Two's Time Occasional Care

• MEDICATION / MedicationNon-critical

  Medications that staff have agreed to administer are readily accessible to staff and are administered in the correct dosage at the correct times. [CCLR Sec. 53(1)]

  Observation. A child in care is anaphylactic. No epi-pen was available.

• RECORDS AND REPORTING / Care PlansNon-critical

  For each child requiring extra support, the licensee keeps a current care plan showing the required information. [CCLR Sec. 58(1)(2)]

  Observation. A child's registration file documents that they are anaphylactic yet this was not known by the care providers or Manager. A care plan is required.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee keeps a current record for each child showing the information required. [CCLR Sec. 57]

  Observation. A sampling of the children's registration files were reviewed. Some of the files did not include children's personal health numbers or photos / digital images.

• 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. Licensing observed the last fire drill documented as occurring on May 21 2024. This date is also documented as when the last annual emergency preparedness drill is also required. Please plan for these two drills.

• 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: * first and second bathroom sinks have cracked porcelain and may break further, especially the sink located in the first bathroom * a wall located in the first bathroom, behind the diaper change table is in need of repair and re-painting * deep clean is needed of kitchen appliances as they were visibly soiled

• POLICIES AND PROCEDURES / Emergency Training and EquipmentNon-critical

  There is an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency. [CCLR Sec. 22(1)(b)]

  Observation. Licensing observed emergency preparedness supplies in place except for food and water. A discussion was held with the care providers who confirmed that food and water supplies were recently available however they could not be located during this inspection. (Inspected by LO - In Training LA.)

No violations recorded at this inspection.

• RECORDS AND REPORTING / Community Care Facility RecordsNon-critical

  There is current log of minor incidents, illnesses and unexpected events, that did not require medical attention and were not reportable incidents described in Schedule H. [CCLR Sec. 56 (1)(f)]

  Observation. Licensing was informed that no logbook is in place for documenting minor injuries, illnesses and unexpected events. (Inspected by LO-IT AX.)

No violations recorded at this inspection.

• MEDICATION / MedicationNon-critical

  Medications that staff have agreed to administer are readily accessible to staff and are administered in the correct dosage at the correct times. [CCLR Sec. 53(1)]

  Observation. A child's epi-pen was observed with an expiry of February 2023.

• 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: * caulking is missing or peeling away from the bases of the toilets

• RECORDS AND REPORTING / Care PlansNon-critical

  For each child requiring extra support, the licensee keeps a current care plan showing the required information. [CCLR Sec. 58(1)(2)]

  Observation. Based on the files reviewed, Licensing observed the following: * a question as to whether a child is allergic to eggs * a question as to whether a child is allergic to oats / rice * a question as to a child's level of allergic reaction to yoghurt * no care plan in place for a child who has an inhaler

• 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. The emergency preparedness drill has not occurred in the last year. The last date it was documented as occurring was May 26 2021.

No violations recorded at this inspection.

• STAFFING / Character and skill requirementsNon-critical

  A licensee must not employ a person in a community care facility as 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 [CCLR Sec. 19(4)(a)]

  Observation. Licensing observed a missing ECE certificate validation for an employee as noted previously in the last inspection report.

• STAFFING / Responsible AdultsNon-critical

  Persons employed as responsible adults are suitably qualified. [CCLR Sec. 29 and 19(4)(b)]

  Observation. Licensing observed staff files missing documentation demonstrating the training to meet the qualification required of Responsible Adult as previously noted on the last inspection report. A representative of the Licensee informed Licensing that they are waiting to receive documentation/ confirmation of certification for one staff.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. Bleach / water spray bottle is available and prepared daily. Soap / water spray bottle is available. Liquid hand soap and single-use hand towels are available at each hand sink. Licensing observed a change station located in the children's washroom that appeared unsanitary. An employee informed that it is not utilized and instead children's diaper changes occur with the child in a standing position.

• STAFFING / Character and skill requirementsNon-critical

  A licensee must not employ a person in a community care facility as 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 [CCLR Sec. 19(4)(a)]

  Observation. Licensing observed a missing ECE certificate validation for an employee.

• STAFFING / Emergency Training and EquipmentNon-critical

  Fire drills are not practiced at least once each month. [CCLR Sec. 22(2)(b)]

  Observation. Licensing observed the missing implementation of the fire drill system for the month of October, 2021. Licensing observed an emergency plan had been implemented twice, substituting for fire drills.

• STAFFING / Responsible AdultsNon-critical

  Person employed as a responsible adult has not completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition. [CCLR Sec. 29(c)]

  Observation. Licensing observed staff files missing documentation demonstrating the training to meet the qualification required of Responsible Adults.