Rothewood Academy White Rock

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that any heated water accessible to children is heated to no more than 49° Celsius.

  Observation. Two bathrooms have accessible hot water measuring over 49°C.

  Corrective action. Staff said the maintenance team will take a look at it.

  11230 - CCLR s.47
• 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: -Nap rooms had loose cords which poses as a strangulation hazard. -Two closets with sliding doors were not secured which could be a pinching hazard, and the closets contained staff personal belongings. -There is one big wooden board leaning on the wall beside a play pen in the nap room. -There were two fridges measured over 4°C and both did not have thermometers inside. -Outdoor space: some tiles are lifting and loose, and some wood are starting to show signs of rotting

  Corrective action. Staff said these concerns will be addressed.

  11010 - CCLR s.13(1)
• HYGIENE AND COMMUNICABLE DISEASE

  A licensee, other than a licensee who provides a care program described as either Preschool (30 Months to School Age) or Group Child Care (School Age), must have in a community care facility a sturdy surface for changing diapers, located outside the food preparation area, next to (a) a covered container for soiled clothing.

  Observation. There are two bathrooms with no lid in the garbage containers.

  Corrective action. Staff said the lids will be replaced.

  15010 - CCLR s.14(4)(a)
• HYGIENE AND COMMUNICABLE DISEASE

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

  Observation. Licensing determined from the staff that the bleach solution is not mixed properly making it an ineffective method of sanitizing.

  Corrective action. Licensing discussed thoroughly during inspection. Staff said that they will prepare new bleach solution daily.

  15030 - CCLR s.46(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. Licensing observed that there are plenty of emergency supplies for children and staff but not enough for babies, to respond and recover from an emergency.

  Corrective action. Staff said they will add age-appropriate equipment for babies.

  13020 - CCLR s.22(1)(b)
• 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. Upon review of care plans, there is no record of being reviewed annually.

  Corrective action. Licensing discussed this thoroughly with the director and assistant manager during the inspection. Staff will update care plans.

  19260 - CCLR s.58(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. Upon review of several children records, one was missing the medical insurance plan number.

  Corrective action. Staff said they will get the information from the parent.

  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. Upon review of several children's records, four children were missing emergency contacts.

  Corrective action. Staff said they have will acquire the information from the parents.

  19100 - CCLR s.57(2)(d)

• A licensee must immediately notify a parent or emergency contact if, while under the care or supervision of the licensee, the child (a) becomes ill or is injured.(1.1) In the case of a licensee who provides a care program described as Child-minding, the parent to be notified under subsection (1) is the parent who is on the premises on which the child-minding service operates.

  Observation. Child's parents were not immediately notified of an incident which caused injury to the child.

  Corrective action. Licensee to review facility's notification practices and submit a written response.

  19010 - CCLR s.55(1)(a)(1.1)

• A licensee must (a) ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance.

  Observation. Staff used inappropriate guidance when they removed children from the group to the bathroom.

  Corrective action. Corrective action plan required

  14220 - CCLR s.51(1)(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. Alarms installed on two doors for safety purposes were observed to be not operating at the time of the inspection.

  Corrective action. Ensure a healthy and safe environment is provided at all times.

  11010 - CCLR s.13(1)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that each piece of furniture or equipment for sleeping (b) is clean and comfortable.

  Observation. Playpens used in a nap room were observed to be not in good repair. The LO reviewed this in depth with the manager at the time of the inspection.

  Corrective action. Ensure sleeping furniture or equipment is clean and comfortable.

  11110 - CCLR s.15(2)(b)
• 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. Medicinal products were observed in the first aid kits in two classrooms. The LO reviewed this item in depth with the manager at the time for the inspection.

  Corrective action. Ensure a healthy and safe environment is provided at all times which includes the use of medicinal products.

  14360 - CCALA s.7(1)(b)(i)
• 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. Several children's files were reviewed and one child did not have gender identified.

  Corrective action. Ensure children's registration files are complete including gender.

  19070 - CCLR s.57(2)(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 observations were made: - there is a significant amount bird feces located in the infant playground. -a toilet is being used to store items in a baby classroom

  Corrective action. Ensure that a healthy and safe environment is provided. Please provide a written response to the Licensing Officer how you have addressed the above contravention.

  11010 - CCLR s.13(1)
• 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. daily attendance was not complete for more than one classroom.

  Corrective action. Ensure that daily attendance is completed with time of arrival and departure.

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

• A licensee must do all of the following

  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. A child in care was transitioned to another classroom with unfamiliar staff at the end of the day. The child fell and lost the front right tooth and no staff witnessed the fall. The parent discovered the injury moments later at pick up time. Due to the practices of transitioning the supervision of the child was not sufficient which resulted in an injury.

  Corrective action. Ensure the health and safety of children is maintained especially at transition times.

  14360 - CCALA s.7(1)(b)(i)
• 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 a reportable incident as described in Schedule H as required.

  Corrective action. Ensure incidents are reported with 24 hours to licensing.

  19030 - CCLR s.55(2)(a)

• A licensee must (a) ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance.

  Observation. Licensing determined inappropriate guidance practices were used at the facility.

  Corrective action. Corrective action required.

  14220 - CCLR s.51(1)(a)

• 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. Licensing observed three triple A batteries in the art room on a counter at child height.

  Corrective action. Ensure children do not have access to any items which may be hazardous to their health and safety.

  11200 - CCLR s.17
• 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. Some classrooms did not have their attendance sheets filled out completely at the time of inspection.

  Corrective action. Ensure daily attendance record, indicating for each day whether the child is absent or if the child is present, the time or arrival and departure is kept.

  19090 - CCLR s.57(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. Licensing observed that one staff file did not contain a Criminal Record Check. A clarifying conversation with the Manager indicated that a CRC was applied for in the previous months.

  Corrective action. Ensure all staff files are complete.

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

No violations recorded at this inspection.

• 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. Licensing observed: -A box of push pins in an unlocked cupboard at child height, in the art room. -A large bottle of hand soap refill in an unlocked cupboard in the children's bathroom.

  Corrective action. Ensure children do not have access to any object or substance that may be hazardous to the health or safety of a child.

  11200 - CCLR s.17
• 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. Licensing observed: -some closet doors have locks that are not functional resulting in storage spaces containing staff belongings being accessible to children. -Some chipping paint throughout the facility at child height.

  Corrective action. Ensure the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.

  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. Licensing observed: -A visibly soiled sheet on one bed in the naproom. -The tiles and wooden deck/climbing areas in the outdoor play space are beginning to become slippery. -The tiles in the outdoor play space are shifting, resulting in gaps which are increasing. A clarifying conversation with the Manager indicated that the staff are aware and actively supervise the children to compensate . -A tall shelf in the naproom which has items stored on it not secured in any way causing it to be a tipping hazard. -A tall shelf in one of the children's bathroom is not secured causing it to be a tipping hazard. -A system to ensure yard checks are conducted prior to children using the space was not evident.

  Corrective action. Ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

  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. Licensing observed a set of unused cubbies stored next to the elevator (a highly trafficked area), that are not secured to the wall, resulting in a topple hazard.

  Corrective action. Please ensure a safe environment while children are in care.

  11010 - CCLR s.13(1)
• OR SUPERVISION

  Without limiting subsection (1), a licensee must ensure that (b) the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E. Observation (CORRECTED DURING INSPECTION): Infant/Toddler Ratio - Staff to Child ratio not maintained. (IT/ECE/ASST) Licensing observed one IT and one ECEA with 8 children in the toddler room.

  Corrective action. Please ensure ratio is met as defined in Schedule E. Absent staff was discussed, when an ECEA may replace an ECE.

  14030 - CCLR s.34(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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. 4 staff files were reviewed- 2 out of 4 files were without immunization status and a 3rd was incomplete.

  Corrective action. Please ensure staff files are current and complete. Employee Immunization Form (FH) is a great way to capture status results.

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