Richmonds Best After School Program

• STAFFING / Character and skill requirementsNon-critical

  Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]

  Observation. This was originally found out of compliance on the previous Routine Inspection dated January 22, 2026. Licensing observed: - 1 staff did not have the appropriate documentation - 1 staff did not have a criminal record check During the Routine Follow up Inspection, Manager stated a work history is the only outstanding item.

• MEDICATION / MedicationNon-critical

  Upon agreeing to administer medications, a competent employee is available at all times to administer and document administration of the medications. [CCLR Sec. 53(3)]

  Observation. Manager indicated only she is trained to administer a child's medication. Discussion took place to ensure all staff are trained in administering the medication in an event the Manager is not onsite.

• PHYSICAL, EQUIPMENT AND FURNISHING / First AidNon-critical

  First aid kits are readily accessible to all employees, including while care is provided away from premises. [CCLR Sec. 23(2)]

  Observation. First Aid kits were not readily accessible to all employees. Discussion took place to have kits dispersed within the facility to ensure they are accessible to all employees.

• POLICIES AND PROCEDURES / Emergency Training and EquipmentNon-critical

  There is an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency. [CCLR Sec. 22(1)(b)]

  Observation. Licensing observed that the facility did not appear to have adequate emergency supplies for children and staff for up to 72 hours.

• RECORDS AND REPORTING / Community Care Facility RecordsNon-critical

  There is current log of minor incidents, illnesses and unexpected events, that did not require medical attention and were not reportable incidents described in Schedule H. [CCLR Sec. 56 (1)(f)]

  Observation. Manager stated the log of minor incidents was not at the facility.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Licensing reviewed children's records: - 1 record did not have medical practitioner contact information - 1 record did not have emergency contact information - 1 record indicates the parent(s) listed themselves as emergency contacts. Departure times in some of the records are not being captured.

• STAFFING / Character and skill requirementsNon-critical

  Prior to employing staff the manager has met with each person and has obtained the appropriate documentation. [CCLR Sec. 19(1)]

  Observation. Licensing observed: - 1 staff did not have the appropriate documentation - 1 staff did not have a criminal record check

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. This was originally found out of compliance on the previous Routine Inspection dated July 31, 2025. LO reviewed a sampling of children's records and observed many records were missing the following: - date of enrolment in the community care facility

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. This was originally found out of compliance on the previous Routine Inspection dated July 31, 2025. LO reviewed a sampling of children's records and observed many records were missing the following: - date of enrolment in the community care facility

• STAFFING / Character and skill requirementsNon-critical

  Prior to employing staff the manager has met with each person and has obtained the appropriate documentation. [CCLR Sec. 19(1)]

  Observation. This was originally found out of compliance on previous Routine Inspection dated November 25, 2024 and July 31, 2025. LO reviewed all staff records. Several staff records were missing: - Valid criminal record check - Character references

• RECORDS AND REPORTING / Community Care Facility RecordsNon-critical

  There is current log of minor incidents, illnesses and unexpected events, that did not require medical attention and were not reportable incidents described in Schedule H. [CCLR Sec. 56 (1)(f)]

  Observation. The manager was unable to locate the log of minor incidents

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. LO reviewed a sampling of children's records and observed many records were missing the following: - Medical insurance plan number - date of enrolment in the community care facility - emergency contact information - medical practitioner information - photograph or digital image LO observed departure times are not being captured correctly.

• STAFFING / Character and skill requirementsNon-critical

  Evidence of compliance with the Province's immunization and tuberculosis control programs has not been obtained. [CCLR Sec.19(1)(b)]; Character references have not been obtained. [CCLR Sec.19(1)(b)]; Criminal record checks have not been obtained. [CCLR Sec. 19(1)(a)]

  Observation. LO reviewed all staff records. Several staff records were missing: - Immunization status - Valid criminal record check - Character references 2 staff records were unavailable

• STAFFING / Character and skill requirementsNon-critical

  A licensee must not employ a person in a community care facility as a responsible adult unless the person holds the qualifications required under Division 2.

  Observation. LO observed several staff records did not have documentation to support they have responsible adult qualifications

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Licensing observed there was not a cleaning and sanitizing procedure, which is a concern to licensing as this creates the opportunity for cross contamination and the spread of germs.

• STAFFING / Character and skill requirementsNon-critical

  Character references have not been obtained. [CCLR Sec.19(1)(b)]; Copies of any diplomas, certificates or other evidence of the person's training and skills have not been obtained. [CCLR Sec. 19(1)(d)]; Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]

  Observation. Originally found out of compliance on November 25, 2024 Licensing observed that the staff records have been addressed, but there are still employees that have missing documentation, which is a concern to licensing. Missing documentation are as follows: - Character references - Certificates or other evidence of the person's training and skills - Staff resumes

• STAFFING / First AidNon-critical

  At all times children have immediate access to an employee who holds a valid first aid and CPR certificate, is knowledgeable respecting each child's medical condition, if any, and is capable of communicating with emergency personnel. [CCLR Sec. 23(1)]

  Observation. Originally found out of compliance on November 25, 2024. Licensing observed that there are staff who do not have a valid first aid and CPR certificate, licensing is concerned in an emergency the educators will not be able to care for the child enrolled in the facility.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  Equipment, furniture and supplies are located so as not to block or hamper exits in the case of fire or other emergency. [CCLR Sec. 15(1)(b)]

  Observation. Licensing observed the storage area at the back of the building as needing to be reorganized with a clear path to the secondary exit.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Licensing observed children's files are missing the following: - Date of enrolment in the facility - Medical Service Plan (MSP) number - Medical Practitioner: Doctor or Nurse Practitioner or Walk-In Clinic Contact number - Permission to call a Medical Practitioner. or ambulance

• STAFFING / Character and skill requirementsNon-critical

  Copies of any diplomas, certificates or other evidence of the person's training and skills have not been obtained. [CCLR Sec. 19(1)(d)]

  Observation. Licensing observed the licensee has not collected all the appropriate documentation prior to employing staff.

• STAFFING / Emergency Training and EquipmentNon-critical

  Implementation of the fire drill system is practiced at least once each month, and implementation of the emergency plan is practiced at least once each year. [CCLR Sec. 22(2)(b)(c)]

  Observation. Licensing observed that the staff could only locate the document where the facility had conducted a fire drill once in the past year.

• STAFFING / First AidNon-critical

  At all times children have immediate access to an employee who holds a valid first aid and CPR certificate, is knowledgeable respecting each child's medical condition, if any, and is capable of communicating with emergency personnel. [CCLR Sec. 23(1)]

  Observation. Licensing observed that staff currently employed did not hold a valid first aid and CPR certificate.

No violations recorded at this inspection.

No violations recorded at this inspection.

• RECORDS AND REPORTING / Care PlansNon-critical

  For each child requiring extra support, the licensee keeps a current care plan showing the required information. [CCLR Sec. 58(1)(2)]

  Observation. Originally found out of compliance on January 3, 2024. Licensing observed the licensee does not keep a current care plan for each child requiring extra support.

• RECORDS AND REPORTING / Notification of illness or injuryNon-critical

  Licensing is notified within 24 hours after a child is involved in, or may have been involved in, a reportable incident described in Schedule H or has a reportable communicable disease. [CCLR Sec.55(2)(a)(b)]

  Observation. Originally found out of compliance on January 3, 2024 It was discussed with licensing that a child was involved in a reportable incident and licensing was not notified.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Originally found out of compliance on January 3, 2024. Licensee observed that the documentation that is filled out for Spring camp was different than for regular operations. Licensing is concerned that there is a risk of not having the required information and it effects the child's health and safety.

• STAFFING / Character and skill requirementsNon-critical

  Prior to employing staff the manager has met with each person and has obtained the appropriate documentation. [CCLR Sec. 19(1)]

  Observation. Originally found out of compliance on January 3, 2024 Licensing observed that the staff records are missing the appropriate documentation.

• STAFFING / Continuing health of employeesNon-critical

  There is evidence of employees' continued compliance with the Province's immunization and tuberculosis control programs. [CCLR Sec 21(1)]

  Observation. Originally found out of compliance on January 3, 2024. Licensing observed there is a lack of evidence of employees continued compliance with the Province's immunization programs.

• RECORDS AND REPORTING / Care PlansNon-critical

  For each child requiring extra support, the licensee keeps a current care plan showing the required information. [CCLR Sec. 58(1)(2)]

  Observation. Licensing observed there are children enrolled in the program who have a diagnosis with extra support needs. The Licensee does not keep a care plan showing the required information.

• RECORDS AND REPORTING / Notification of illness or injuryNon-critical

  Licensing is notified within 24 hours after a child is involved in, or may have been involved in, a reportable incident described in Schedule H or has a reportable communicable disease. [CCLR Sec.55(2)(a)(b)]

  Observation. Licensing discussed incident reporting with the manager and it was discovered that an incident occurred and was not reported to licensing.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Licensing observed the facility during the holiday break and the Licensee had created a different child care registration package, which does not include the following: Medical Insurance Plan Number, Medical Practitioner, emergency contact other than the parent, and special instruction for children with extra support needs.

• STAFFING / Character and skill requirementsNon-critical

  Evidence of compliance with the Province's immunization and tuberculosis control programs has not been obtained. [CCLR Sec.19(1)(b)]; Character references have not been obtained. [CCLR Sec.19(1)(b)]; Copies of any diplomas, certificates or other evidence of the person's training and skills have not been obtained. [CCLR Sec. 19(1)(d)]; Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]; Criminal record checks have not been obtained. [CCLR Sec. 19(1)(a)]

  Observation. Licensing observed the staff files were incomplete and missing the required documentation

• STAFFING / Continuing health of employeesNon-critical

  There is evidence of employees' continued compliance with the Province's immunization and tuberculosis control programs. [CCLR Sec 21(1)]

  Observation. Licensing observed the lack of evidence of employee's continued compliance with the province's immunization

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Originally found out of compliance on February 28, 2023. Licensing observed the storage area where the emergency exit is located, shelving with large, heavy boxes stored on the tops of tall shelves and the smaller, lighter items on the lower or bottom shelves.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Licensing observed that the large storage container for children's items shifts from side to side. Licensing is recommending that it be secured to the two black posts rather than one, preventing it from sliding from side to side. Licensing observed the storage area at the back of the building as needing to be reorganized in order for it to safe.

• PHYSICAL, EQUIPMENT AND FURNISHING / Heated WaterNon-critical

  Heated water accessible to children is heated to no more than 49° Celsius. [CCLR Sec. 47]

  Observation. Licensing checked the temperature of the water in the school age area. Licensing will also check the washroom in the main area at next inspection. Licensing recommends the plumber check all the washrooms when adjusting the temperature in the school age program.

• POLICIES AND PROCEDURES / Emergency Training and EquipmentNon-critical

  There is an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency. [CCLR Sec. 22(1)(b)]

• RECORDS AND REPORTING / Community Care Facility RecordsNon-critical

  There is current log of minor incidents, illnesses and unexpected events, that did not require medical attention and were not reportable incidents described in Schedule H. [CCLR Sec. 56 (1)(f)]

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. Licensing observed that children files are missing information required by the legislation.

• STAFFING / Character and skill requirementsNon-critical

  Evidence of compliance with the Province's immunization and tuberculosis control programs has not been obtained. [CCLR Sec.19(1)(b)]; Character references have not been obtained. [CCLR Sec.19(1)(b)]; Copies of any diplomas, certificates or other evidence of the person's training and skills have not been obtained. [CCLR Sec. 19(1)(d)]; Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]; Criminal record checks have not been obtained. [CCLR Sec. 19(1)(a)]

  Observation. Licensing observed 2 CRC's had expired files are missing documents.

• STAFFING / Emergency Training and EquipmentNon-critical

  Implementation of the fire drill system is practiced at least once each month, and implementation of the emergency plan is practiced at least once each year. [CCLR Sec. 22(2)(b)(c)]

  Observation. Licensing observed that fire drills have been practiced, but not on a regular basis. Emergency is still to be completed.

• CARE AND/OR SUPERVISION / Group Sizes and Employee to Children RatiosNon-critical

  Children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child. [CCLR Sec.34(1)]

  Observation. During both visits by LO, children were divided into groups, with one group of children next door at the indoor parkour / gym. The staff stated that they take a group and leave them with the staff there who run and 30 minute class. All of the staff at the indoor Parkour / gym have valid CRC's but no other information is available. Manager stated that they will determine how to move forward so that children are supervised by a qualified staff or parents are aware that they are not part of the GCC (SA) during this time and they are signed out / in.

• NUTRITION AND FOOD SERVICES / NutritionNon-critical

  Healthy eating and nutritional habits are promoted. [CCLR Sec.48(1)(b)]

  Observation. Lunch kits are stored in each child's backpack or on their individual hook. LO checked 6 lunch bags and noted that none of them had an ice pack or way to keep food safely stored.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. There is a sign in and out sheet kept at the front desk, this was not accurate during LO's visit. The number of children on the sheet included children who were off site (at the Parkour session next door) and a child who had left but was not signed out.