Djavad Mowafaghian YMCA

No violations recorded at this inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  Not free from hazards.; Not in good repair.; Not safely constructed.

  Observation. The following items have been outstanding since May 16, 2024. These items were still observed to be in non compliance and are safety hazards: 1) A protruding screw in the infant yard located on the play hut log beside the gate to the toddler yard. 2) In the infant sand play hut, a piece of plywood had been installed on top of the rotting and damaged deck planks as a temporary measure. As per inspection report dated May 14, 2024, the foundation of the sand hut has rotted through and the entire structure requires replacement. 3) Licensing observed multiple area with rotten and loose wood stumps and wood log barriers. Some are in worse shape than others, i.e. jagged edges and crumbling. For example the upright stumps behind the sand pits in infant and toddler yards, stumps and wood features around the toddler garden patch and toddler sand pit. • Facility Management is currently obtaining quotes to begin the necessary work. • The Management has been inform that design to be submitted to CCFL for review and approval prior to installation or construction.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  Not free from hazards.; Not in good repair.; Not safely constructed.

  Observation. The following items have been outstanding since May 16, 2024. These items were still observed to be in non compliance and are safety hazards: 1) A protruding screw in the infant yard located on the play hut log beside the gate to the toddler yard. 2) In the infant sand play hut, a piece of plywood had been installed on top of the rotting and damaged deck planks as a temporary measure. As per inspection report dated May 14, 2024, the foundation of the sand hut has rotted through and the entire structure requires replacement. 3) Licensing observed rotten and loose wood stumps and wood log barriers. Some are in worse shape than others, i.e. jagged edges and crumbling. For example the upright stumps behind the sand pits in infant and toddler yards, stumps and wood features around the toddler garden patch and toddler sand pit. The lead staff informed licensing that two recent yard walk through's took place with YMCA's management (including maintenance management) and hospital management to address the non compliance outstanding since May 16, 2024. - On July 21,2025 the manager e-mailed the following plan of action: • On July 15, 2025 the YMCA Facilities Manager and their supervisor visited DM to review all playground-related NIC items. • Facility Management is currently obtaining quotes to begin the necessary work. • The current manager is working with the team to develop a transition plan so the incoming manager can continue this project and ensure compliance. - On November 4, 2025, an email exchange between the YMCA Property Manager and the landlord authority correspondence that they are in the process of seeking clarity on the allocation of responsibilities and the associated costs related to addressing the repairs.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  The entire outdoor play area is enclosed and constructed in a manner that is suitable for the age and development of children, and ensures that children are free of harm. [CCLR Sec. 16(3)(a)(b)]

  Observation. On July 8, 2025, Licensing observed a protruding screw in the infant yard located on the play hut log beside the gate to the toddler yard. The following items have been outstanding since May 16, 2024. These items were still observed to be in non compliance and are safety hazards. 2) In the infant sand play hut, a piece of plywood had been installed on top of the rotting and damaged deck planks as a temporary measure. As per inspection report dated May 14, 2024, the foundation of the sand hut has rotted through and the entire structure requires replacement. This was to be completed by September 1, 2024. 3) Licensing observed rotten and loose wood stumps and wood log barriers. Some are in worse shape than others, i.e. jagged edges and crumbling. For example the upright stumps behind the sand pits in infant and toddler yards, stumps and wood features around the toddler garden patch and toddler sand pit. This was to be completed by September 1, 2024. The lead staff informed licensing that two recent yard walk through's took place with YMCA's management (including maintenance management) and hospital management to address the non compliance outstanding since May 16, 2024. CCFL will require an update and plan of action to have the repairs made by September 30, 2025. On July 21, the manager e-mailed the following plan of action: • On July 15, the YMCA Facilities Manager and their supervisor visited DM to review all playground-related NIC items. • Facility Management is currently obtaining quotes to begin the necessary work. • The current manager is working with the team to develop a transition plan so the incoming manager can continue this project and ensure compliance.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  The facility, the furniture, equipment, fixtures and supplies are of sturdy and safe construction.  They are easy to clean, and are clean and in good repair and free from hazards. [CCLR Sec. 13(2) and Sec. 15(1)(a)]

  Observation. Licensing observed the following: In the infant room, two wood chairs had legs with chipped and splintered veneer. The chairs were removed from the activity space at the time of inspection. The edges of the blue area rug in the toddler room had frayed on two sides. This created a looped loose edge that had ripped away from the carpet and posed a tripping hazard.

• PHYSICAL, EQUIPMENT AND FURNISHING / First AidNon-critical

  First aid kits are readily accessible to all employees, including while care is provided away from premises. [CCLR Sec. 23(2)]

  Observation. The first aid kit in the infant room had insufficient supplies to adequately respond to emergencies. For example, no bandages were present.

• PHYSICAL, EQUIPMENT AND FURNISHING / Hazardous Objects and SubstancesNon-critical

  Hazardous objects and substances are inaccessible to children. [CCLR Sec 17]

  Observation. In the infant room, licensing observed a sound machine cord hanging in close proximity to a crib. The cord was made inaccessible at the time of inspection. In the toddler quiet room, licensing observed a sound machine electrical cord and an AC unit electrical cord accessible to children in care.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  The entire outdoor play area is enclosed and constructed in a manner that is suitable for the age and development of children, and ensures that children are free of harm. [CCLR Sec. 16(3)(a)(b)]

  Observation. 1) Licensing observed a protruding screw in the infant yard located on the play hut log beside the gate to the toddler yard. The following items have been outstanding since May 16, 2024. These items were still observed to be in non compliance and are safety hazards. 2) In the infant sand play hut, a piece of plywood had been installed on top of the rotting and damaged deck planks as a temporary measure. As per inspection report dated May 14, 2024, the foundation of the sand hut has rotted through and the entire structure requires replacement. This was to be completed by September 1, 2024. 3) Licensing observed rotten and loose wood stumps and wood log barriers. Some are in worse shape than others, i.e. jagged edges and crumbling. For example the upright stumps behind the sand pits in infant and toddler yards, stumps and wood features around the toddler garden patch and toddler sand pit. This was to be completed by September 1, 2024. The lead staff informed licensing that two recent yard walk through's took place with YMCA's management (including maintenance management) and hospital management to address the non compliance outstanding since May 16, 2024. CCFL will require an update and plan of action to have the repairs made by September 30, 2025.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  The entire outdoor play area is enclosed and constructed in a manner that is suitable for the age and development of children, and ensures that children are free of harm. [CCLR Sec. 16(3)(a)(b)]

  Observation. FOM stated they address emergency / safety items including the removal of exposed nails and screws. They stated staff would have to alert FOM when these were detected. While some of the exposed nails have been removed by staff and FOM already, there were more observed today. Staff will continue to monitor as part of their daily inspections and if they cannot remove, they will contact FOM to do so. The latch between the toddler and 3-5 yard has been secured. As noted in Opening Comments, FOM stated they are not responsible for Landscaping, however they will forward the contact to DM staff. DM staff can then meet directly with the Landscaping reps regarding vegetation maintenance and options for replacing the thimble berries in the infant yard. YMCA has replenished sand. Discussed the bandaid repair on the Infant sand play hut. FOM has installed a piece of plywood on top of the rotting and damaged deck planks. This is not a long term solution to the problem. FOM stated the foundation of the sand hut has rotted through and the entire structure requires replacement. CCFL confirms that based on this assessment, the sand hut should be replaced. FOM was also clear that their contract does not cover removing and or replacing wood stumps & retaining logs that require attention as per routine inspection of May 16. FOM stated the YMCA will have to find a contractor for this work. CCFL made clear that these actions will have to be addressed whether by the YMCA or FOM.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  All indoor and outdoor play materials and equipment accessible to children are suitable for the age and development of the children, safely constructed, free from hazards and in good repair. [CCLR Sec. 16(4)]

  Observation. Overall the indoor and outdoor play materials and equipment is in satisfactory condition. Exceptions are noted below and were discussed with Under 3 Manager. Under 3 Manager stated she was aware of the required repairs and they were in progress.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  The entire outdoor play area is enclosed and constructed in a manner that is suitable for the age and development of children, and ensures that children are free of harm. [CCLR Sec. 16(3)(a)(b)]

  Observation. There are a number of items still outstanding from last routine inspection re: outdoor play environment (May 24, 2023) and included below. Staff team stated they have reported yard maintenance issues to the hospital facilities team for follow up. During this inspection, we noted facilities personnel visited the childcare and took photos of areas in need of attention. The childcare was licensed in 2014 and a number of the exposed wood elements have aged out, in particular many of the wood stump features throughout the yard. CCLOs reviewed the status of the wood elements with staff team members and Under 3 Manager, noting areas in need of attention. All staff stated that sand was on order for each yard and would be replenished soon. CCFL confirms this is required. Discussed fibar requirements - depth in relation to the height of structure and function - with 3-5 staff team member. The Toddler yard vegetation is abundant and fosters sensorial and imaginative play. CCLOs inquired regarding the lack of vegetation in the infant yard. It appeared that the vegetation had been clear cut. Under 3 Manager explained the thimble berry plants were cut down to the ground by landscape maintenance without consultation with staff or Managers. Under 3 Manager said they were told it may take years for the bushes to recover. Discussed how vegetation may be offered the infants in the meantime, including potted plantings the children can interact and play with to ensure DOLSOP requirements are met.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  The facility, the furniture, equipment, fixtures and supplies are of sturdy and safe construction.  They are easy to clean, and are clean and in good repair and free from hazards. [CCLR Sec. 13(2) and Sec. 15(1)(a)]

  Observation. Licensing observed that the freezer in the toddler kitchen required a clean.

• PHYSICAL, EQUIPMENT AND FURNISHING / Hazardous Objects and SubstancesNon-critical

  Hazardous objects and substances are inaccessible to children. [CCLR Sec 17]

  Observation. Licensing observed the following... * electrical cords accessible to children * the lock on the art cupboard was broken, therefore children are able to access the art supplies, such as the large bottles of paint, beads, etc.

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  All indoor and outdoor play materials and equipment accessible to children are suitable for the age and development of the children, safely constructed, free from hazards and in good repair. [CCLR Sec. 16(4)]

  Observation. Licensing observed the following... * the wooden house on the infant playground has loose wooden planks and some nails sticking out- the Manager had placed a bench over the loose wooden planks as a temporary safety measure. The Manager stated that the maintenance for the building would like to build a bench to go over the loose wooden planks. This is not a solution as the children could crawl under the bench and still access the loose wooden planks * the wooden house on the toddler playground also has loose wooden planks * some on the wooden stumps on the toddler playground were rotten and had nails sticking out * the railing on the stairs located on the toddler side had rotten wood and was broken

No violations recorded at this inspection.

• RECORDS AND REPORTING / Safe Play Space Standard of PracticeNon-critical

  Maintenance of Equipment: A log is kept of all inspections, maintenance and repairs. [Director of Licensing Standard of Practice - Safe Play Space]

  Observation. Licensing observed in the infant room that the outdoor checklist is not being completed on a daily basis.

• CARE AND/OR SUPERVISION / Continuous Supervision RequiredNon-critical

  Children are supervised at all times by a person who is an educator, an assistant or a responsible adult. [CCLR Sec. 39(1)]

  Observation. During the inspection of the infant room children were napping in both nap rooms. During the inspection CCFL did not observed any of the Educators check on the napping children. When CCFL asked the Educators how they supervise the children in the nap room one of the Educators stated that usually one of the Educators are working at the desk that is situated in between the nap rooms and can hear the children. During the inspection CCFL did not observe any Educators working at the desk. CCFL then inquired if the program had baby monitors the Educator then went into the nap room and pulled out a container of baby monitors and stated they were not using them.

• LICENSING / Posting and Advertising of License and CertificateNon-critical

  The certificates, or copies of certificates, of early childhood educators and assistants are prominently displayed in the facility. [CCLR 11(4)]

  Observation. CCFL did not observe any ECE or ECEA certificates displayed in the facility. One of the Educators stated they had been taken down from the wall about two weeks ago and had not been put back up.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  The facility, the furniture, equipment, fixtures and supplies are of sturdy and safe construction.  They are easy to clean, and are clean and in good repair and free from hazards. [CCLR Sec. 13(2) and Sec. 15(1)(a)]

  Observation. CCFL observed the following: Infant room: * the material on the small blue couch was torn exposing the material underneath * the material on the blue rocking chair was torn * the small black and grey mat in the washrooms was torn and frayed Toddler room: * the orange and red foam climbing pieces were frayed in some areas exposing the material underneath

• PHYSICAL, EQUIPMENT AND FURNISHING / Play Area, Materials and EquipmentNon-critical

  The entire outdoor play area is enclosed and constructed in a manner that is suitable for the age and development of children, and ensures that children are free of harm. [CCLR Sec. 16(3)(a)(b)]

  Observation. CCFL observed in the Toddler playground that some of the "wooden" floor planks located next to the fence to the infant playground and sandbox were loose.

• STAFFING / Emergency Training and EquipmentNon-critical

  Implementation of the fire drill system is practiced at least once each month, and implementation of the emergency plan is practiced at least once each year. [CCLR Sec. 22(2)(b)(c)]

  Observation. CCFL observed that the last documented fire drill was May 2021 and the last documented emergency drill was March 2019.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  The facility, the furniture, equipment, fixtures and supplies are of sturdy and safe construction.  They are easy to clean, and are clean and in good repair and free from hazards. [CCLR Sec. 13(2) and Sec. 15(1)(a)]

  Observation. Licensing observed in the infant room that the blue carpet was torn- this could potentially be a tripping hazard.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

  A healthy and safe environment is provided at all times [CCLR Sec. 13(1)].

  Observation. Licensing observed in the communication book that pest control had come to the facility. Licensing inquired as to why pest control had come to the facility. The Educator informed Licensing that they had ants and a bees nests. The Educator stated the bees nest was in the infant playground under the bench in the sand area and that they do not let children play in that area. However when Licensing went outside there were four children and an Educator playing in the sand area. Three children were standing on the bench and Licensing observed bees flying around. The Educator stated that the pest company was coming back, and was going to remove the Queen bee. The Educator also informed Licensing that they had been stung by one of the bees. Licensing recommended that the children be removed from the area until the bees nest is removed. The Educator informed Licensing that the pest control company had filled some cracks outside with a gel and placed ant traps in the kitchen. Licensing inquired if the ant traps were harmful to the children. The Educator was unsure and stated the children do not access the kitchen. Licensing asked one of the Managers to find out if the ant traps were hazardous to children and inform Licensing with the response.