North Fleetwood Montessori School

• 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 not done for 3 staff.

  Corrective action. Please ensure that all staff file are complete.

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

• 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. Review of children's registrations observed that there were 3 children under 36 months old attending Group Child Care 30 months to school age care program in classroom #1. It exceeding number of children under 36 months old in the group.

  Corrective action. Please ensure that no more than 2 children that are 30 months old in the 3-5 years old group.

  14020 - CCLR s.34(2)(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 children files observed that registration systems does not records start date or date of enrollment on children's files.

  Corrective action. Ensure that documentation are complete and accurate.

  19080 - CCLR s.57(2)(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. Review of 6 children files observed 2 children was missing medical insurance plan on file.

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

  19070 - CCLR s.57(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: (c) a record of the person's work history.

  Observation. Review of 5 staff files observed that one staff was missing resume on file.

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

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

  Observation. Review of 5 staff files observed that one staff was missing immunization status on file.

  Corrective action. Please ensure that 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. Review of 5 staff files observed that one staff was missing copy of criminal records clearance on file.

  Corrective action. Please ensure that 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: (b) character references in respect of the person.

  Observation. Review of 5 staff files observed that one staff was missing references on file.

  Corrective action. Please ensure that all staff files are complete. n

  12050 - CCLR s.19(1)(b)

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. Manager's name was not displayed as Manager.

  Corrective action. Please ensure that Manager's name is prominently displayed in the facility.

  10050 - CCLR s.11(1)
• LICENSING

  When advertising or otherwise offering services to the public, a licensee must identify the care program being offered.

  Observation. Licensee amended their Licence and removed the Preschool program to offer full day GCC 30 months to school age care program. Licensing observed on children files that parents are being offered Full day, part time or extended Montessori preschool program. On the attendance sheet, children are signed in for Preschool program. There are two separate attendance sheets for 9 - 11.30 am and 12.00- 3.00 pm. Licensee was previously discussed to advertise and operate the program as reflected on the copy of CCF Licence.

  Corrective action. Please ensure to offer and advertise program type that is approved on the Licence. .

  10060 - CCLR s.11(3)
• 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. Two staff certificates were not displayed prominently in the facility

  Corrective action. Ensure all staff certificate are displayed

  10070 - CCLR s.11(4)
• 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. No records of Fire Drill for the Month of September 2023. (repeated contravention)

  Corrective action. Please ensure that facility records are complete and up to date.

  13050 - CCLR s.56(1)(c)
• 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. Review of 5 staff files observed one staff has ECE certificate that was not verified.

  Corrective action. Please ensure all staff files are complete.

  12140 - CCLR s.19(4)(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. In the outdoor play space the following was observed: -There are toys and equipment broken and in disrepair -The building, staircases and railings all have paint chipping and the staircase steps have algae on them which makes them slippery, especially when wet. -The depth of protective surfacing under the large play equipment is inadequate. The Licensee has indicated in writing that surfacing options are currently being explored. Licensing has directed the facility not to use this piece of equipment until the surfacing has been addressed.

  Corrective action. Ensure the facility is in good repair.

  11020 - CCLR s.13(2)

• 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. In the outdoor play space the following was observed: -toys/equipment were in disrepair including broken toys and paint chipping on most wooden equipment -the depth of protective surfacing under the play structure is inadequate

  Corrective action. Ensure the facility is in good repair

  11020 - CCLR s.13(2)
• 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. Although the Manager identified that fire drills are conducted monthly, there was no record of fire drills being conducted in one of the programs.

  Corrective action. Ensure to record all emergency drills.

  13050 - CCLR s.56(1)(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. Licensing reviewed five children's files. One did not include the child's medical insurance plan number.

  Corrective action. Ensure all children's 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: (b) date of enrolment in the community care facility.

  Observation. Licensing reviewed five children's files. One did not include the child's start date.

  Corrective action. Ensure all children's 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: (d) name and telephone number of a parent, medical practitioner and emergency contact.

  Observation. Licensing reviewed five children's files. Two of these files did not contain the name and telephone number of the child's medical practitioner.

  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 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 four staff files. Two of the four ECE certificates have not been verified through the early childhood educator registry.

  Corrective action. Ensure staff files are complete.

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

• EQUIPMENT AND FURNISHINGS

  A licensee may use the same outdoor play area at the same time for more than one care program if the care programs are of the same type as prescribed in Column 1 of section 1 of Schedule E.

  Observation. During today's inspection both the group child care (30 months to school age) group and the multi-age group used the large playground at the same time. When Licensing spoke to the Manager by phone at the time of inspection the Manager identified that they have been sharing the large playground as the small playground needs some work/upgrades due to recent weather conditions.

  Corrective action. Ensure that multiple service types do not share the same outdoor play area at the same time.

  11151 - CCLR s.16(2.1)(a)
• 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. No policies and procedures were available for review during today's inspection. Two staff in two different programs identified that they were unsure as to where they were located. This is a repeat contravention from the routine inspection conducted on November 15, 2021.

  Corrective action. Ensure to have a copy of the facility policies and procedures available at all times for review and to help guide staff.

  13060 - CCLR s.56(1)(d)

• 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 is not posted in the facility.

  Corrective action. Ensure to display the name of the manager in a prominent place in the facility.

  10050 - CCLR s.11(1)
• OR SUPERVISION

  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. There were more than 3 children under 36 months old in the multi-age classroom.

  Corrective action. Ensure to meet the age requirements for a multi-age program at all times as per Schedule E of the Child Care Licensing Regulations.

  14360 - CCALA s.7(1)(b)(i)
• 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. No policies and procedures are available to guide staff in the facility operations related to care and supervision.

  Corrective action. Ensure to have a copy of the facilities policies and procedures available at all times for review and to help guide staff.

  13060 - CCLR s.56(1)(d)
• RECORDS AND REPORTING

  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 to notify the licensing offer within 24 hours when a child is involved in a reportable incident.

  19030 - CCLR s.55(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 or more employees.

  Corrective action. Ensure staff files are complete.

  12090 - CCLR s.19(1)(f)
• 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. Verification for an early childhood educator certificate was not obtained for one or more employees.

  Corrective action. Ensure all staff files are complete.

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

• 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 following was observed outside: -prickle branches growing in one yard -plants growing through the fence into the yard -netting under the grass coming to the surface -broken piece of plastic in yard (removed at inspection) -metal spoon on the concrete blocks - unknown where it came from (removed at inspection)

  Corrective action. Please ensure all outdoor space is free from hazards and in good repair.

  11190 - CCLR s.16(4)(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. The following was observed inside: -mop and bucket used to clean washrooms accessible to children -broken cupboard door piece in larger washroom -nap mat sheets in contact with each other

  Corrective action. Please ensure healthy environment at all times.

  11010 - CCLR s.13(1)
• 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. A total of 9 staff files were reviewed and 6 certificates had not been validated yet on the ECE Registry website.

  Corrective action. Please ensure that any staff that hold a certificate issued by the ECE Registry is validated on their website.

  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. One staff does not have immunization status on file.

  Corrective action. Please ensure all staff have their immunization status on file.

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