Cambridge Learning Centre @ Hyland Elementary

• 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. Carpet within the classroom is curling at 2 ends and can act as a tripping hazard. (Repeat)

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before September 29, 2025

  11010 - CCLR s.13(1)
• 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 was missing a site specific criminal record check (repeat)

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before September 29, 2025

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

• 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. During outdoor play, child walked away from the school (daycare) property and was found a block away from the school. Facility did not realize that the child had left the playground until the parent returned with the child.

  Corrective action. Please provide an updated course of action on or before June 9, 2025.

  14060 - CCLR s.39(1)

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 was noted at the time of inspection: -Rug within daycare is curling at two corners and can act as a tripping hazard. -Storage room which is required to be walked through in order to get to the bathroom had 2 ladders (unsecured) leaning up against the wall right by the entrance to the bathroom. Potential tipping hazard, noted in the last routine inspection (repeat).

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  11010 - CCLR s.13(1)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. No children were observed to have washed their hands prior to eating their snack.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  15030 - CCLR s.46(1)
• 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 (CORRECTED DURING INSPECTION): From 2:25-2:35, there was one staff on site with 17 children in care. Second staff arrived at 2:35. Staff stated that their shift starts at 2:30. Discussion with Manager about ensuring that the facility is meeting Schedule E at all times.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  14030 - CCLR s.34(2)(b)
• 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 indicates that it was due to be serviced in March of 2024. Manager stated that this is the school's responsibility and will follow up to see if it was serviced.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  13020 - CCLR s.22(1)(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. 2 children wihin the school age program did not have a photo or digital photo

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

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

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Two children's registration forms indicate that they have an allergy and would encounter symptoms should they come in contact with that allergen. There is no paperwork (i.e. care plan) to indicate what the course of action may be should the child come in contact with their allergen. There is nothing within the file to indicate that the Licensee has sat down with the parent to create a care plan, as required. Discussion with Manager explaining the following: care plan is created with the parent and should include the reason for the care plan, symptoms, course of action and ensure the plan is dated so that it can be reviewed yearly.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before September 27, 2024.

  19250 - CCLR s.58(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. Immunization status was not obtained for one employee.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  12090 - CCLR s.19(1)(f)
• 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 has criminal record check that is not site specific.

  Corrective action. Please provide a written response to indicate how you will address the contravention noted above on or before October 2, 2024

  12040 - CCLR s.19(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 September, Licensing observed that children were not identified as absent. Education was provided about the requirement for attendance records, as it is part of active supervision.

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

  19090 - CCLR s.57(2)(c)

• 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; - a metal ladder resting against storage items in front of the bathroom door. Potential to have fall on a child and hurt them. - A tall cabinet that is not secured to the wall.

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

  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. One staff working in the group child care (30 mnths to SA) program does not have their certificate post anywhere in the community care facility.

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

  10070 - CCLR s.11(4)
• 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 observed that there are not sufficient emergency supplies for the number of staff and children in care. The Manager was aware that all the water and some food had expired and are in the process of replenishing the supplies. Licensing discussed having a system that is going to ensure that supplies are continuously maintained.

  Corrective action. Ensure that an emergency plan is in place that sets out procedures to prepare for, mitigate, respond to and recover from any emergency,

  13020 - CCLR s.22(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. Upon a random review of six children's records, Licensing observed that the name and telephone number of an emergency contact for one child has not been obtained.

  Corrective action. Ensure that children's records are complete.

  19100 - CCLR s.57(2)(d)
• 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 six children's records, Licensing observed that immunization status for two children has not been obtained.

  Corrective action. Ensure that children's records are complete.

  19070 - CCLR s.57(2)(a)
• 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 a random review of six children's records, Licensing observed that a photograph or digital image for four children has not been obtained.

  Corrective action. Ensure that children's records are complete.

  19160 - CCLR s.57(2)(i)
• 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. Upon a random review of six children's records, Licensing observed that there is a child who has life threatening allergies however, no care plan is available for the child. The Manager was unaware of the child's allergies. Licensing had a discussion on ensuring; that children's records are reviewed at time of registration, care plans are in place and medication forms are completed for all medications to be administered.

  Corrective action. Ensure that a care plan is in place for each child requiring extra support.

  19210 - CCLR s.58(1)(a)
• RECORDS AND REPORTING

  In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58.

  Observation. Licensing was unable to review the attendance records, other than today's attendance, and facility policies and procedures as the Manager has taken them home. Licensing discussed ensuring that all records (facility, staff and children) are kept at the community care facility.

  Corrective action. Ensure that records referred to in sections 56 to 58 are kept in a single place at the community care facility

  19320 - CCLR s.59(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. Upon a review of five staff records, Licensing observed that one staff's certificate was not verified through the early childhood educator (ECE) registry.

  Corrective action. Ensure that staff records are complete.

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

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

  Corrective action. Ensure that staff records are complete

  12090 - CCLR s.19(1)(f)
• 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 review of five staff records, Licensing observed the following; - Only one reference obtained for one staff. - References not obtained for another staff.

  Corrective action. Ensure that staff records are complete.

  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 review of five staff records, Licensing observed criminal record checks for two staff addressed to another organization.

  Corrective action. Ensure that staff records are complete.

  12040 - CCLR s.19(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. Licensing observed that although the children were recorded as absent/present, the times of arrival and departure were not noted.

  Corrective action. Ensure that for each child, a record showing daily attendance, indicating for each day whether the child is absent or if the child is present, the time of arrival and departure is noted.

  19090 - CCLR s.57(2)(c)

• 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 (CORRECTED DURING INSPECTION): Licensing observed cleaning supplies in an unlocked cupboard under the sink and next to the children's hand washing sink.

  Corrective action. Ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.

  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. Licensing observed that one staff member's ECE certificate had not been verified.

  Corrective action. Ensure staff certificates are verified using the system maintained by the early childhood educator registry.

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

No violations recorded at this inspection.