Friendz At Five Corners

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): Licensing observed the following: - diaper cream stored on a shelf in the bathroom within the reach of children - sunscreen stored in a basket in the naproom, within the reach of children - lysol wipes and nail polish remover stored in an unlatched drawer in the naproom

Corrective action. The manager removed these items; ensuring that they are no longer accessible.

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

Observation. A large uncovered empty sandbox in the children's playground has filled with several inches of standing rain water, posing a potential hazard.

Corrective action. The Licensee has not been taking children to the outdoor play space since November; due to muddy areas. Children have been using a nearby park for outdoor play. The Licensee will remove the standing water and ensure that the outdoor play space is safe at all times.

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: - visibily soiled walls in areas of high traffic throughout the facility, including areas where the drywall is exposed - the carpeting in the children's nap room is lifting on the corners throughout the room; causing a tripping hazard

Corrective action. The Licensee will be repairing the walls and the carpeting

A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

Observation. Emergency Supplies are insufficient to implement the emergency plan

Corrective action. Licensee will obtain sufficient food and water to implement the emergency plan for 72 hours.

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. Of the four children's records reviewed, one did not include immunization status and one did not include an MSP number.

Corrective action. Licensee will obtain this information and add to children's records.

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

Observation. A Criminal Record Check for one of the four staff is not site specific.

Corrective action. The Licensee has applied for a site specific CRC for this staff.

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 of the four employees.

Corrective action. The Licensee will obtain immunization status for all staff.

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

Observation. Children in the School Age program were eating snack without washing their hands prior.

Corrective action. Staff stated they do usually wash hands but forgot this morning. Staff will ensure that handwashing occurs before each meal

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. Sibling groups were signed in on the same line on the attendance sheet by their last name and marked as x2 indicating 2 children from the same family.

Corrective action. Each child must have attendance documented. Moving forward, staff stated they will enter each child individually on the attendance.

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

Observation. A review was done of 8 staff files and 6 staff have cleared criminal record checks that are not site specific and one is expired

Corrective action. Manager will be applying for all staff under the new facility account and will complete staff files.

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

Observation. A review was done of 8 staff files and 4 are missing reference checks.

Corrective action. Manager stated they have them off site and will add to their files.

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 three employees.

Corrective action. Manager will obtain immunization status for those staff and will complete their files.

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. Staff that provides transportation by driving the 14 passenger van, does not have a valid first aid certificate on file.

Corrective action. Manager will follow up with the staff to see if it has been renewed. School is back in session next week and children must have access to someone with valid first aid in the van.

Observation. Licensing determined that behavioural guidance used was not developmentally appropriate for the child who received the guidance.

Corrective action. Corrective action plan received.

Observation. Licensing determined that a care plan was not developed a child requiring one.

Corrective action. Corrective action plan received.

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. Name of the manager was not posted onsite.

Corrective action. Ensure the manager's name is posted in a prominent place within the facility.

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. Fire drill for Dec. 2022 was not recorded.

Corrective action. Ensure current records are kept for monthly fire drills and yearly emergency drills.

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 for a child requiring extra support.

Corrective action. Ensure appropriate care plan is develop for a child requiring extra support.

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. No pictures or digital images were available for children enrolled.

Corrective action. Ensure all children files are complete.

A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

Observation. 2 staff's certificates were not validated by the ECE registry.

Corrective action. Ensure all staff files are complete.

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. 2 staff files were reviewed; Copies of any diplomas, certificates or other evidence of the person's training and skills were not obtained for 1 staff member.

Corrective action. Ensure all staff files are complete.

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. Criminal Record Check not obtained for 1 staff member.

Corrective action. Ensure all staff files are complete.

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 staff member.

Corrective action. Ensure all staff files are complete.