The Licensee has not provided evidence that all employees have practiced implementing the facility's emergency plan annually. NEW CONTRAVENTIONS: C3.1F - There appears to be a lack of knowledge of the Child Care Licensing Regulations. During the routine follow up inspection on May 11, 2022, a staff was unaware where children's records were located and called the Licensee for assistance. The staff was unaware of the location of the facility's file drill log and didn't maintain the daily attendance log as required. Please provide a plan on how staff will become knowledgeable of their roles and responsibilities and ensure the Child Care Licensing Regulations are being met.

Observation. C1.1A - The facility's hours of operation have changed from 7:00 am - 6:00 pm to 7:15 am to 6:00 pm without notification to Licensing. Verbal notification was provided during the routine inspection, however the expectation is that you provide written notification to Licensing.

Observation. C10.2D - This is a contravention brought forward from the substantiated complaint inspection conducted just prior to this routine inspection on this day. Ensure that children are supervised at all times by a qualified person; 39( 1 ). Follow up is required by March 11, 2022.

Observation. The facility has not completed radon testing because the detector was lost. This contravention was noted on the previous routine inspection report.

Observation. C2.1B - There is no system in place for reviewing the emergency kit supplies as the majority of the supplies and expired food has been removed and had not been replenished at the time of inspection. C2.1E - The facility's monthly fire drill logs for 2021 were complete, however the Licensee has not provided a record of monthly fire drill logs for 2022. C2.1M - This is a contravention brought forward from the substantiated complaint inspection conducted just prior to this routine inspection on this day. Ensure that the policies and procedures referred to in section 56(1) are implemented by employees; 56(2). Follow up is required by March 11, 2022.

Observation. C4.1B – On February 7, 2022, the facility was not open at 7:15 am as per the current hours of operation. An incident report for 'service delivery problem' is required to be submitted to Licensing as the facility was not open to provide care to children. C4.1E & C4.1J – Child Records - Emergency information that is taken with employees when children are attending regular or daily activities and being transported off-site is missing for 8 children. The Licensee must keep current records for each child identifying personal information including a current photo or digital image of each child and other information that can be used to readily identify the child in an emergency (e.g. hair color, eye color, birthmarks etc.) C4.1O – Facility records - The following facility records that are required to be kept in a single location at the facility were not available at the time of inspection: - Daily attendance records - Monthly fire drill logs - Log of minor accidents, illness and unexpected events - Log of play space inspections, maintenance and repairs C4.1D - Current log of minor accidents, illnesses and unexpected events; 56 (f) was not available at the time of inspection. C4.1H - Daily attendance records indicating whether each child is absent or present and the time of their arrival and departure 57 (2)(c) was not available at the time of inspection. C4.1T - The Licensee is not keeping a log of all play space inspections, maintenance and repairs; Director of Licensing Standard of Practice - Safe Play Space.

Observation. C7.1A - Employees and school age children were not wearing masks when the routine inspection was conducted. Discussed the BCCDC Public Health Guidance for Child Care Settings which requires all employees and school age children to wear masks unless they are exempt due to criteria outlined in the guidance. This contravention was corrected at the time of inspection. C7.1A - The Licensee has 2 bottles of cleaning solution for disinfecting snack tables and high touch surfaces, however one label stated that the solution needed to be changed daily and the other bottle was missing a label and didn't contain instructions to ensure surfaces are effectively sanitized. Ensure the facility is using an approved disinfection/sanitizer as directed on the label by the manufacturer to prevent the risk of illness. C7.1A - Electrical outlet covers were missing from a few outlets at the time of inspection. Note: The facility has playground maintenance scheduled next week to ensure the resilient surfacing under the play structure is adequate to prevent injuries.

Observation. It was alleged that children who are dropped off at school in the morning are sometimes unsupervised for a short period of time until the school supervision starts and there is an official transfer of care from the Licensee to the school. There are 2 separate playgrounds that children are dropped off at. The concern is that some of the children may be left unsupervised for a short time while the employee takes the remaining children to the other playground on the other side of the school. This was originally investigated on December 17, 2021 and at that time, Licensing was unable to substantiate the concern based on a lack of evidence, however an immediate supervision plan was required to ensure children are supervised at all times. On December 20, 2021, the Licensee submitted a plan to ensure children would remain under the care of the licensee until school staff are outside for supervision at 8:15 am and children would then be transferred into the care of the school staff. SUBSTANTIATED: Ongoing concerns were reported to Licensing in February and March 2022. Based on Licensing's observations of school drop off on March 3, 2022 and March 8, 2022, there was a period of time where a children were released into the playground without direct supervision of the Licensee prior to 8:15 am and it appeared that no formal transfer of care to school staff took place.

Observation. The Licensee does have written policies and procedures to guide employees in care and supervision; however, based on observations made by Licensing on March 3, 2022 and March 8, 2022, it is apparent that employees have not implemented the facility's supervision policies for regular or daily transportation off-site (see further details below).

Observation. Based on the information gathered by Licensing during the complaint follow-up, it was determined that the licensee did not ensure that the safety policies and procedures specific to taking children off-site were implemented by employees. The licensee acknowledged that they too had observed their staff not implementing the facility policy and procedures in place for when taking the children in care off-site and had already spoken to the staff about this issue. A written plan detailing the licensee's corrective measures is required to be submitted to licensing on or before June 16, 2021.

Observation. C5.2A & C5.2B - Regulation 48(1)(a)(b) - A review of the nutritional log indicates children are regularly offered 1 food option of processed foods.

Observation. C1.1D - Regulation 11(1) - Name of facility manager not posted.

Observation. C2.1B - Regulation 22(1)(b) - There is no system in place for reviewing the emergency kit supplies as expired food was observed today. C2.1H - Regulation 56(E) - The written nutrition policy is not the current facility practice.

Observation. Regulation 17 - A radon test has not been conducted for this facility

Observation. C4.1H - Keep a daily attendance record indicating whether each child is absent or, if the child is present, the time of arrival and departure; 57( 2 )(c) - contravention from the previous inspection - RESOLVED C4.1E - Regulation Section 57(2)(a)(h) - Not all child records contained medical plan number and/or specific instruction relating to a potential medical event which may require medication administration.

Observation. C7.10 - Regulation 47 - The hot water was tested today at 54.6 degrees in two washrooms. One other washroom only produced cold water.