Secret Heart Academy

No violations recorded at this inspection.

No violations recorded at this inspection.

• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.

  Observation. During today's inspection the Manager said the age range of children attending the JK 2 Classroom which is licensed for Group Child Care (under 36 months) were 28 months to 42 months old. Licensing explained Schedule E and told the Manager that it was not developmentally appropriate to have children over 36 months attending this classroom. The Manager will consider the ages of children when taking new enrolment ensuring that children over 36 months do not continue to attend in this program. At today's inspection there was 1 child over the age of 36 months.

  Corrective action. Please ensure that children are divided into groups as per Schedule E.

  14020 - CCLR s.34(2)(a)

• A licensee must (a) ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance.

  Observation. Licensing determined inappropriate behavioural guidance was used with a child.

  Corrective action. Corrective action required.

  14220 - CCLR s.51(1)(a)
• A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (a) the diagnoses relevant to the child's requirement for extra support, as made by health care professionals.

  Observation. Licensing determined a care plan was not developed for a child who required one.

  Corrective action. Corrective action required.

  19210 - CCLR s.58(1)(a)

• 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 confirmed that the ratio of employees to children is less than permitted in schedule E.

  Corrective action. corrective action plan required

  14030 - CCLR s.34(2)(b)
• 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 outdoor ground surfacing is uneven and poses a tripping hazard

  Corrective action. Corrective action plan required

  11010 - CCLR s.13(1)
• 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 diaper change mat was in poor repair.

  Corrective action. corrective action plan received.

  11020 - CCLR s.13(2)

• EQUIPMENT AND FURNISHINGS

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

  Observation. All washroom's sinks water temperature measured 54 - 56.

  Corrective action. Ensure that heated water accessible to children are no more than 49 Celsius.

  11230 - CCLR s.47
• 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 today: -GCC (3-5) program: cleaning supply stored under the washroom sink accessible to the children (corrected onsite). -GCC (IT rooms): opening on the pillar exposing paint peels and gyprock to the children. One of the tables (rectagle) is not securely built ( loose leg).

  Corrective action. Ensure that a healthy and safe environment is provided at all times while children are in care.

  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. Staff certificates were not posted onsite.

  Corrective action. Ensure that all staff certificates are posted within the facility.

  10070 - CCLR s.11(4)
• 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. IT room: No fire drill records were available for Aug, Sep, Oct and Nov 2022.

  Corrective action. Ensure that current records for fire drill/emergency drill kept for all classrooms.

  13050 - CCLR s.56(1)(c)
• 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. 18 children files were reviewed; Care plans were not developed in consultation with the parent for 3 children requiring extra support.

  Corrective action. Ensure that all children files are complete.

  19250 - CCLR s.58(2)(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. 10 staff files were reviewed; 7 of the CRC were not site specific.

  Corrective action. Ensure that all staff files are complete.

  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. Review of 5 staff files found a minimum of three character references were not obtained for the Manager, the Manager later added a reference to the file prior to the inspection being written.

  Corrective action. CORRECTED PRIOR TO INSPECTION BEING WRITTEN

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

• 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. LO noted that fire drill was not practiced for September 2021.

  Corrective action. Please ensure to complete/ practice monthly fire drill with all children in care; current record must be kept.

  13050 - CCLR s.56(1)(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. 5 children's files were reviewed; 1 child's immunization status form was incomplete; 1 MSP number was not available.

  Corrective action. Please ensure that all children's files are complete.

  19070 - CCLR s.57(2)(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. A minimum of two character references were not obtained for an employee.

  Corrective action. Please ensure all staff files are complete.

  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: (a) a criminal record check for the person.

  Observation. Criminal Record Check on file is not site specific for 1 staff member.

  Corrective action. Please ensure that all staff files are complete. Plan to be submitted to Licensing for review.

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