Cambridge Learning Centres @ MJ Norris Elementary

• 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. Staff stated that they would provide their immunization status.

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

No violations recorded at this inspection.

No violations recorded at this inspection.

• STAFFING

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

  Observation. Upon a review of the fire drills for the year 2022, Licensing observed that a fire drill was not practiced for the month of February 2022.

  Corrective action. Ensure that each employee practices implementing the fire drill system at least once each month.

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

• 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 that there is a tall cupboard with drawers that is not secured to the wall.

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

  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. Licensing observed that the attendance record does not clearly identify the time of departure for children in care. Licensing provided education on the importance of identifying both the time of arrival and departure for each child. This is a repeat contravention.

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

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

• 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 3 out of 12 children's records Licensing observed 1 child's record missing medical insurance plan number.

  Corrective action. Please ensure that children's records are complete prior to the child attending the facility.

  19070 - CCLR s.57(2)(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 there is an attendance record available however, it does not indicate the time of arrival and departure for each child. The attendance record only indicates if a child is present or absent. Licensing provided education on having attendance records that clearly identifies the time a child arrives and leaves the facility. Licensing further explained that is it s the responsibility of the Licensee to ensure that this information is recorded. This is a repeat contravention.

  Corrective action. Please ensure that attendance records are accurate on a daily basis, indicating for each child whether the child absent, if the child is present, the time of arrival and departure .

  19090 - CCLR s.57(2)(c)
• 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. Licensing observed that there were DIN # products in the first aid kit. Upon discussion with the staff Licensing observed that the DIN # products are used on children to clean their wounds. Licensing provided education that when products have a DIN# on the package it means that there are/is medical ingredients in it. If the staff choose to use it on children then parent consent will need to be acquired. Licensing explained that the best way to clean wounds is with soap and water.

  Corrective action. Please ensure that the facility operates in a manner that will promote the health, safety and dignity of persons in care.

  19380 - CCALA s.7(1)(b)(i)
• 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 3 staff records Licensing observed 1 staff's record missing references.

  Corrective action. Please ensure that all staff files are complete prior to the staff working at the facility.

  12050 - CCLR s.19(1)(b)
• 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 a review of 3 staff records Licensing observed that 1 staff's criminal record check has expired.

  Corrective action. Please ensure that current staff records are kept.

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