Bright Angels Children's Centre Ii

• 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 (CORRECTED DURING INSPECTION): A small rope was attached to the fence in the I/T playground. The rope had a gap big enough to fit a head through and could cause an entanglement hazard.

  Corrective action. The manager removed the rope from the I/T playground

  11010 - CCLR s.13(1)
• 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. - Areas of exposed drywall/scuff marks and scratches present throughout the facility - Fences and wooden play areas with paint scratched and/or pealed off - Metal doors with paint scratched/pealed off - Baseboards are damaged and in poor repair - Sleeping mats ripped

  Corrective action. The manager will develop a maintenance plan and address the concerns

  11020 - CCLR s.13(2)
• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Two children who required care plans did not have care plans developed

  Corrective action. The manager will develop the care plans with the parents and/or any person requested by the parents for the children that require them,

  19250 - CCLR s.58(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 (CORRECTED DURING INSPECTION): 3 children's files were missing start dates

  Corrective action. The manager added the start dates during the inspection

  19080 - CCLR s.57(2)(b)

• 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. It was observed outside: - a rotting pumpkin was located in a tire used for children's play - an edging boarder that is not secured and poses a tripping hazard It was observed in the infant toddler program: - Children are using mattresses in the play pens and the notice on the play pen says do not use a mattress. - a toy shelf that is used to divide the infant toddler room is not in good repair with the top of the shelf missing the finishing and exposing the particle board. It was observed in the 3-5 program: - both the large bathroom with the change table and the other bathroom area had what appeared to be soap dispensers removed from the wall exposing drywall. The children did not have access to soap when washing hands.

  Corrective action. please provide your written response how you have addressed the concerns above.

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

  A licensee must ensure that each piece of furniture or equipment for sleeping (b) is clean and comfortable.

  Observation. It was observed in the Infant Toddler program that the railings of the play pens are visible dirty and are not cleaned after each use.

  Corrective action. Ensure that the furniture used for sleeping is clean and comfortable.

  11110 - CCLR s.15(2)(b)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. It was observed that children were not helped to wash hands after diaper changes and the diaper change mat was not washed.

  Corrective action. Ensure that each child is helped to wash hands after a diaper change and that the changing surface is cleaned and sanitized after use.

  15030 - CCLR s.46(1)
• 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 (b) readily accessible to employees.

  Observation. Medication was not readily accessible to employees.

  Corrective action. If medication has been agreed to be given please ensure that it is readily accessible to the employees.

  16020 - CCLR s.53(1)(b)
• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Care plan not developed in consultation with the parent or any person requested by the parent for more than 4 children

  Corrective action. Ensure that a care plan is created for any child requiring extra support.

  19250 - CCLR s.58(2)(a)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.

  Observation. 2 children did not have a name and telephone number of a medical practitioner and 1 child did not have the name and telephone number of an emergency contact.

  Corrective action. Ensure that each child has records for a parent, medical practitioner, and an emergency contact.

  19100 - CCLR s.57(2)(d)
• STAFFING

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

  Observation. 1 employee who was working at the time of the inspection had a criminal record check that expired in 2024

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

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Immunization status was not obtained for two employees.

  Corrective action. Ensure that immunization is obtained

  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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. One Educator certificate was not verified.

  Corrective action. Ensure that each educator or assistant certificate is verified by the system maintained by the early childhood educator registry.

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

• EQUIPMENT AND FURNISHINGS

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

  Observation. The following was observed: -the floors, and chairs in the infant program are visibly dirty. -paint is chipping on the window sills -the bathroom garage is uncovered with some paper spilling out

  Corrective action. ensure the facility is clean and in good repair.

  11020 - CCLR s.13(2)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.

  Observation. the following was observed outdoors: -the garden ties located along the graded surface are loose and a tripping hazard. Some of the ties are rotting and the nails do not stay down. -there is a gap under the fence leading to the road greater than 3.5 inches. -there are broken and rotting boards located on the climber. Some boards are where children stand and one board is on the edge railing. -a play house is in need of repair with a broken roof.

  Corrective action. Ensure that the outdoor play materials and equipment are free from hazards and in good repair.

  11190 - CCLR s.16(4)(b)
• 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 (b) readily accessible to employees.

  Observation. Medication was not readily accessible to employees for a child with a care plan.

  Corrective action. Ensure medication is readily accessible.

  16020 - CCLR s.53(1)(b)
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. It was observed that the infant toddler program had an infant toddler educator and educator assistant working

  Corrective action. Ensure that the ratio is no less than schedule E.

  14030 - CCLR s.34(2)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.

  Observation. three children's files that were reviewed did not have the name and contact of a medical practitioner.

  Corrective action. Ensure that each child has a record of their medical practitioner.

  19100 - CCLR s.57(2)(d)

• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Care plan not developed in consultation with the parent or any person requested by the parent.

  Corrective action. Ensure each child requiring a care plan has one created in consultation with a parent.

  19250 - CCLR s.58(2)(a)

• 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): On review of 6 staff files, Licensing observed 2 were missing validation from the ECE Registry. This is a repeat contravention.

  Corrective action. Please ensure all staff are appropriately screened prior to employment.

  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. On review of 6 staff files, Licensing observed 1 file to be missing a current clearance. The record has been applied for.

  Corrective action. Please ensure staff do not work alone with children without having a clearance on file.

  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. On review of 6 staff files, licensing observed that 2 were missing character references. Discussed the importance of approriate staff screening.

  Corrective action. Please ensure character references are in place for all staff

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Immunization status was not obtained for one or more employees.

  Corrective action. Please ensure staff are approporiately screened and immunization status is available on site in case of disease outbreak.

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

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

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

  Observation. Licensing observed the following: - Carpet area in the School age program has dirty spots all over it. - Sleeping mats in the 3-5 program are torn, have holes in and are accessible to children - Staff purses are stored in a lower area accessible to children Manager said that the carpet is going to be cleaned over a weekend and will replace the sleeping mats. Discussed the appropriate location of staff purses.

  Corrective action. Please ensure a safe and healthy environment for children at all times. Please provide a corrective action plan by the date below.

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

  A licensee must ensure that the entire outdoor play area is (a) enclosed in a manner that is suitable for the age and development of children, and will ensure that children are free of harm.

  Observation. Licensing observed the GCC (30-sa) play are fence has various areas where the fence panels are broken/splintered or rotten and cause concern for injury. Manager stated that there is a plan in place to have the fence replaced with new.

  Corrective action. Please provide a corrective action plan by the date below as to when the fence will be replaced to ensure children are free from harm.

  11160 - CCLR s.16(3)(a)
• POLICIES AND PROCEDURES

  If a person prepays part of the cost of services provided by a class of community care facilities designated by the Lieutenant Governor in Council, the licensee must, at the time of the prepayment, deliver to the person a written statement setting out the terms and conditions on which a refund of all or any of the prepayment will be made.

  Observation. On review of twelve children's files, three were missing prepayment contracts. Discussed further with the Manager and provided some recommendations.

  Corrective action. Please ensure you have a record of each family receiving the prepayment details.

  13080 - CCALA s.19
• RECORDS AND REPORTING

  A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (b) the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  Observation. Licensing reviewed information provided to support two children requiring emergency medication which did not include the signs and symptoms for staff to look out for. This is necessary information to help guide staff to appropriately respond with a course of action. The medication was also expired. Licensing acknowledges that medication forms were available for each medication required.

  Corrective action. Please ensure any child requiring extra support has a current care plan in place and medication is safe to administer.

  19220 - CCLR s.58(1)(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 licensee using a system established and maintained by the director of the early childhood educator registry,

  Observation. Licensing reviewed three staff files and noted one staff was missing a current certificate validation.

  Corrective action. Please ensure updated certificates are valid upon receipt.

  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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. Licensing observed that all staff in the GCC (30-sa) program had expired first aid certificates. Due to the pandemic this was exempted for 6 months and one staff is now signed up for a course on January 16th 2021, with the others on waitlists. There are other staff members on site with current first aid training.

  Corrective action. Please submit a compliance plan as to when the other staff will have been re-certified.

  12070 - CCLR s.19(1)(d)
• STAFFING

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

  Observation. On review of three staff files, Licensing observed that two staff had expired criminal record checks. Licensing does acknowledge that the facility have started the process of renewal but have yet to complete the process with receipt of the clearance.

  Corrective action. Please ensure that this process is completed immediately - these staff do not work alone.

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.

  Observation. Licensing observed that the annual emergency drill had not been completed. Manager said that due to Covid, the restrictions for access at their secondary location prevented the drill. Discussed the requirements for the drill, not just the location

  Corrective action. Please ensure an annual emergency evacuation drill is conducted with all staff.

  12200 - CCLR s.22(2)(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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Licensing reviewed three staff files of which two were missing immunization status

  Corrective action. Please ensure staff files are complete prior to employment

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

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

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

  Observation. Licensing observed the following: - Cables loose along the floor in the 3-5 program - tripping hazard - Christmas tree wrapped but stand upturned - could harm a child if fell onto it - Storage cupboard door left open which houses cleaning materials - Light not working in bathroom - limited visibility for children - Diaper pad not sanitized after use

  Corrective action. Please ensure a healthy and safe environment at all times

  11010 - CCLR s.13(1)
• 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. Licensing observed 1 staff ECE certificate not posted; 1 posted certificate expired; 1 staffs information posted who no longer is employed

  Corrective action. Please ensure current certificates are prominently posted

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

  A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.

  Observation. Licensing observed the following: - Departure times not always recorded in I/T program - Child transitioning was not signed out of initial entry program (Licensing did note that the child was signed into visiting program)

  Corrective action. Please ensure attendance is accurate and complete at al times

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