Tiny Wings Children's Centre

• 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 does not have a care plan to support emergency medication.

  Corrective action. Discussed the intent of care plans. The Licensee said she will develop one in consultation with the family.

  19220 - CCLR s.58(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. Two of the three staff files reviewed did not have criminal record checks which were obtained by the Licensee. Both had valid criminal record checks from a different organization.

  Corrective action. Discussed the requirement of the Licensee obtaining the CRCs. The Licensee said she will have the CRCs shared to her organization.

  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. Of the three staff files reviewed, one did not contain of compliance with the province's immunization and TB program.

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

No violations recorded at this inspection.

• 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. Multi-Age CC - Staff to Child Ratio not maintained. (ECE). The staff member on site holds a valid ECEA certificate. The staff identified that they are the regularly scheduled staff to open the facility which does not meet the requirements for a multi-age program.

  Corrective action. Licensing had a conversation with the Manager regarding the staff schedule. The Manager will bring the facility into compliance and provide Licensing with a copy of the revised staffing schedule.

  14030 - CCLR s.34(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. The number of children in care exceeded the Licensed capacity for the designated room. Upon arrival at the facility there were ten children in care.

  Corrective action. At the time of inspection children were moved to a second premise bringing the facility into compliance.The Director confirmed that effective immediately the facility will not exceed maximum capacity.

  14360 - CCALA s.7(1)(b)(i)
• 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 arrival at the facility there were multiple children without records at the premise.

  Corrective action. The Director confirmed that moving forward staff will have immediate access to all children's records.

  19320 - CCLR s.59(a)
• 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. Upon arrival it was noted that the daily attendance was not accurate or complete.

  Corrective action. The Director confirmed that attendance would be accurate and complete at all times moving forward.

  19090 - CCLR s.57(2)(c)
• 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. At the time of arrival there was one staff on site. This individual did not have a valid first aid certificate.

  Corrective action. The Director confirmed that as of this inspection children will have immediate access to an employee who holds a valid certificate.

  12210 - CCLR s.23(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. OUTDOORS - Licensing observed the resilient surfacing under one climber (octagon shaped) is a bare minimum, and not providing the adequate amount for the height of the equipment. Licensee says it is in the plan to get more but was waiting for the dryer weather. This pierce of equipment must not be used until the surfacing has been replaced.

  Corrective action. Ensure that adequate resilient surfacing is under and surrounding (6 feet Circumference the climber as per the Director of Licensing Standards of Practice - Safe Play (for the height of the equipment). Ensure a safe environment while children are in care.

  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. Upon arrival the licensee informed licensing that the two fire extinguishers were taken to be serviced yesterday (March 13, 2023), however were not returned as every six years the powder needs to be completely replaced, and they would not be ready until the morning of March 15, 2023, leaving the facility without a working/serviced extinguisher.

  Corrective action. The licensee was able to locate an extra serviced extinguisher during the inspection and placed it on the mounting device. The other two will be picked up tomorrow and replaced.

  13020 - CCLR s.22(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: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs. Observation (CORRECTED DURING INSPECTION): Immunization status was not obtained for one or more employees.

  Corrective action. Ensure all staffing records are collected and on file prior to staff starting.

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

No violations recorded at this inspection.

• POLICIES AND PROCEDURES

  A licensee must have all of the following: (b) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

  Observation. The facilities two fire extinguishers were due to be serviced at the beginning of the month. This is a repeat contravention.

  Corrective action. Please ensure fire extinguishers are serviced annually.

  13020 - CCLR s.22(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. 4 children files were reviewed, one file was lacking an MSP #.

  Corrective action. Please ensure children's files are complete. Discussed setting reminders if areas are incomplete at the time of enrollment.

  19070 - CCLR s.57(2)(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 licensee using a system established and maintained by the director of the early childhood educator registry,

  Observation. 4 staff files were reviewed, 3 of these files did not contain a record that the ECE or ECEA certificates had been verified by the licensee.

  Corrective action. Please ensure staff files are current and complete.

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