Douglas Out Of School Care Program

• 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 License was not displayed at a prominent place within the community care facility.

  Corrective action. Please ensure that the License is posted at a prominent place.

  10050 - CCLR s.11(1)
• MEDICATION

  A licensee must ensure that a child's medication is not accessible to any child, except that a child may have access to his or her own medication if (a) the child's parent has instructed the licensee to permit this.

  Observation. Medication were accessible to children in care.

  Corrective action. The Staff said that they will plan to relocate the medication to a spot that is not accessible to children.

  16030 - CCLR s.53(2)(a)
• 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 review of several children's records, one was missing the medical insurance plan number.

  Corrective action. Please ensure that children's records 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. One child who require life-threatening allergy medication and one child who has an allergy medication do not have care plans including the course of action recommended by health care professionals.

  Corrective action. Please ensure that children in care who require extra support have care plans in place.

  19220 - CCLR s.58(1)(b)
• 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. Upon review of staff records, two staff were missing the following for review: criminal record check, character references, a record of the person's work history, copies of any evidence of the person's training and skills, and evidence of the person's immunization status.

  Corrective action. Please ensure that staff records are complete and available for review.

  19320 - CCLR s.59(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. Ensure Licensing is notified within 24 hours if a child was or may have been involved in a reportable incident.

  19030 - CCLR s.55(2)(a)
• A licensee must provide to children a comprehensive and coordinated program of indoor and outdoor activities that (c) complies with the program standards set out in Schedule G.

  Observation. Children have limited resources, planned programming and equipment outdoors. Children engage in child led games that make it challenging to regulate behavior, resulting in struggles with rules, aggression and personal boundaries that sometimes leads to injuries.

  Corrective action. Ensure a comprehensive and coordinated program of outdoor activities are planned that meet the standards set out in Schedule G.

  18030 - CCLR s.44(1)(c)

• EQUIPMENT AND FURNISHINGS

  A licensee may use the same outdoor play area at the same time for more than one care program if there is no increase in the risk to the health and safety of children

  Observation. Children sharing the outdoor play area with the community and school. Identification of the children in care was observed as a challenge due to the shear numbers of children on site after school and at the time of the inspection using the space and equipment. Community Pets on site and interacting with children in care at the time of the inspection. Maintenance of water sewage feature taking place at the time of the inspection posed and additional risk. The LO reviewed these items in depth with the staff and recommended pinnies for identification purposes.

  Corrective action. Ensure the outdoor play area used by other programs and community members must have no increased risk to the health and safety of the children.

  11152 - CCLR s.16(2.1)(b)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. Children were observed not washing their hands before eating in the program. The children's lunch and snack was additionally observed as not being stored suitability. The LO reviewed these items in depth with the staff at the time of the inspection.

  Corrective action. Ensure an effective health an hygiene program is established and practiced.

  15030 - CCLR s.46(1)
• 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 review of the attendance records it was noted that more than the maximum children regularly attend Pod B after-school. The LO reviewed the suitability of this practice due to the uniqueness of the two Pod's the program uses within the school.

  Corrective action. Ensure children are divided into groups as per Schedule E and specific to the usable space within the premise.

  14020 - CCLR s.34(2)(a)
• STAFFING

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

  Observation. Fire drills records were reviewed during the inspection. One month in the current school year was missing a drill. LO reviewed this with the staff at the time of the inspection.

  Corrective action. Ensure monthly fire drills are conducted and recorded.

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

No violations recorded at this inspection.

No violations recorded at this inspection.

• 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 facility manager and the facility license was not displayed in a suitable manner. LO reviewed this with the staff member on site during the inspection.

  Corrective action. Ensure the facility license and name of the manager is posted in a prominent place.

  10050 - CCLR s.11(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. Staff on site was not able to provide monthly fire drill records and confirmed fire drill practices had not been conducted for the past few months. LO reviewed this requirement during the inspection.

  Corrective action. Ensure monthly fire drills are practices and recorded.

  13050 - CCLR s.56(1)(c)
• 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. All the staff records, certificates and credentials were not available during the inspection. LO reviewed with the staff member this requirement during the inspection.

  Corrective action. Ensure staff files are available in a community care facility.

  19320 - CCLR s.59(a)
• 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. Three children's files were reviewed and one child in care did not have a record of a medical insurance plan number available.

  Corrective action. Ensure all children's files are complete including Medical Insurance Plan number.

  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. Attendance records were reviewed during the inspection. The records indicated inaccurate information on two occasions including on the day of the inspection. LO reviewed this requirement with the staff during the inspection.

  Corrective action. Ensure accurate daily attendance in recorded all times.

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