Taniere Des Lynx

• 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. The ratio on the playground today was one staff to 15 children and grade 1 students were present.

  Corrective action. Please ensure a ratio of 1 staff to 12 children if kindergarten or grade 1 students are present.

  14030 - CCLR s.34(2)(b)

• OR SUPERVISION

  A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.

  Observation. Upon arrival staff informed Licensing there were 25 children present in the gym; when Licensing did a head count there were 27 children. Staff confirmed 27 children after conducting a second headcount following Licensing observation. Licensing discussed the importance of having a system of knowing how many children are present in any space in order to accurately account for children in an emergency situation.

  Corrective action. Manager said that she will follow up with staff to ensure regular head counts are conducted and accurate attendance of children using the gym is maintained at all times.

  14060 - CCLR s.39(1)
• 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. There was no documentation of annual emergency drill practiced last year. Manager said it was conducted but not recorded.

  Corrective action. Manager said annual emergency drills will be now recorded. Licensing showed manager template for recording annual emergency drills & monthly fire drills. This will be emailed to the manager.

  13050 - CCLR s.56(1)(c)
• RECORDS AND REPORTING

  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. Upon review of the incident log Licensing observed on September 2024 a child was involved in a reportable incident and it was not reported to Licensing. Manager said that she did not know that this incident was reportable. Licensing discussed with the manager reportable incidents described in Schedule H and provided a copy of Reportable Incident Form.

  Corrective action. Manager said reportable incidents listed in Schedule H will be reported to licensing within 24 hours.

  19030 - CCLR s.55(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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. Four staff files were reviewed. One staff only had evidence of 14 hours of training; as a responsible adult 20 hour of training is required. Manager said that staff does have 20 hour of training but can't find the certification on their phone.

  Corrective action. Manager said this staff's evidence of responsible adult 20 hour training will be emailed to Licensing today.

  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. Upon review of 4 staff files; Manager's criminal record check expired in January 2024. Manager said she didn't realize it was expired. Manager submitted CRC application on 1 October 2024; licensing viewed confirmation of CRC application submission on Manager's phone.

  Corrective action. Manager said she will inform Licensing when the CRC results are received.

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

• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. Upon inspection Licensing observed children eating prior to washing their hands.

  Corrective action. Please instruct children in, and to practice rules of, health and hygiene,

  15030 - CCLR s.46(1)
• 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. Upon inspection Licensing asked to review records respecting compliance with section 22 (2)(b) and (c) of the legislation and the staff could not produce the records though he said he completes the drills.

  Corrective action. Please ensure records of compliance are available.

  13050 - CCLR s.56(1)(c)
• 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. Upon review of the children's records, 1 file did not contain a medical practitioner name and phone number.

  Corrective action. Please ensure children's files are complete

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

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.

  Observation. Upon inspection there was a knife on the counter, accessible to children in care.

  Corrective action. Please ensure children do not have access to any object that may be hazardous to the heath and safety of child.

  11200 - CCLR s.17

• 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. Upon inspection of the classroom, there were heavy items stored on top of a storage unit, beside the children's washroom access, that posed a fall hazard, in the event of an earthquake.

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

  11010 - CCLR s.13(1)
• 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. Upon review of the children's records, one child did not have a medical number recorded.

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

  19070 - CCLR s.57(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. Upon review of the children's records, 3 children did not have a start date recorded.

  Corrective action. Please ensure date of enrollment is recorded in the children's files.

  19080 - CCLR s.57(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. Upon review of the children's files, 1 file did not have a medical practitioner name and telephone number recorded.

  Corrective action. Please ensure the children's files are complete.

  19100 - CCLR s.57(2)(d)
• RECORDS AND REPORTING

  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. Upon review of the children's records, 6 files did not have a digital image/photograph that could be used to identify a child in the event of an emergency.

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

  19160 - CCLR s.57(2)(i)
• RECORDS AND REPORTING

  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. Upon review of the children's registrations, there was no record showing where to document persons who are not permitted to access the child.

  Corrective action. Please ensure children's records are complete.

  19170 - CCLR s.57(2)(j)
• RECORDS AND REPORTING

  A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.

  Observation. Upon review of all of the children's records, there were no parent consents to call a medical practitioner or ambulance in the case of an accident or illness, for any of the files.

  Corrective action. Please ensure the children's files are complete.

  19190 - CCLR s.57(3)(a)
• 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. Upon review of the children's records, one child did not have a care plan established.

  Corrective action. Please ensure care plans are established and kept at the facility.

  19220 - CCLR s.58(1)(b)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (c) produce records, on demand, to the medical health officer.

  Observation. Upon asking the Manager for the children's careplans/records, the Manager said that the records were off the premise and that she could not produce them within the time of the inspection.

  Corrective action. Please ensure records are produced upon demand.

  19340 - CCLR s.59(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: (b) character references in respect of the person.

  Observation. Upon review of the staff records, one staff did not have character references.

  Corrective action. Please ensure staff records are complete.

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

No violations recorded at this inspection.