Canyon Springs Montessori 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. One play pen in the infant program had a hole in the mesh.

  Corrective action. The Manager said that this will be addressed.

  11020 - CCLR s.13(2)
• 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. The fire extinguishers required to be serviced.

  Corrective action. The Manager said she will ensure they will be serviced this month.

  13020 - CCLR s.22(1)(b)
• 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. One child's care plan was not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. The Manager said the care plan will be reviewed with the parent.

  19260 - CCLR s.58(2)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (g) any notification of a parent, emergency contact or medical health officer made under section 55 [notification of illness or injury].

  Observation. Licensing reviewed the minor log books from 2 programs and there was no record of parent notification when parents were notified of their child's minor injury or illness that occurred at the center.

  Corrective action. The Manager said she will inform all staff to keep a record.

  19130 - CCLR s.57(2)(g)

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

  Observation. A staff member’s behavioural guidance strategy was not appropriate when they made a child hold a diaper and sent them to the younger kids' room for misbehaving.

  Corrective action. The Manager addressed the incident with the staff.

  14220 - CCLR s.51(1)(a)
• A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.

  Observation. Staff were not following facility’s nap time policy when they did not provide alternative activities to children who were awake for more than 30 minutes.

  Corrective action. The manager is to send a written response advising how the facility will ensure staff follow the nap time policy.

  13071 - CCLR s.56(2)

• A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.

  Observation. A licensing officer was not notified within 24 hours that a child was involved in a reportable incident as described in Schedule H as required.

  Corrective action. Pleas ensure incidents are reported to Licensing within 24 hours.

  19030 - CCLR s.55(2)(a)

No violations recorded at this inspection.

• A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.

  Observation. Some staff have not always followed the procedure around nap time.

  Corrective action. Corrective action required.

  13071 - CCLR s.56(2)

• 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. There were multiple care plans that were not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. Please ensure care plans are reviewed annually.

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

  Observation. One staff member was missing record of their Criminal Record Check (CRC). Licensing observed the application for CRC submission.

  Corrective action. Please obtain, from each individual, a record of their CRC prior to employment.

  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 9 staff files and observed that record of character references were missing for one staff.

  Corrective action. Please obtain, from each individual, record of at least 2 character references prior to employment.

  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. One staff member was missing a record of their immunization status.

  Corrective action. Please obtain, from each individual, a record of their immunization status prior to employment.

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

• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. DLSOP Active Play and Screen Use Policies – The Manager was not could not locate the polices. They were not included in the parent handbook.

  Corrective action. Please ensure the Active Play and Screen Use Policies are developed (if not found) and shared with families.

  13060 - CCLR s.56(1)(d)

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 (CORRECTED DURING INSPECTION): Licensing observed the following: > An electrical cord hanging down at the children's level in one of the 30 months to school age programs. The cord was removed during the inspection; > A fire extinguisher on the ground, next to the children's sleeping mats in one of the under 36 months programs. This was addressed during the inspection; > Toys stored on higher shelves in the under 36 months programs. Some of the toys were close to the edge of the shelf. These toys were removed during the inspection.

  Corrective action. Please ensure a healthy and safe environment at all times while children are in care.

  11010 - CCLR s.13(1)
• LICENSING

  A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care, Observation (CORRECTED DURING INSPECTION): Upon Licensing's arrival, there were 24 children present in one of the 30 months to school age program that is licensed for a max capacity of 22 children.

  Corrective action. Please ensure max capacities are not exceeded in any of the programs.

  10120 - CCALA s.7(1)(b)(i)
• 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. Licensing observed that a child's medication expired in February 2021. The staff member advised that the parent was going to bring non-expired medication by the end of the day.

  Corrective action. Please ensure valid medication.

  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. At the time of the inspection, one of the under 36 months program was operating with a ratio of one ECE and one responsible adult to 6 children. As per Schedule E, the room should have been staffed with one ITE and one ECE.

  Corrective action. Please ensure appropriate staffing qualifications when scheduling staff.

  14030 - CCLR s.34(2)(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. One of the 30 months to school age programs did not maintain a record of their fire drill conducted in May.

  Corrective action. Please ensure a record of monthly fire drills.

  13050 - CCLR s.56(1)(c)
• 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. At the time of the inspection, there were 24 children in one of the 30 months to school age program but this was not reflected on the attendance record for that room. Some children's names were signed on the attendance record for the room they would eventually go into.

  Corrective action. Please ensure an accurate attendance record to reflect the numbers of children present in each program.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (g) any notification of a parent, emergency contact or medical health officer made under section 55 [notification of illness or injury].

  Observation. Multiple rooms were missing records of parent notifications.

  Corrective action. Please maintain records of when parents were notified of any injury or illness involving their child while attending the facility.

  19130 - CCLR s.57(2)(g)

No violations recorded at this inspection.

No violations recorded at this inspection.