Roots & Wings Montessori Heritage House

• 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. During this inspection, Licensing observed: -some walls, baseboards and railings were visibly dirty -signs of wear and tear of some chairs indoor -signs of wear and tear of some picnic benches outdoors

  Corrective action. Please ensure that the facility is clean and all furniture are in good repair.

  11020 - CCLR s.13(2)
• 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. During this inspection, Licensing observed the following: -sharp knives and scissors were stored in drawers that are easily accesible by children in the kitchen area -an adult rake is accessible to children outdoors -cubbies are not secured and can pose as a tipping hazard (repeat contravention) -a cleaning spray bottle is accessible to children is not properly labelled but has a warning to keep out of reach of children -the fridge temp is above 4°C

  Corrective action. Staff mentioned that the cubbies are scheduled to be secured next Friday. The others items will be addressed.

  11010 - CCLR s.13(1)
• 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. There are not enough emergency supplies available which includes expired water packs and a few food pouches.

  Corrective action. Staff said that they plan to replenish the supplies by the end of the month in time for the new school year starting in September.

  13020 - CCLR s.22(1)(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. Upon review of several children's records, the telephone number of a medical practicioner is missing and some emergency contacts were missing.

  Corrective action. Staff mentioned that they will be reviewing children's records as they prepare for the new school year.

  19100 - CCLR s.57(2)(d)
• 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 requiring additional support does not have a care plan that includes the course of action recommended by health care professionals.

  Corrective action. Staff said they will create a care plan.

  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, some were missing the medical insurance plan number and immunization status.

  Corrective action. Staff mentioned that they will be reviewing children's records as they prepare for the new school year.

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

  Observation. Upon review of three staff records, none had any record of mmunization status.

  Corrective action. Please ensure that staff records 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. Upon review of three staff records, one was missing a verification of an educator's certificate.

  Corrective action. Please ensure that staff records are complete.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must ensure that each employee (c) practices implementing the emergency plan at least once each year.

  Observation. Upon review of the emergency drill records, there were no evidence of 2023 and 2024 drills being done and recorded.

  Corrective action. Please ensure to practice your emergency plans annually and record them.

  12200 - CCLR s.22(2)(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: (a) a criminal record check for the person.

  Observation. Upon review of three staff records, two were missing criminal record checks.

  Corrective action. Please ensure that staff records 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. Upon review of three staff records, two were missing evidence of character references checked.

  Corrective action. Please ensure that staff records are complete.

  12050 - CCLR s.19(1)(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. Children's cubbies and two tall shelves were not anchored in the Preschool/School Age program posing a tipping hazard.

  Corrective action. Licensing was informed that the classroom set up had been recently changed and that they had not anchored the cubbies and shelves yet. Please ensure risk of furniture tipping is mitigated at all times.

  11010 - CCLR s.13(1)
• 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. Five children files were inspected and two did not contain immunization declarations.

  Corrective action. Ensure children's 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: (a) a criminal record check for the person.

  Observation. Two staff files were inspected and one did not contain a site specific CRC conducted through the Criminal Record Check Review program.

  Corrective action. Ensure a site specific CRC conducted through the Criminal Record Check Review program is obtained before the start of employment. Evidence of application for CRC was noted as being on file.

  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. Licensing inspected two files and noted one did not contain evidence that of compliance with the province's immunization and TB control programs.

  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. 2 staff files were inspected and one did not contain evidence of certificate verification.

  Corrective action. Ensure 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 areas and or items were found outside and need to be addressed, the rake was found outside near the garden ,it was removed and put away at time of inspection , there was a wooden block under the rings as this presents a possible injury fixed at time of inspection , the turf on the mound is loose in one area presents a tripping hazard.

  Corrective action. please ensure that the turf is secured , staff stated that it will be addressed today.

  11010 - CCLR s.13(1)

• 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. In the outdoor space there is inadequate ground cover under the climbing structure. There is also rough cement edging between the ramp and the play space due to inadequate ground cover in this area.

  Corrective action. Ensure to provide a safe environment at all times.

  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 indoors: -Numerous walls, baseboards, doors, railings, etc. throughout the facility are visibly dirty The following was observed outdoors: -Many toys have chipped paint and are rusty

  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 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. There is no documentation of emergency drills being conducted yearly. There is no documentation that a fire drill was conducted in one of the programs in September 2022.

  Corrective action. Ensure all emergency drills are conducted and recorded.

  13050 - CCLR s.56(1)(c)

No violations recorded at this inspection.

No violations recorded at this inspection.

• 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 outdoor play area that was renovated was reviewed for corrections from the previous contraventions. The following items have yet to be corrected. - the tunnel mound has turf material on top, several areas have been secured and corrected, the back area still has loose sections that need to be secured, this equipment was confirmed to be closed and children are instructed not to use it until it is corrected. - the bike path which has eroded areas has been partially corrected, some areas have yet to be corrected, this area was confirmed to be closed and children are instructed not to use it until it is corrected. - the tunnel slide has been re-secured and reinstalled, the equipment though has some hazards related to the installation of the slide which includes; sharp flashing assessable to children, straps used to secure the slide to the frame pose a pinching hazard to the children playing in the area, frame securing the slide is loose posing a potential hazard to the children using the slide, the resilient surfacing under the slide is not suitable to protect the children from injury using the equipment. This equipment was also confirmed to be closed and children are instructed no to use it until it is corrected and photographs of the equipment were taken at the inspection. The LO reviewed these items in depth with the facility administrator at the time of the inspection.

  Corrective action. Ensure outdoor play materials and equipment accessible to children are safely constructed, free from hazards and in good repair.

  11190 - CCLR s.16(4)(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. Four children's files were reviewed and one child did not have a record of a medical practitioner contact name or phone number available.

  Corrective action. Ensure children's files are complete including name and phone number of a medical practitioner.

  19100 - CCLR s.57(2)(d)
• 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 child in care on the day of the inspection had a care plan in place that had not been reviewed or updated in over 18 months. LO review with the facility administrator the requirement for updating care plan information.

  Corrective action. Ensure children's files are complete including ensuring that a care plan is reviewed and updated at least every 12 months.

  19260 - CCLR s.58(2)(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: (b) character references in respect of the person.

  Observation. Four staff files were reviewed and two new staff did not have confirmation of reference checks being completed. LO reviewed with the facility administrator the intent for ensuring references for staff are checked and confirmed prior to the staff working with the children.

  Corrective action. Ensure staff files are complete including confirmation of reference checks being completed.

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

• 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 facility recently renovated the outdoor playground and several items were identified during the inspection as potential hazards for the children using the space. These items include; - exposed nails/screws accessible at the children's level in the garden area - the tunnel mound has turf material on top that has come loose in several areas posing tripping hazards - the bike path has exposed metal wire mesh assessable at the children's level - a tire swing attached to a tree does not have sufficient clearance for children to use it - the tunnel slide is not secure and is positioned at the bottom right beside a wooden structure which does not allow for enough clearance for children exiting the slide - resilient surfacing under the swings, monkey bars and base of the slide does not have sufficient depth to protect the children using the equipment The LO reviewed all of these items during the inspection with the facility manager. The manager communicated during the inspection that these items would be made inaccessible until corrected. This is a repeat contravention.

  Corrective action. Ensure outdoor play materials and equipment accessible to children are safely constructed, free from hazards and in good repair.

  11190 - CCLR s.16(4)(b)