Alex House Children's Centre at Crescent Park

• 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. The care plan was not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. The staff on site will review care plans in place.

  19260 - CCLR s.58(2)(b)
• STAFFING

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

  Observation. An emergency drill has not been practiced within the past year.

  Corrective action. The staff confirmed that an emergency drill would be conducted.

  12200 - CCLR s.22(2)(c)

• STAFFING

  A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.

  Observation. A fire drill was not conducted in the month of November.

  Corrective action. The Manager stated that fire drills will be conducted monthly moving forward.

  12190 - CCLR s.22(2)(b)

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. Staff have been using only soap and water to clean and sanitize tables and equipment. A disinfectant product is available on site but only used for the occasional deep clean when needed. .

  Corrective action. Sanitizing of tables and equipment is required after use to reduce cross contamination of germs.

  11010 - CCLR s.13(1)
• 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. Although attendance records are being recorded daily, not all information is accurately being recorded. Children who arrive before school are not signed out and are not resigned in after school.

  Corrective action. Please ensure children are accurately signed in each day.

  19090 - CCLR s.57(2)(c)
• STAFFING

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

  Observation. Staff have yet to practice the annual evacuation drill, the last one was practiced in August 2022. Staff has recently inquired with management and the school in regards to the details of the evacuation plan and plans on conducting the drill during winter break.

  Corrective action. Please ensure an annual evacuation drill is conducted by all staff.

  12200 - CCLR s.22(2)(c)
• STAFFING

  A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.

  Observation. The fire drill documentation drill was not practiced in the month of October. This was not documented on the record sheet and confirmed by staff.

  Corrective action. Please ensure a fire drill is practiced by all staff each month.

  12190 - CCLR s.22(2)(b)
• STAFFING

  A licensee must keep (a) in the case of employees, all records required under section 19 (1) [character and skill requirements] for the entire time that the subject of the records is an employee of the community care facility.

  Observation. Two staff files were reviewed, one regular staff's records were not documented including; Criminal Record Check, Immunization Status, Character References & Resume.

  Corrective action. Ensure staff record information is available on site

  12450 - CCLR s.60(3)(a)

No violations recorded at this inspection.

• 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. A review of the onsite policies and procedures (family handbook) indicates that there is not a specific washroom use/supervision policy in place for School Aged Children. During today's inspection, licensing discussed current practice that is occurring at the facility when children have to leave the classroom to use the washroom or wash their hands. Two children did leave the classroom together today, and were heard by licensing to be quite loud and away for 4-5 minutes, the next time these children left one child did obtain a small injury.

  Corrective action. A policy will ensure children are safe and active supervision is in place.

  13060 - CCLR s.56(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. No evidence of CRC's available for review.

  Corrective action. Ensure staff files are current and information available for review.

  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. No evidence of checked references available for review.

  Corrective action. Ensure staff files are current and information available on site

  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: (c) a record of the person's work history.

  Observation. No evidence of a resume/work history available for review.

  Corrective action. Ensure Staff files are current and available

  12060 - CCLR s.19(1)(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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. No evidence of immunization records available for review.

  Corrective action. Ensure staff files are current and information is available.

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

• 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 that the facility is having some storage challenges inside the shared classroom including the following; - Cubby area was overflowing with children's backpacks and jackets (some falling to the floor) this area was also used to storage boxes and a large bin, which takes away space to safely store children's belongings - Due to lack of useable counter space a toaster oven is stored on top of a mini fridge - There were large items stored in the classroom (that do not belong to the operator) which impede useable (safe) space

  Corrective action. Please ensure you have adequate storage to safely store all items

  11010 - CCLR s.13(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. During the inspection licensing observed a posted "drill" documentation record posted on the wall for the new calendar year.Staff reported that last years document was taken to head office (discussed requirement for keeping on site), staff later found last years documentation however it wasn't complete as there were missing months and no documentation of the emergency evacuation drill.

  Corrective action. Please ensure both monthly fire drills and annual evacuation drills are conducted and recorded as required. Please conduct the annual drill prior to responding to the report.

  13050 - CCLR s.56(1)(c)
• 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. Licensing reviewed 2 out of 8 files. Licensing observed one child's date of enrollment was not documented. The staff was able to locate the start date at the main office, however section 59 (a) requires these records to be on site at the licensed facility.

  Corrective action. Please ensure all enrollment dates are recorded on the child's file and is stored on site as required.

  19080 - CCLR s.57(2)(b)
• 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. Photo's are kept on the back of emergency cards, licensing observed some cards to be without a photo. Discussion had about ensure photos or a digital image are available prior to the child being in care.

  Corrective action. Please ensure each child enrolled has a photo on site which can be used to readily identify them in an emergency.

  19160 - CCLR s.57(2)(i)

No violations recorded at this inspection.

• 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. Licensing observed the following items that were accessible to the children in care; - Spray bottle of disinfecting solution, on the teacher desk - Lysol, Sabor Wipes and 70% Alcohol spray on the back counter as well as inside an unlocked cabinet

  Corrective action. Please ensure all of these items are inaccessible to children in care.

  11200 - CCLR s.17
• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. The name of the manager was not posted.

  Corrective action. Please ensure the name of the manager is posted.

  10050 - CCLR s.11(1)
• 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. 2 out of 6 files were reviewed; The following was noted- one file was without information regarding an emergency contact for a child in care.

  Corrective action. Please ensure all children's files are current and complete prior to the child starting at the facility. Licensing to email "Children's Record's Checklist"

  19100 - CCLR s.57(2)(d)
• STAFFING

  A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].

  Observation. Upon review of the staff file the following items were not available for review; - Criminal Record Check - Immunization status - Character Reference Checks - Verification of ECE Certificate - Work History

  Corrective action. Please ensure staff files are current and complete and a system is in place to have the information available on site.

  12430 - CCLR s.56(1)(b)