Bonny Castle Children's Center - 3

• 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. Netting ripped on a small plastic slide in the outdoor play area.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11190 - CCLR s.16(4)(b)
• 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. Licensing observed the following; - a plastic retractable closest door, in the nap room, that has broken. - two sinks that are chipped in areas and have substances that have hardened in it

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11020 - CCLR s.13(2)
• 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 following; - three wooden cubbies that is not secured - several branches through out the outdoor play area. - a medium sized wooden board that is broken and sitting on a table in the outdoor play area. Potential to fall on a younger child and injure them

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11010 - CCLR s.13(1)
• 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. A kitchen accessible to children that has a drawer with knives and adult scissors and cupboard with several cleaning products in them.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11200 - CCLR s.17
• 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. Upon a random review of three staff records, Licensing observed that two staff's certificates have not been verified through the early childhood educator (ECE) registry.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  12140 - CCLR s.19(4)(a)

• 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 care plan includes two types of medication that is required in the event of an incident however, the medication was not readily accessible to employees.

  Corrective action. A corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  16020 - CCLR s.53(1)(b)
• STAFFING

  Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (a) the care program is described as Multi-Age Child Care, Group Child Care (Under 36 Months), Group Child Care (30 Months to School Age) or Group Child Care (School Age).

  Observation. Upon arrival Licensing observed that the multi-age and group child care (30 months to SA) were all playing together in the outdoor play area. One staff said that they were conducting a tour for a new parent and had to mix the two groups. Licensing reviewed when able to mix two service types.

  Corrective action. A corrective action plan to be submitted to Licensing on how tis contravention has been addressed.

  12280 - CCLR s.34(4)(a)

• 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 following; - two tall fans in the multi-age program and three tall fans in the group child care (30 months to SA) program that are not secured. Potential hazard of falling on a child and injuring them. This is a repeat contravention. - not sufficient resilient surfacing under the metal climber and plastic slide.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11010 - CCLR s.13(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. Licensing observed the following; - weeds in the outdoor wood-chips play area -sleeping mat ripped exposing the foam underlay. This is a repeat contravention.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11020 - CCLR s.13(2)
• 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 several cleaning solution bottles in an unlocked bathroom cupboard in the group child care (30 months to SA) program.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  11200 - CCLR s.17
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.

  Observation. Upon a review of the attendance records for the month of July 2025, Licensing observed the following; - 3 days that there were 9 children in care - 1 day that there were 10 children in care The maximum capacity for this care program is 8 children in care.

  Corrective action. The Licensee must ensure that there are no more children than that permitted in Schedule E.

  14020 - CCLR s.34(2)(a)
• 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. Upon a discussion with a staff and the Manager, Licensing confirmed that the staff to child ratio is not being maintained in the mornings everyday. An Early childhood educator assistant (ECEA) works alone in the multi-age program for half an hour until an early childhood educator (ECE) arrives. The requirement for the mulit-age program is an ECE present at all times.

  Corrective action. The Licensee is required to ensure that the ratio of employee to children, as outlined in Schedule E, is established and maintained at all times.

  14030 - CCLR s.34(2)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child requiring extra support, a current care plan showing the following information: (a) the diagnoses relevant to the child's requirement for extra support, as made by health care professionals.

  Observation. Licensing observed that there is a child requires extra support but, no care plan is available for the child. Licensing discussed the importance of ensuring that the Manager has a discussion with the parent and develops a care plan.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19210 - CCLR s.58(1)(a)
• 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. Upon a review of the attendance records for the month of July 2025, Licensing observed the following; - one day children's time of arrival not recorded - two days children's time of departure not recorded - nine days children were not identified as absent This is a repeat contravention.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19090 - CCLR s.57(2)(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 a random review of four children's records, Licensing observed that the name and telephone number of a medical practitioner was not obtained for two children.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19100 - CCLR s.57(2)(d)
• 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. Licensing observed that there is a care plan for a child in place. However, the care plan was not reviewed annually with the parent or any person requested to by the parent. the care plan should have been reviewed in February 2025.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

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

  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. Upon a review of a child's record, Licensing observed that there is a diagnoses and care plan in place for a child requiring extra support. However, upon discussion with all the staff and Manager no-one was aware of the child's care plan and courses of action in place. Licensing provided education and had a discussion with the Manager on the importance of ensuring that children's files are reviewed, and understood. Additionally, it is the Manager's responsibility to have discussions with any and all individuals who visit the facility regarding a child.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19380 - CCALA s.7(1)(b)(i)
• 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 a random review of four children's records, Licensing observed that the medical insurance plan numbers and immunization status were not obtained for two children.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  19070 - CCLR s.57(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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Upon a random review of three staff records, Licensing observed that immunization status was not obtained for two staff.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  12090 - CCLR s.19(1)(f)
• 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. Upon a random review of three staff records, Licensing observed that one staff's certificate has not been validated through the early childhood educator (ECE) registry. This is a repeat contravention.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  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: (b) character references in respect of the person.

  Observation. Upon a random review of three staff records, Licensing observed the following; - only one reference was obtained for one staff - no references were obtained for another staff Licensing discussed what would meet the intent of this regulation. This is a repeat contravention.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

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

  Observation. Upon a random review of three staff records, Licensing observed that criminal record checks (CRC) for three staff were not obtained. This is a repeat contravention. Licensing discussed ensuring that CRC are site specific.

  Corrective action. Corrective action plan to be submitted to Licensing on how this contravention has been addressed.

  12040 - CCLR s.19(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. Licensing observed two new staff working at the facility, however, their certificates or copies of their certificates have not been posted anywhere within the facility.

  Corrective action. The Manager will post the two staff's certificates.

  10070 - CCLR s.11(4)

• 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 3 tall fans in the group child care (30 months to SA) program and 2 tall fans in the multi-age program. Potential to fall on a chid and injure them.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  11010 - CCLR s.13(1)
• 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 a bleach and water solution spray bottle and several diaper rash creams and sunscreen bottles in bucket on top of the children's cubbies in the group child care (30 months to SA) program accessible to children in care.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  11200 - CCLR s.17
• 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. Licensing observed the following; - a sink that doesn't work in the group child care (30 months to SA) program. The Manager informed Licensing that the sink was leaking and has to be fixed. - Diaper change mat in the group child care (30 months to SA) bathroom is ripped exposing the foam underlay.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  11020 - CCLR s.13(2)
• 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 Licensing heard a young child crying loudly from the door. When an individual opened the door Licensing observed the individual grab the child by the wrist and pull them away from the door to allow Licensing to enter the facility. Licensing was informed that the individual was a practicum student. Licensing found the ECE staff on the phone around the corner in a room while the practicum student was attending to 5 children including the crying child who had mucus running down their face. Licensing asked the ECE staff to attend to the child who was screaming and crying. The ECE staff said that they were on the phone with the Director and it took the ECE staff another minute to get off the phone. Licensing had a discussion with the staff, Manager and Director explaining that the first priority is the children and to ensure that they are being supervised at all times.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  14060 - CCLR s.39(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. Upon a review of two weeks of the attendance records for the month of July 2024, Licensing observed the following; - three days that children's time of departure was not recorded. - five days that children was not identified as absent.

  Corrective action. Ensure that attendance records are accurate on daily basis.

  19090 - CCLR s.57(2)(c)
• STAFFING

  The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.

  Observation. Licensing observed an individual, over the age of 12, who was at the facility and informed Licensing that they are at the facility three days a week, does not have a valid criminal record check.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  12160 - CCLR s.20(1)
• 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. Upon a random review of three staff records, Licensing observed that two staff's certificates have not been verified through the early childhood educator (ECE) registry.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  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: (b) character references in respect of the person.

  Observation. Upon a random review of three staff records, Licensing observed that one staff's references have not obtained.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  12050 - CCLR s.19(1)(b)
• STAFFING

  Despite this section, during the half hour before a care program begins and the half hour after a care program ends, a licensee may permit children who would otherwise be grouped in different care programs, and who are arriving at or leaving the community care facility, to be grouped together and supervised other than as required under Schedule E if (a) the care program is described as Multi-Age Child Care, Group Child Care (Under 36 Months), Group Child Care (30 Months to School Age) or Group Child Care (School Age).

  Observation. Licensing observed that the multi-age and group child care (30 months to SA) groups are being mixed for longer than 30 minutes at the beginning of each day. Licensing provided further clarification to the Manager of this regulation as they were unaware of it.

  Corrective action. A written response to be submitted to Licensing by the Manager on how this contravention will be addressed.

  12280 - CCLR s.34(4)(a)

• 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 were noted at the time of inspection: -There is a hole in some wood above a window within the outdoor play space where there appears to be a wasps nest. Staff stated that Manager has taken photos of nest for landlord to address. However, it appears to be quite an active nest and needs to addressed as soon as possible. -Various creams are accessible to the children in care within the diapering station in the back multi-age room. -Large wood cabinet in back Multi-Age room is not attached to the wall and can act as a tipping hazard. Anchors have been installed, however, it is not attached to the wall.

  Corrective action. Please ensure a healthy and safe environment.

  11010 - CCLR s.13(1)
• 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. Fire extinguisher was passed due to be serviced.

  Corrective action. Please ensure facility is able to prepare, mitigate, respond and recover from an emergency. This includes having the extinguisher serviced yearly.

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

  Observation. One staff does not have a site specific criminal record on file. Staff has been working at the facility for more than a year.

  Corrective action. Please ensure staff CRCs are site specific to the facility.

  12040 - CCLR s.19(1)(a)
• 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. Staff files reviewed, two staff were missing verification of most recent ECE Certificate.

  Corrective action. Please ensure staff's most current Certificates are verified.

  12140 - CCLR s.19(4)(a)

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. The following were observed at today's inspection: -Electric outlets that are not covered. -Shelf within the washroom has started to bend and is considered a tipping hazard. -Thermometer within fridge appears to not be working. -Chain that is attached to the climbing dome is considered a tripping hazard.

  Corrective action. Please ensure a healthy and safe environment

  11010 - CCLR s.13(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. The following were observed at today's inspection: -Some areas that require cleaning: diapering area, walls, high chairs. -Transition piece is taped down which doesn't allow for easy cleaning and not fully secured. -Foam mat has started to peel, not easy to clean. -There is a hole in the wall by the back entrance which is covered with a piece of paper. -Peeling paint within the outdoor play area on the exterior trim, peeling pain on the interior walls and on the cribs. -Various pieces of broken plastic within the outdoor play space. -Some sleeping mats have started to crack at the corners, not making them easy to clean.

  Corrective action. Please ensure facility is clean and in good repair.

  11020 - CCLR s.13(2)
• 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. One staff who holds a certificate did not have their Certificate posted (repeat)

  Corrective action. Please ensure educator and assistant Certificates are posted.

  10070 - CCLR s.11(4)
• PROGRAM

  A licensee must, in addition to care, provide children with opportunities for social, emotional, physical and intellectual growth.

  Observation. When Licensing was on site, two children were left in a stroller while the older children were playing on the playground. The children never left the stroller during this outdoor time. Discussed this concern with Manager as well as the use of the playground within the park where the play structures may not always be appropriate for all children who are in care.

  Corrective action. Please ensure that children are provided the opportunity for physical growth.

  18002 - CCLR s.43(1)
• 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. Care plan on site was not dated when signed by the parent, therefore, Licensing could not confirm if it has been reviewed yearly.

  Corrective action. Please ensure proof of yearly review of care plan is provided in order for Licensing to confirm compliance.

  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: (b) character references in respect of the person.

  Observation. One staff was missing character references within their file.

  Corrective action. Please ensure staff files are complete.

  12050 - CCLR s.19(1)(b)
• 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. 4 staff files were reviewed and 3 staff did not have proof of verification for their most up to date Certificate (repeat).

  Corrective action. Please ensure that staff Certificates are verified through the ECE Registry and proof is provided in order to confirm compliance.

  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 staff did not have a site specific criminal record check (repeat).

  Corrective action. Please ensure that staff criminal record checks are site specific

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

• 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. Fire extinguisher was due to be serviced back in July.

  Corrective action. Please ensure a healthy and safe environment.

  11010 - CCLR s.13(1)
• 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. A staff who was on site today did not have their certificate posted.

  Corrective action. Please ensure all staff certificates are posted. Please also remove any certificates of staff who are no longer working at the Centre.

  10070 - CCLR s.11(4)
• 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. 5 children's files reviewed, one child was missing an MSP number and one child was missing immunization status.

  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 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. A care plan does not include the course of action recommended by health care professionals for a child requiring additional support. Staff indicated that a parent recently advised them of a child who has an allergy to strawberries. No care plan has been created to indicate what the course of action may be should the child come in contact with this food.

  Corrective action. Please ensure a detailed care plan is created so staff know the course of action should the child require support.

  19220 - CCLR s.58(1)(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. 5 children's files were reviewed, two children were missing Dr. information.

  Corrective action. Please ensure staff files are complete.

  19100 - CCLR s.57(2)(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 staff who recently obtained their ECE Certificate does not show any evidence within their file that their Certificate has been verified through the ECE Registry.

  Corrective action. Please ensure the most recent Certificate obtained is verified through the ECE Registry and notation is provided in order to confirm compliance.

  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. There is an application for sharing a criminal record within the staff's file that appears to have been completed in May of 2021. However, it appears as though the facility still has not obtained a site specific criminal record check for the staff.

  Corrective action. Please ensure staff criminal record checks are site specific.

  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. Immunization status was not obtained for one employee

  Corrective action. Please ensure staff files are complete.

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

• 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. The following items were noted at the time of inspection: -Excess water on the counter around the bathroom sink (Manager advised that children had just used the sinks to wash their hands after having come in from playing outside, discussion was had about continually ensuing that such areas are clean and dry). -White crib had visible dirt marks on the slats, some areas of peeling paint. -Broom hanging on wall in washroom accessible to the children in care. -The wood of the baseboard at the entrance of the Multi-Age program at the back has started to rot. Outdoor: -The black tarp material that had been placed under the wood chips/pea gravel is visible and can act as a tripping hazard (repeat). Manager stated that they have purchased some fill material but have not yet figured out how it will be delivered to the facility.

  Corrective action. Please ensure facility is clean and in good repair.

  11020 - CCLR s.13(2)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (a) suitable for the age and development of the children.

  Observation. There was a lack of outdoor play materials available for school age children. Manager stated that they would bring over some items from other facilities.

  Corrective action. Please ensure age appropriate materials for the children in care.

  11180 - CCLR s.16(4)(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. Licensing was on site during snack time, some of the children then transitioned to doing an activity at a table. No handwashing was observed in between these two activities.

  Corrective action. Please ensure that the rules of health and hygiene are practiced at all times.

  15030 - CCLR s.46(1)
• POLICIES AND PROCEDURES

  A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

  Observation. Fire extinguisher was due to be serviced at the end of May. Manager stated that they re-opened in June and had forgotten that it was due for service.

  Corrective action. Please ensure facility is able to prepare, mitigate, respond and recover from an emergency.

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

  Observation. 2 staff files were reviewed, one staff was missing a resume.

  Corrective action. Please ensure staff files are complete.

  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. 2 staff files were reviewed, one staff was missing immunization information.

  Corrective action. Please ensure staff files are complete.

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