Alexandra Neighbourhood House Children's Centre

• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Licensing reviewed six staff files. Early Childhood Educator certificates have not been verified for two of these staff.

  Corrective action. The Manager confirmed that all staff files would be reviewed and all missing documentation would be obtained.

  12140 - CCLR s.19(4)(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: (a) a criminal record check for the person.

  Observation. Licensing reviewed six staff files. Criminal Record Checks were expired for two of these staff.

  Corrective action. The Manager confirmed that all staff files would be reviewed and missing documentation would be obtained.

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

  Observation. Licensing reviewed six staff files. Immunization status was not obtained for one of these staff.

  Corrective action. The Manager confirmed that all staff files would be reviewed and all missing documentation would be obtained.

  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. the following was observed: - a toilet was blocked off in the MP1/MP2 program that was either broken or had a ladder stored in it. -a toilet stall in the MP3/MP4 program had a number of items stored inside it, including benches to the tables -a large puddle of standing water was located in the field beside the climber -broken equipment such as a boat, water table lids, and cones were located in the field -a playground sandbox cover was fraying -an area of the gym used for school age program was blocked off with what appears to be construction of furniture.

  Corrective action. Ensure that a healthy and safe environment is maintained. Please provide your response and system you will use to review outdoor and indoor areas for safety.

  11010 - CCLR s.13(1)
• EQUIPMENT AND FURNISHINGS

  A licensee must supply equipment, furniture and supplies that are (b) located so as not to block or hamper an exit in the case of fire or other emergency.

  Observation. A exit door was observed blocked from MP5 program room

  Corrective action. Ensure that the emergency exit doors are not blocked or hampered.

  11090 - CCLR s.15(1)(b)
• EQUIPMENT AND FURNISHINGS

  A licensee may use the same outdoor play area at the same time for more than one care program if the care programs are of the same type as prescribed in Column 1 of section 1 of Schedule E.

  Observation. 2 different programs were observed outside in the garden box area of the field.

  Corrective action. Ensure that children using the same area at the same time are from the same service type.

  11151 - CCLR s.16(2.1)(a)
• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. Many educator or assistant certificates were not displayed in a prominent place

  Corrective action. Ensure that any educator or assistant certificates are displayed in a prominent place in the community care facility

  10070 - CCLR s.11(4)
• 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 (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record or care plan.

  Observation. Two children had medication or a medication permission form that did not specify the amount, time, or symptoms when to give the medication

  Corrective action. Ensure that if medication is agreed to be given that the exact amount, time or symptoms is provided to the employees.

  16010 - CCLR s.53(1)(a)
• 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. Licensing reviewed the supplies to respond to and recover from an emergency and found there was not enough supplies to respond or recover from an emergency. There was insufficient amount of food and water for 106 children plus staff with 2 packs of water and small amount of food. There was no equipment observed to cook the food supplied and no supplies for younger children such as diapers, wipes or bottles.

  Corrective action. Ensure that you have enough supplies to respond to and recover from an emergency for up to 72 hours.

  13020 - CCLR s.22(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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. Copies of any diplomas, certificates or other evidence of the person's training and skills were not obtained for one or more employees.

  Corrective action. Ensure that copies of training is obtained for each employee

  12070 - CCLR s.19(1)(d)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. One or more employees did not have certificate verified by system maintained by early childhood educator registry.

  Corrective action. Ensure that each certificate is verified by early childhood registry.

  12140 - CCLR s.19(4)(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: (a) a criminal record check for the person.

  Observation. One or more staff did not have record of criminal record check

  Corrective action. Ensure each person has a record of criminal record check.

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

• 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. Licensee did not notify the licensing officer within 24 hours that a child was involved in or may have been involved in a reportable incident as described in Schedule H as required.

  Corrective action. corrective action plan required.

  19030 - CCLR s.55(2)(a)
• A licensee must ensure that a child, while under the care or supervision of the licensee, is not subjected to any of the following: (a) shoving, hitting or shaking by an employee or another child, or confinement or physical restraint by another child.

  Observation. It was confirmed that a child was subjected to hitting by another child

  Corrective action. corrective action plan required

  14260 - CCLR s.52(1)(a)
• A licensee must immediately notify a parent or emergency contact if, while under the care or supervision of the licensee, the child (a) becomes ill or is injured.(1.1) In the case of a licensee who provides a care program described as Child-minding, the parent to be notified under subsection (1) is the parent who is on the premises on which the child-minding service operates.

  Observation. A parent or emergency contact was not informed of a child's injury immediately

  Corrective action. corrective action plan required.

  19010 - CCLR s.55(1)(a)(1.1)

• 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. The outdoor play area had the following safety concerns identified during the inspection; - sandboxes not regularly covered - some debris and garbage observed on several outdoor play areas The indoor programs had the following safety concerns identified during the inspection; - bathroom stools require cleaning - some carpets damaged posing a tripping hazard - some fridges where good is stored requires cleaning

  Corrective action. Ensure a healthy and safe environment is provided at all times.

  11010 - CCLR s.13(1)
• 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 displayed in a prominent place within the facility.

  Corrective action. Ensure the name of the manager is displayed in a prominent place.

  10050 - CCLR s.11(1)
• NUTRITION AND FOOD SERVICES

  A licensee must make available to parents information on the food and drink given to children.

  Observation. The program provides morning and afternoon snack to the children. The information of the food provided is not made available to the parents of the children in care. The LO reviewed this requirement with staff and the management team at the facility.

  Corrective action. Ensure food or drink provided to children is made available to the parents.

  17120 - CCLR s.48(6)
• STAFFING

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

  Observation. Fire drill records were reviewed during the inspection and several program had missed a few months of either recording or conducting fire drills.

  Corrective action. Ensure employees conduct and record monthly fire drills.

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

• 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. An expired CCFL was posted in one of the program classrooms. LO reviewed this item with the manager at the time of the inspection.

  Corrective action. Ensure the correct CCFL is posted in a prominent place in the community care facility.

  10050 - CCLR s.11(1)

• 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. Bathroom area in the Group Child Care program was reviewed during the inspection and the counter and sink caulking is in need of repairs due to damaged caulking. The bathroom stools to required attention and cleaning. LO reviewed these items with the manager.

  Corrective action. Ensure furniture, equipment and fixtures are clean and in good repair while children are in attendance.

  11020 - CCLR s.13(2)

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.

  Observation. The following items were observed during the inspection that could pose a risk to the children in the facility; - garbage cans in the outdoor areas appear to need emptying - a shed has blown over on the playground and requires to be righted and secured to prevent future similar incidents - the sandbox in the field appears to not have a cover - stools in the bathroom require a cleaning The outdoor play area has had some upgrade delays and the current fence is showing sings of wear and tear. A plan for completion was reviewed with the Manager. LO has requested an updated time frame for completion.

  Corrective action. Ensure indoor and outdoor play materials and equipment accessible to the children are safely constructed, free from hazards and in good repair.

  11190 - CCLR s.16(4)(b)