Douglas Out Of School Care Program

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 observed: -children spraying sunscreen outside with no supervision -children using bug spray to kill bugs inside a "fort" inside -Staff person was locked out of program room when going outside -tables were not cleaned and sanitized prior to children eating snack -backpacks were located on the ground in piles creating a tripping hazard - toys that were not in use were left on the ground in many areas posing tripping hazards -lunch boxes were left open on the ground with no children around them. -a child was carrying a knife with the blade in the air -staff use walkie talkies to tell each other if a child is coming but does not receive confirmation if the other staff heard them -life saving medications do not follow the child to the program room or area they are located -Sanitizers for tables were available but staff were not aware of what the directions say

  Corrective action. Ensure that a healthy and safe environment is maintained

  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. Children were not instructed to wash hands prior to eating

  Corrective action. Ensure that children are washing hands prior to eating.

  15030 - CCLR s.46(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 facility License and manager name was not posted

  Corrective action. Ensure that the facility License and Manager name is posted

  10050 - CCLR s.11(1)
• 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. Children were observed walking in hallways, stairwells, going with people that do not work with the child care program, and leaving their assigned space into another space without letting staff know

  Corrective action. Ensure that children are supervised at all times

  14060 - CCLR s.39(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. A care plan was not reviewed annually with the parent or any person requested to by the parent.

  Corrective action. Ensure that care plans are reviewed annually

  19260 - CCLR s.58(2)(b)
• 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. Care plan not developed in consultation with the parent or any person requested by the parent for children requiring medication

  Corrective action. Ensure that a care plan is created for each child who requires one.

  19250 - CCLR s.58(2)(a)
• RECORDS AND REPORTING

  The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child: (b) any medication administered to the child by the licensee, including the amount and the time at which the medication was administered.

  Observation. No record that medication was administered to a child, including time and amount as agreed upon in the care plan.

  Corrective action. Ensure that a record is maintained for when the child receives medications.

  19280 - CCLR s.58(3)(b)
• STAFFING

  A licensee must ensure that children have at all times immediate access to an employee who (b) is knowledgeable respecting each child's medical condition, if any.

  Observation. Staff were unaware of why a child has life saving medication

  Corrective action. Ensure that at all times a staff is knowledgeable in the child's medical condition

  12220 - CCLR s.23(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. No criminal records were available for review

  Corrective action. Ensure that a criminal record check is obtained for each employee

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

  Observation. No staff records for character references

  Corrective action. Ensure that character references are obtained for all staff

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

  Observation. No records of the person's work history was not obtained for more than one employees.

  Corrective action. Ensure that a record of person's work history is obtained

  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: (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.

  Corrective action. Ensure that copies of evidence of person's training and skills are obtained

  12070 - CCLR s.19(1)(d)
• 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 more than one employees.

  Corrective action. Ensure that immunization status is obtained

  12090 - CCLR s.19(1)(f)
• STAFFING

  A licensee must ensure that children have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.

  Observation. There is no evidence of staff first aid certifications

  Corrective action. Ensure that at all times children have access to an employee with first aid.

  12210 - CCLR s.23(1)(a)

• 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

  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)
• 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

  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)

• 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

  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)
• 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)