Brainbox Montessori Learning Academy

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.

  Observation. Licensing observed the following: - drywall and paint chips throughout both programs. -Some cracks running down walls -wire to speakers was hanging and removed by a staff during the inspection - a plug is missing a protector in the infant program -light bulbs not replace in the nap space -air vents visibly dirty - mouse poop was observed on the ground in the infant program. - outdoor area -landscape fabric exposed posing a tripping hazard -infant area smells like urine, the Licensee said they have been cleaning with baking soda and vinegar and plan to replace the turf. The Licensee said that they are having a contractor come in and complete the repairs inside to drywall and repairs and changes to the outdoor area in the summer. She will send Licensing the plan.

  Corrective action. Ensure that the facility is clean and well maintained.

  11020 - CCLR s.13(2)
• 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. An early childhood educator who was working at the time of inspection did not have their certificate posted.

  Corrective action. Ensure each certificate for educator or assistant is posted.

  10070 - CCLR s.11(4)
• MEDICATION

  A licensee must ensure that a child's medication is not accessible to any child, except that a child may have access to his or her own medication if (a) the child's parent has instructed the licensee to permit this.

  Observation. Medication was accessible to children in care in a cubby and in an emergency supplies bin.

  Corrective action. Ensure that medication is not accessible to children in care.

  16030 - CCLR s.53(2)(a)
• MEDICATION

  If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.

  Observation. A medication agreed to be given to a child was missing key information on the medication form.

  Corrective action. Ensure that medication form is completed.

  16010 - CCLR s.53(1)(a)
• 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. Licensing reviewed items in the emergency kit and there is not enough supplies to respond to and recover from any emergency.

  Corrective action. Ensure that there are enough supplies to respond to and recover from an emergency.

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

  A licensee must keep current records for each child showing (a) the information set out in subsection (2), (b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and (c) the consents referred to in subsection (3).

  Observation. Three of six children's files were not current with missing information in their file or on their emergency card.

  Corrective action. Ensure that the children's files are current.

  19060 - CCLR s.57(1)(a)(b)(c)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation) Observation (CORRECTED DURING INSPECTION): One of three employee files did not have the certificate verified. The Manager Verified it at the time of inspection.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. One of three staff files reviewed did not have a current criminal record check.

  Corrective action. Ensure that each person employed has a current criminal record check.

  12040 - CCLR s.19(1)(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. 2 Educators or Assistants that were working at time of inspection did not have their certificates posted.

  Corrective action. Ensure any staff employed to work at the facility has their certificate posted.

  10070 - CCLR s.11(4)
• MEDICATION

  If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.

  Observation. Medication agreed to be given to the child did not have the specific name of the medication recorded with the amount and times to be given.

  Corrective action. Ensure that the medication form is completed with the specific information regarding the medication, times and amounts to be given.

  16010 - CCLR s.53(1)(a)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.

  Observation. 2 employee files were not located on site.

  Corrective action. Ensure that all employee files are located in a single space in the community care facility.

  19320 - CCLR s.59(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. 1 employee did not have a criminal record check.

  Corrective action. Ensure each employee has a criminal record check.

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

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.

  Observation. LO observed many areas of the paint chips throughout the facility, exposing drywall to the children. Baby gate in IT room is broken and children have access to the kitchen/washroom where they store cleaning supplies and diapering creams.

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

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

  A licensee, other than a licensee who provides a care program described as either Preschool (30 Months to School Age) or Group Child Care (School Age), must have in a community care facility a sturdy surface for changing diapers, located outside the food preparation area, next to (a) a covered container for soiled clothing.

  Observation. LO observed that soiled diaper was placed in a bag under the washroom's sink. A covered container was not available to dispose soiled diaper.

  Corrective action. Ensure that a covered container ( garbage bin) is available within the washroom.

  15010 - CCLR s.14(4)(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. Manager's name was not posted on site.

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

  10050 - CCLR s.11(1)
• 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 Extinguisher has not been 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: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. 6 files were reviewed; 1 child's immunization status was not obtained.

  Corrective action. Ensure that all children files are complete.

  19070 - CCLR s.57(2)(a)
• 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 (CORRECTED DURING INSPECTION): There were 6 children onsite; only 5 of them were signed in.

  Corrective action. Ensure that accurate record of daily attendance is kept.

  19090 - CCLR s.57(2)(c)

• 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. Observation: The following was observed: - the landscape fabric in the 3-5 playground is exposed and poses a tripping hazard -a table that folds out of the wall in the infant program is breaking and disconnecting from the wall -both folding tables in the infant room are missing the washable cover on the table top leaving exposed raw wood that is unable to be sanitized. -the baseboard in the kitchen area next to a child's table in the infant program is coming off the wall -there are many areas of paint chips, including peeling paint and exposed drywall throughout the facility in both programs -the plate around the plug is missing in the infant nap room located next to a nap mat. -a pillar located in the main play area of the 3-5 program is cracked from ceiling to floor leaving exposed drywall and the wood beam. - several vertical cracks in the walls throughout the 3-5 room - a gap under the entance door, covered with tape - an electrical cord attached to the wall in the infant naproom, accessible to children which could pose a potential risk of entanglement - three holes in the wall in the main activity area of the 3-5 program, accessible to children Photographs were taken and will be provided to the Licensee.

  Corrective action. Ensure that a healthy and safe environment is provided at all times. Please provide your plan on how and when you will address the above information. Please provide Licensing with written confirmation from a qualified individual that the beam and wall cracks do not pose a health and safety concern to the children.

  11010 - CCLR s.13(1)
• EQUIPMENT AND FURNISHINGS

  A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.

  Observation. Two of 5 play pens where children sleep in the infant toddler nap area were broken and the sides unable to be secured in an upright position. Several of the mats in the play pens are not fitted to the size of the play pens. Several of the sheets in the play pens are very loose.

  Corrective action. Ensure that the nap equipment is sturdy, safe and free from hazards

  11080 - CCLR s.15(1)(a)

• EQUIPMENT AND FURNISHINGS

  A licensee must supply equipment, furniture and supplies that are (a) of sturdy and safe construction, easy to clean and free from hazards.

  Observation. Two of 5 play pens located in the infant toddler nap area were broken and the sides unable to be secured in an upright position.

  Corrective action. Ensure that the nap equipment is sturdy, safe and free from hazards

  11080 - CCLR s.15(1)(a)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

  Observation. The following was observed: - the landscape fabric in the 3-5 playground is exposed and poses a tripping hazard -a table that folds out of the wall in the infant program is breaking and disconnecting from the wall -both folding tables in the infant room are missing the washable cover on the table top leaving exposed raw wood that is unable to be sanitized. -the baseboard in the kitchen area next to a child's table in the infant program is coming off the wall -there are many areas of paint chips and exposed drywall throughout the facility in both programs -the plate around the plug is missing in the infant nap room located next to a nap mat. -a pillar located in the main play area of the 3-5 program is cracked from ceiling to floor leaving exposed drywall and the wood beam. Photographs were taken and will be provided to the Licensee.

  Corrective action. Ensure that a healthy and safe environment is provided at all times. provide your plan on how and when you will address the above information. Please provide Licensing with written confirmation that the beam that is cracked is posing a health and safety concern to the children.

  11010 - CCLR s.13(1)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. single use towels were not available for children to use to dry their hands

  Corrective action. Ensure that single use towels are available for children's use.

  15030 - CCLR s.46(1)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].

  Observation. The Manager said they completed a fire drill in July and an earthquake drill in the last year. There was no written record of compliance

  Corrective action. Ensure that a record respecting compliance is maintained.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (k) the date on which the child stops attending the community care facility.

  Observation. There were more than 20 children's files that did not contain the date when the child stops attending.

  Corrective action. Ensure that the children's records include the date when the child stops attending

  19180 - CCLR s.57(2)(k)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.

  Observation. 10 children's files were unavailable for review. The Manager was unaware of where the files were located and said they may be in the other facility.

  Corrective action. Ensure that each child's file is kept in a single place in the community care facility.

  19320 - CCLR s.59(a)
• 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. Two care plans were not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. Ensure that each care plan is reviewed annually.

  19260 - CCLR s.58(2)(b)
• 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. Two early childhood educators certificates were not verified by the system maintained by the early childhood educator registry.

  Corrective action. Ensure that each certificate is verified.

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

• 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. During inspection Licensing noted that the fire extinguisher has not been serviced annually

  Corrective action. Please ensure to service fire extinguisher annually.

  13020 - CCLR s.22(1)(b)
• 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. Review of the daily attendance record noted 2 of 7 children were not signed in at time of inspection.

  Corrective action. Please ensure the daily attendance record includes, absence/arrival/departure times.

  19090 - CCLR s.57(2)(c)
• 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. Review of 8 children's files noted 2 did not have a record of a medical insurance plan number.

  Corrective action. Please ensure to obtain and record medical insurance plan number for each child.

  19070 - CCLR s.57(2)(a)
• 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. Review of 8 children's files noted there was no record of an enrolment date for 1 child.

  Corrective action. Please ensure to obtain and record an enrolment date for each child.

  19080 - CCLR s.57(2)(b)
• STAFFING

  A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.

  Observation. Review of 6 staff files noted 2 with expired first-aid and CPR certificate.

  Corrective action. Please ensure that children have immediate access at all times to an employee who holds a valid first-aid and CPR certificate. The Manager has ensured that children have immediate access to a staff with a valid first-aid and CPR certificate as there are staff working in the program that holds a valid first-aid and CPR certificate.

  12210 - CCLR s.23(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: (c) a record of the person's work history.

  Observation. Review of 6 staff files noted 1 did not have a record of a person's work history.

  Corrective action. Please ensure to obtain a record of the person's work history.

  12060 - CCLR s.19(1)(c)
• STAFFING

  A licensee must not employ a person in a community care facility 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. Review of 6 staff files noted 1 certificate was not verified by the system maintained by the Early Childhood Educator Registry.

  Corrective action. Please ensure to obtain certificate verification through the system maintained by the Early Childhood Educator Registry.

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

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

  Observation. During inspection Licensing noted that the water in the Preschool classroom was measured at 56 degrees celsius. Manager explained that the plummber came and the temperature was adjusted on the hot water tank, it was then at 49 degrees celsius. The Manager stated that they will again contact the building manager and the plummber to bring down the water temperature.

  Corrective action. Please ensure that heated water accessible to children is heated to no more than 49 degrees celsius.

  11230 - CCLR s.47

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

  Observation. During inspection Licensing noted the water in the Preschool classroom was measured at 54.1 degrees celsius and the water in the Infant bathroom was measured at 56.1 degrees celcius.

  Corrective action. Please ensure that heated water accessible to children is heated to no more than 49 degrees celsius.

  11230 - CCLR s.47
• OR SUPERVISION

  A licensee providing a care program described as Preschool (30 Months to School Age) must not provide care for more than 4 hours each day to each child.

  Observation. During inspection Licensing noted that care being provided to children in a Program described as Preschool (30 months to School Age) was more than 4 hours.

  Corrective action. Please ensure that care provided to children in a Preschool is no more than 4 hours.

  14090 - CCLR s.40(2)
• 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. During review of 10 children's files Licensing noted that 2 children were missing immunization status.

  Corrective action. Please ensure to obtain evidenceof immunization.

  19070 - CCLR s.57(2)(a)
• 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. During review of 10 children's files Licensing noted that 2 were missing the enrolment date.

  Corrective action. Please ensure that the date of enrolment is recorded.

  19080 - CCLR s.57(2)(b)
• 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. During review of the facilities attendance records Licensing noted that numerous times of departure were not recorded.

  Corrective action. Please ensure that times of departure is recorded.

  19090 - CCLR s.57(2)(c)
• 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. During review of 10 children's files Licensing noted that 2 were missing the name and telephone number of a medical practitioner.

  Corrective action. Please ensure that the name and telephone number of a medical practitioner is obtained.

  19100 - CCLR s.57(2)(d)
• 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. During inspection Licensing noted that 3 children did not have a photo or digital image to readily identify the child.

  Corrective action. Please ensure that a photo or digital image is available to identify the child.

  19160 - CCLR s.57(2)(i)
• 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. During inspection Licensing noted that a care plan was not reviewed yearly, the last review was dated July-11-2018.

  Corrective action. Please ensure that care plans are reviewed at least once each year.

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

  Observation. Licensing reviewed 5 staffs files and noted that 2 had no immunization records.

  Corrective action. Please ensure to obtain evidence of immunization.

  12090 - CCLR s.19(1)(f)
• 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 licensee using a system established and maintained by the director of the early childhood educator registry,

  Observation. Licensing reviewed 5 staff files and noted 2 had no validation of certificates.

  Corrective action. Please ensure that a system is in place to verify staffs certificates.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (c) a record of the person's work history.

  Observation. Licensing reviewed 5 staffs files and noted that 2 had no record of the person's work history.

  Corrective action. Please ensure to obtain records of the person's work history.

  12060 - CCLR s.19(1)(c)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. Licensing reviewed 5 staff files and noted 1 had no Criminal Record Check and 2 others were obtained through another organization. Manager was aware and is in the process of obtaining the appropriate CRC.

  Corrective action. Please ensure that the Criminal Record Checks are obtained through the Records Review Board in Victoria.

  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 5 staff files and noted 1 had no references. Manager stated that the evidence of the references was stored on her phone which was later printed and placed in the staff's file at the second inspection.

  Corrective action. Please ensure that character references are obtained in respect to the person.

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