Encompass Language and Learning Centre

No violations recorded at this inspection.

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

  Observation. Licensing observed the last emergency drill was conducted in June 2024.

  Corrective action. Ensure that each employee practices implementing the emergency plan at least once each year.

  3010 - CCLR 22(2)(c)

No violations recorded at this inspection.

No violations recorded at this inspection.

• 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 daily attendance in room 259 did not reflect the children in attendance.

  Corrective action. Ensure licensee must keep, for each child, a record showing daily attendance record indicating the time of arrival and departure.

  3070 - CCLR 57(2)(c)

No violations recorded at this inspection.

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

  Observation. Licensing observed an expired Early Childhood Educator Certificate. The must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  3030 - CCLR 34(2)(b)

• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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
  3010 - CCLR 19(4)(a)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
  3070 - CCLR 58(2)(a)
• Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  Observation. Licensing observed an expired educator certificate. An exemption request has been submitted to Licensing for the staff to act as an educator until the certificate renewal is processed. The certificate expired on September 29, 2023.

  Corrective action. Licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.

  3030 - CCLR 34(2)(b)
• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

  Observation. Licensing observed that an emergency drill had not been practiced in the last year of operation.

  Corrective action. Ensure that each employee practices implementing the emergency drill at least once per year.

  3010 - CCLR 22(2)(c)

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

  Observation. Licensing observed that an emergency drill had not been practiced in the last year of operation.

  Corrective action. Ensure that each employee practices implementing the emergency drill at least once per year.

  3010 - CCLR 22(2)(c)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing audited seven children's files. One file was missing a care plan for a child with an epi-pen.

  Corrective action. Ensure licensee must develop the care plan in consultation with a parent of the child and any person requested by the parent.

  3070 - CCLR 58(2)(a)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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 five staff files. Three files were missing record of ECE or ECEA certificates validated.

  Corrective action. Ensure licensee must not employ a person in a community care facility as an educator or assistant unless they have first verified certification.

  3010 - CCLR 19(4)(a)

• A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child
  3070 - CCLR 57(2)(j)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.
  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing audited seven children's files. Six files were missing immunization records.

  Corrective action. Ensure licensee must keep for each child a record showing immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited seven children's files. One file was missing the name and number of a medical practitioner.

  Corrective action. Ensure licensee must keep for each child a record showing the name and number of a medical practitioner.

  3070 - CCLR 57(2)(d)
• A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child

  Observation. Licensing audited seven children's files. One file was missing record of persons not permitted access to child.

  3070 - CCLR 57(2)(j)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing audited seven children's files. Three files stated the child had an inhaler for use. Licensing did not observe a medical care plan on file.

  Corrective action. Ensure licensee must develop the care plan in consultation with the parent of a child requiring any extra support and any person requested by the parent.

  3070 - CCLR 58(2)(a)
• Log kept of all inspections, maintenance & repairs

  Observation. Licensing observed in room 259 log had not been kept of outdoor checks.

  Corrective action. Ensure log is kept of all inspections, maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)
• Log kept of all inspections, maintenance & repairs
  3070 - SPS DOLSOP (Log Kept)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
  3070 - CCLR 58(2)(a)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
  3010 - CCLR 19(1)(f)
• 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 criminal record check for the person

  Observation. Licensing reviewed five employee files. One file was missing a criminal record check.

  Corrective action. Ensure licensee must not employ a person in a community care facility the licensee or in the case of a person who is not the manager, a manager has first met with the person and obtained a criminal record check for the person.

  3010 - CCLR 19(1)(a)
• 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
  3010 - CCLR 19(1)(b)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing reviewed five employee files. Three files were missing immunization status.

  Corrective action. Ensure licensee must not employ a person in a community care facility the licensee or in the case of a person who is not the manager, a manager has first met with the person and obtained evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  3010 - CCLR 19(1)(f)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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 five employee files. One file was missing verification of ECE certificate.

  Corrective action. Ensure licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate, which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry.

  3010 - CCLR 19(4)(a)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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
  3010 - CCLR 19(4)(a)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: character references in respect of the person
  3010 - CCLR 19(5)(b)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.
  3010 - CCLR 19(5)(c)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Licensing observed in room 243 a Fire Drill had not been practiced and/or recorded in July 2022.

  Corrective action. Ensure that each employee practices implementing the fire drill at least once per month.

  3010 - CCLR 22(2)(b)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
  3010 - CCLR 22(2)(b)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care
  3050 - CCALA 7(1)(b)(i)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing observed there is no evidence of a daily flush being completed in room 243 as stated in the approved Corrective Action Plan to mitigate the risk of positive lead in water results.

  Corrective action. Ensure licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care.

  3050 - CCALA 7(1)(b)(i)
• 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 covered container for soiled clothing
  3060 - CCLR 14(4)(a)
• 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 covered container for soiled clothing

  Observation. Licensing observed there was no covered container for soiled clothing in room 259.

  Corrective action. Ensure licensee must have a sturdy surface for changing diapers next to a covered container for soiled clothing.

  3060 - CCLR 14(4)(a)

• A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child

  Observation. Licensing audited seven children's files. One file was missing record of persons not permitted access to child.

  3070 - CCLR 57(2)(j)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.

  Observation. Licensing reviewed five employee files. One volunteer file was missing immunization status.

  Corrective action. Ensure licensee may employ a person as a volunteer if they have first met with a person and obtained evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  3010 - CCLR 19(5)(c)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Licensing observed in room 243 a Fire Drill had not been practiced and/or recorded in July 2022.

  Corrective action. Ensure that each employee practices implementing the fire drill at least once per month.

  3010 - CCLR 22(2)(b)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing observed there is no evidence of a daily flush being completed in room 243 as stated in the approved Corrective Action Plan to mitigate the risk of positive lead in water results.

  Corrective action. Ensure licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care.

  3050 - CCALA 7(1)(b)(i)
• 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 covered container for soiled clothing

  Observation. Licensing observed there was no covered container for soiled clothing in room 259.

  Corrective action. Ensure licensee must have a sturdy surface for changing diapers next to a covered container for soiled clothing.

  3060 - CCLR 14(4)(a)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing audited seven children's files. Six files were missing immunization records.

  Corrective action. Ensure licensee must keep for each child a record showing immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited seven children's files. One file was missing the name and number of a medical practitioner.

  Corrective action. Ensure licensee must keep for each child a record showing the name and number of a medical practitioner.

  3070 - CCLR 57(2)(d)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing audited seven children's files. Three files stated the child had an inhaler for use. Licensing did not observe a medical care plan on file.

  Corrective action. Ensure licensee must develop the care plan in consultation with the parent of a child requiring any extra support and any person requested by the parent.

  3070 - CCLR 58(2)(a)
• Log kept of all inspections, maintenance & repairs

  Observation. Licensing observed in room 259 log had not been kept of outdoor checks.

  Corrective action. Ensure log is kept of all inspections, maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)
• 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 five employee files. One file was missing two character references.

  Corrective action. Ensure licensee must not employ a person in a community care facility the licensee or in the case of a person who is not the manager, a manager has first met with the person and obtained character references in respect of the person.

  3010 - CCLR 19(1)(b)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing reviewed five employee files. Three files were missing immunization status.

  Corrective action. Ensure licensee must not employ a person in a community care facility the licensee or in the case of a person who is not the manager, a manager has first met with the person and obtained evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  3010 - CCLR 19(1)(f)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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 five employee files. One file was missing verification of ECE certificate.

  Corrective action. Ensure licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate, which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry.

  3010 - CCLR 19(4)(a)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: character references in respect of the person

  Observation. Licensing reviewed five employee files. One file for a volunteer was missing character references.

  Corrective action. Ensure licensee may employ a person as a volunteer if they have first met with a person and obtained character references in respect of the person.

  3010 - CCLR 19(5)(b)

• A licensee must ensure that each piece of furniture or equipment for sleeping is appropriate for the size, age and development of the children intended to use it.
  3000 - CCLR 15(2)(c)
• A licensee providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.
  3000 - CCLR 15(3)
• A licensee providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.
  3000 - CCLR 15(3)

• A licensee providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.

  Observation. Licensing observed one sheer curtain panel to separate an area for children sleeping.

  Corrective action. Ensure when providing a care program to any child younger than 36 months of age must provide a separate sleeping area located away from any activity area.

  3000 - CCLR 15(3)