Little Friends Children's Center #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 roll of plastic bags was accessible to children in the washroom.

  Corrective action. Please ensure that children do not have access to anything that may be hazardous to health and safety of children.

  11200 - CCLR s.17
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Review of 6 children files observed one child was missing date of enrollment on file.

  Corrective action. Please ensure that all children files are complete.

  19080 - CCLR s.57(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. There were electric power bars connected to Christmas decorations accessible to children.

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

  11010 - CCLR s.13(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. There are three children attending that are under 36 months old in the group.

  Corrective action. No more that two children permitted as per Schedule E of Child Care Licensing Regulations. Discussed exemption request with the manager.

  14020 - CCLR s.34(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. Review of 5 children files observed one child is missing medical insurance plan number on file.

  Corrective action. Please ensure all children files are complete.

  19070 - CCLR s.57(2)(a)
• 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. Review of 5 children files observed two children were missing doctor's name and phone number on file.

  Corrective action. Ensure all children 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 is missing proof of validation of ECE certificate on file.

  Corrective action. Ensure all staff files are complete.

  12140 - CCLR s.19(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 observed during today's inspection; -A long rectangular panel in the outdoor yard was exposing large nails. -The step on the top of large yellow slide was rusty and broken from corner showing sharp edges. - The latch on yard gate leading to the driveway is broken. It is posing a risk for children accidentally wandering on the street.

  Corrective action. Ensure that a healthy and safe environment is provided to all children in care.

  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. There were plastic bags and Clorox disinfecting wipes accessible to children in the washroom.

  Corrective action. Ensure that children do not have access to anything that may be hazardous to their health and safety.

  11200 - CCLR s.17
• RECORDS AND REPORTING

  A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.

  Observation. Review of emergency systems and supplies observed that 4 children were missing emergency contact card that is used for obtaining parent's consent to call a medical practitioner or ambulance.

  Corrective action. Ensure that all children files are complete.

  19190 - CCLR s.57(3)(a)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Review of 7 children files observed 2 children were missing date of enrollment.

  Corrective action. Ensure all children files are complete.

  19080 - CCLR s.57(2)(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. Review of 7 children files observed that 3 children were missing picture or digital image to identify the child in case of emergency.

  Corrective action. Ensure all children files are complete.

  19160 - CCLR s.57(2)(i)
• 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. ECE certificate verification was missing for two staff including the Manager.

  Corrective action. Ensure all staff files are complete.

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

No violations recorded at this inspection.

No violations recorded at this inspection.

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 outside in the children's playground: -Two rodent bait stations are accessible to children behind the shed. This is a repeat violation from the routine inspection done on February 1, 2023 -There is a rusty piece of metal protruding on the bar that is at the top of the climber -There is exposed, twisted, sharp and rusty wires attached to the climbing frame that are easily accessible to children. An attempt to cover the wires was made but have become exposed -An entire fence panel has come away from the post and is being held up with string and a pipe cleaner -One panel of the fence has several pieces missing leaving an exposed space. This has been covered by plastic. -One panel of the fence has a piece that is rotting and rough. This has been covered by plastic. -One slat of wood in the deck is broken leaving an exposed area -The above three areas are repeat violations from the routine inspection done on February 1, 2023. The following was observed inside: -Incense sticks in a bottle with liquid inside was on the window sill of the children's washroom. It was removed during the inspection -A TV in the naproom sits on a shelving unit and appears unsteady

  Corrective action. The Manager explained that she has tried to address and fix some of the above areas but is not able to do it in a permanent way. She will be following up with the Licensee to discuss all the areas. An alternate plan for outdoor play time is to be submitted until the above critical hazards can be addressed. Due to the nature of the critical hazards in the outdoor playground, it cannot be accessed by children.

  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 was observed in the outdoor play ground: -tri color see saw is broken and the exposed broken ends have been covered with rubber kitchen gloves attached with string -the wooden seat in the boat is rotting , exposing broken wood and has been covered with tape and plastic that is ripping away -the wood is rotting and paint is chipping throughout different areas of the climber -the outdoor lights attached to the fence posts are broken with some exposed sharp screw ends and broken plastic. Most were removed at the time of inspection -the bars that are on both sides of the ramp that lead to the top of the climber are not secure and in poor repair. They have been wrapped in plastic and taped but the plastic is ripping all along the bars -a panel of the soffit in the undercover area has detached and is being held up with pieces of plastic ribbon

  Corrective action. The Manager explained that she has tried to address and fix some of the above areas but is not able to do so in a permanent way. She will be following up with the Licensee to discuss all areas.

  11020 - CCLR s.13(2)
• 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 working does not have a site specific cleared criminal record check on file. This is a repeat contravention from the routine inspection done on February 1, 2023.

  Corrective action. Information provided to the Manager regarding the requirement of site specific cleared criminal record checks. The manager stated she will follow up with the Licensee.

  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: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.

  Observation. One staff's ECE certificate expired on June 5, 2023.

  Corrective action. The staff explained they have applied to the ECE Registry to renew their certificate but have not received a new one yet. The staff stated they will follow up with the ECE Registry. Applying for an exemption in the meantime was discussed and the staff will submit an application.

  12070 - CCLR s.19(1)(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. Two staff who are working have not had their certificates validated on the ECE Registry website. This is a repeat violation from the routine inspection done on February 1, 2023.

  Corrective action. Information was provided to the Manager regarding the requirement to verify all certificates issued by the ECE Registry on their website. The Manager explained she will follow up with the Licensee contact.

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

No violations recorded at this inspection.

• 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 was observed indoors: -There are numerous walls where the paint is chipping and the drywall is exposed. This is a repeat contravention. The following was observed outdoors: -There are numerous fence boards that are rotten and breaking away from the main panel boards. -There are boards on the wooden decking at the back of the play yard that are rotting and need to be replaced.

  Corrective action. Ensure the facility is in good repair.

  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. There is a poisonous pest control box in the outdoor play space that is accessible to the children in care.

  Corrective action. Ensure that children do not have access to any hazardous object or substance.

  11200 - CCLR s.17
• 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. No care plan available for a child requiring extra support.

  Corrective action. Ensure children's files are complete.

  19210 - CCLR s.58(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. Licensing reviewed three staff files. Two did not include evidence the early childhood educator certificates have been validated.

  Corrective action. Ensure staff files 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: (a) a criminal record check for the person.

  Observation. Licensing reviewed three staff files. One criminal record check on file is not site specific.

  Corrective action. Ensure staff files are complete.

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

No violations recorded at this inspection.

• 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 was observed at today's inspection: -Numerous areas of the facility have paint chipping off the walls exposing dry wall. -Areas of the facility were not clean, including walls, doors, baseboards.

  Corrective action. Ensure the facility is clean and in good repair at all times.

  11020 - CCLR s.13(2)
• 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 has not been serviced annually

  Corrective action. Ensure the facility is prepared for an emergency by servicing the fire extinguisher yearly.

  13020 - CCLR s.22(1)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. The facility has not created active play and screen use policies.

  Corrective action. Create and implement active play and screen use policies to guide staff.

  13060 - CCLR s.56(1)(d)
• 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. One child's file did not contain the name and contact number of the child's medical practitioner or the name and contact number of an emergency contact.

  Corrective action. Ensure all children's files are complete.

  19100 - CCLR s.57(2)(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 one or more employees.

  Corrective action. Ensure all staff files 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: (a) a criminal record check for the person.

  Observation. Criminal Record Check not obtained.

  Corrective action. Ensure all staff files are complete.

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

• 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 was observed at today's inspection: -numerous areas of the facility have paint chipping off the walls exposing dry wall -areas of the facility were not clean, including walls, doors, baseboards

  Corrective action. Ensure the facility is clean and in good repair at all times.

  11020 - CCLR s.13(2)
• POLICIES AND PROCEDURES

  A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.

  Observation. The facility has a medication policy in place.There was evidence that this policy was not being followed. When Licensing had a conversation with the Manager regarding this, the Manager confirmed that the facility is not following this policy.

  Corrective action. Ensure that staff follow the medication policy in place.

  13071 - CCLR s.56(2)
• 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 has not been serviced annually.

  Corrective action. Ensure the facility is prepared for an emergency by servicing the fire extinguisher yearly.

  13020 - CCLR s.22(1)(b)
• POLICIES AND PROCEDURES

  A licensee must keep current records of each of the following: (d) written policies and procedures that are intended to guide employees in the care and supervision of children.

  Observation. The facility has not created active play and screen use policies. The Manager was not familiar with the requirements for these policies.

  Corrective action. Create and implement active play and screen use policies to guide staff.

  13060 - CCLR s.56(1)(d)
• 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. Licensing reviewed four children's files. One file did not contain the name and contact number of the child's medical practitioner or the name and contact number of an emergency contact.

  Corrective action. Ensure all children's files are complete.

  19100 - CCLR s.57(2)(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: (a) a criminal record check for the person.

  Observation. A criminal record check was not obtained for one or more employees.

  Corrective action. Ensure all staff files are complete.

  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 or more employees.

  Corrective action. Ensure all staff files are complete.

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

• 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): Bleach, bathroom cleaner stored underneath the bathroom sink, accessible to children. Manager stated that there was a child lock but one of the door handles had come off so the lock could not be used. substances were removed during the inspection. This contravention was noted in the last routine inspection.

  Corrective action. Please ensure children do not have access to objects or substances that may be hazardous.

  11200 - CCLR s.17
• 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. The wood structure flooring within the outdoor play space (wood platforms, wood play structure) is very slippery when wet from algae growth. Manager stated that they don't go outside when it is raining as those areas become slippery. Discussion had with Manager in regard to requirement for daily outdoor play.

  Corrective action. Please ensure that outdoor equipment is free from hazards and in good repair.

  11190 - CCLR s.16(4)(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 licensee using a system established and maintained by the director of the early childhood educator registry,

  Observation. 3 staff files reviewed, one staff was missing proof of verification of ECE credentials.

  Corrective action. Please ensure that staff who carry an ECE or ECEA Licence have had their Licence verified through the ECE Registry system and proof of verification is provided.

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