Westbridge Montessori Academy Ltd.

• 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. Licensing observed that the corner of the wood sandbox had a gap between two boards that posed a risk of finger pinching. The wood corner was sharp and posed a risk of injury. The sand box sand level is low. It is recommended to top this off.

• 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. The upstairs room did not have all the Educators certificates displayed in a prominent place.

• 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: 1) Unsecured cubbies that posed a risk of tipping over. 2) Upstairs bathroom with heavily stained baseboards. 3) Nap room bifold closet doors were not secure. This item was corrected at the time of inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  Furniture or equipment for sleeping is used by only one child at a time, is clean and comfortable, and is appropriate for the size, age and development of the children intended to use it. [CCLR Sec. 15(2)]

  Observation. Downstairs nap mats had torn vinyl edges exposing the foam 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. The Licensee had put in new outdoor fencing. Some wood fence boards had rough splintered wood edges. The memorial garden gate was unsecured. This item was corrected at the time of inspection.

• 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. One child in care comes accompanied by a behavior interventionist. No care plan was present at the facility. Staff were unaware where a care plan could be located. The Licensee is in the process of observing one child in care to determine the need for a care plan.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing the daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure is not kept. [CCLR Sec. 57(2)(c)]

  Observation. Licensing observed eight children present, only four children were signed in. One child in care was missing an immunization record. One child in care was missing a care card number.

No violations recorded at this inspection.

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

  The licence is displayed in a prominent place in the facility, including any terms or conditions of the licence, and including the name of the manager. [CCLR Sec. 11(1)(2); CCALA Sec.7(c)]

  Observation. The licence displayed on the main floor was outdated as the name of the manager listed was incorrect.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. Environmental health officer inspected facility for mouse infestation and provided recommendations. Note: On routine inspection report dated November 13, 2024 licensing officer recommended to vacuum and professionally shampoo nap room carpet. In consultation with environmental health officer and licensee these recommendations were revised. The licensee informed licensing they are implementing the following mitigation measures: - The facility continues to follow their mice droppings sanitation protocol (cleaning and sanitizing every morning with 10% bleach solution, specific mice brooms). - A deep clean of the facility will be conducted by staff on ProD day November 22, 2024. - The church is installing door sweeps to prevent mice entering the childcare rooms. - The church is in the process of hiring a new past control company.

• 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. The following items were not in good repair: In the Memorial garden: 1) Dirty benches with algae growth that was slippery and in need of cleaning. 2) Loose slate stones on the planer edging that posed a risk of injury to a child. In the away play space: 3) Wood fence panels with a gap at the top and a protruding nail. These posed a risk of pinching or injuring a child's finger. 4) Picnic table with rotten wood and exposed nails. 5) Broken gate at the bottom of the stairs. This gate was broken and repaired in the past and might be at the end of its lifespan. 6) Unsecured door to the storage under the stairs. 7) Mushrooms of unknown toxicity in the outdoor space. 8) The outdoor play space is separated from the house and front yard by a rolling fence. The observed position of the rolling fence gave children access to the stairs and the front yard of the home. The fence section was overgrown with vines, indicating that this area of the licensed outdoor play space is not being used.

• 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. Some children's files were missing a care card number.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Some children in care did not have parental consent to release the child to someone other than the parent.

• CARE AND/OR SUPERVISION / Group Sizes and Employee to Children RatiosNon-critical

  Staff ratios and group sizes comply with Schedule E. [CCLR Sec. 34(2)(a)]

  Observation. 1) Licensing observed two children in care age 28 months. Sign in and out records indicated the children had been in care every day from approximately 9:15/9:30 to 3:00/4:30 since October 1, 2024. They were 27 months old at the time of enrolment. On November 5, 2024, the facility inquired with licensing if they could enroll these children. Licensing advised the facility that their licence and category of care was for ages 30 months to school age. Licensing advised the facility they had the ability to ask for an exemption and explained the process, or the facility could enroll the children once they are eligible at 30 months. 2) Licensing observed 18 children in the downstairs childcare room. The children from the upstairs and downstairs childcare rooms were combined for approximately one hour to practice the Christmas concert. The maximum capacity of the downstairs childcare room is 15 children. The observation was discussed with the program manager. Licensing advised the manager to combine no more than 15 children at a a time in the downstairs room.

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

  The licence is displayed in a prominent place in the facility, including any terms or conditions of the licence, and including the name of the manager. [CCLR Sec. 11(1)(2); CCALA Sec.7(c)]

  Observation. The licence displayed on the main floor was outdated as the name of the manager listed was incorrect.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. 1) Licensing observed numerous mouse droppings throughout the facility in all activity spaces, nap room. Examples were: - On top of Montessori puzzles. - On shelving that held Montessori materials. - On floor behind earthquake supplies. - All over carpeted floor in nap room in close proximity to nap mats. - Behind and in between shelves that held activities and materials. Mouse infestation appeared extensive. A discussion was held with the facility manager regarding the mouse infestation and cleaning and sanitizing practices. The manager informed licensing of the following: - The pest control company visits monthly, however the problem has been ongoing for a long time. - They vacuum once a day. - They shampoo the carpet in the nap room once or twice a week. The last time it was shampooed was two weeks ago. Mouse droppings were sited in non compliance on inspection report dated May 15, 2024. The Licensee provided a written plan to licensing how they would mitigate mouse droppings on a daily basis. It appears that this plan is ineffective. A follow up inspection will be conducted with an Environmental Health Officer. 2) Licensing observed that all blinds in the main floor childcare room were closed, blocking access to natural light.

• 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. The following was observed: 1) Unsecured tv's in both nap rooms that posed a risk of falling onto a child. 2) Broken hook and eye latch on the main floor bathroom door. The door was no longer secured from the public. 3) Heavy items on high shelves in the nap room that posed a risk of falling onto a child. 4) A large shelving unit in the nap room that was unsecured to the wall. 5) Uncovered electrical outlets in the main floor activity room and downstairs nap room.

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

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

  Observation. The following items were accessible to children in care: 1) A mouse trap on the floor in the main floor nap room. 2) A chef's knife in the dishrack of the downstairs kitchen. The chef's knife was placed out of children's reach during the inspection.

• 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. The following items were not in good repair: In the Memorial garden: 1) Dirty benches with algae growth that was slippery and in need of cleaning. 2) Loose slate stones on the planer edging that posed a risk of injury to a child. In the away play space: 3) Wood fence panels with a gap at the top and a protruding nail. These posed a risk of pinching or injuring a child's finger. 4) Picnic table with rotten wood and exposed nails. 5) Broken gate at the bottom of the stairs. This gate was broken and repaired in the past and might be at the end of its lifespan. 6) Unsecured door to the storage under the stairs. 7) Mushrooms of unknown toxicity in the outdoor space. 8) The outdoor play space is separated from the house and front yard by a rolling fence. The observed position of the rolling fence gave children access to the stairs and the front yard of the home. The fence section was overgrown with vines, indicating that this area of the licensed outdoor play space is not being used.

• 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 a Little Tikes trampoline with a ripped fabric covering. This item is no longer in good repair and poses a risk of fingers getting pinched.

• 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. Some children's files were missing a care card number.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Some children in care did not have parental consent to release the child to someone other than the parent.

• 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. 1) The kitchenette has been renovated with new cabinets, countertop, sink, dishwasher and fridge. The corner of the countertop was not rounded and had an edge that could pose a hazard for a child to injure themselves. 2) The bathroom has been renovated with a new corner cabinet with bifold doors that posed a risk for a child to pinch their fingers.

• CARE AND/OR SUPERVISION / Group Sizes and Employee to Children RatiosNon-critical

  Staff ratios and group sizes comply with Schedule E. [CCLR Sec. 34(2)(a)]

  Observation. Licensing reviewed the upstairs room attendance records of July 22-July 31. On July 29 and 30 eleven children were in care. On July 23, 24 and 25 twelve children were in care. On July 22, thirteen children were in care. The maximum capacity of the upstairs room is 10 children.

• 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. On May 15, 2024 licensing observed that the laminate on the kitchenette doors was chipped off at the top and bottom of the doors posing a cleaning and sanitizing challenge. The Licensee informed licensing that they have plans to renovate and replace the kitchenette. Work will be conducted between June 22 and July 7, during which time the facility is closed. A discussion was held with the Licensee to provide plans to licensing for review and approval prior to any work taking place. On June 10, 2024 the Licensee provided plans to licensing for review. Licensing observed large chipped drywall areas on the pillar located by the kitchenette. The Licensee informed licensing these areas will be repaired during the kitchen renovation. On July 31, 2024 licensing observed that the downstairs room was closed. Staff in the upstairs room informed licensing that the downstairs room was closed due to renovations in progress.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing the daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure is not kept. [CCLR Sec. 57(2)(c)]

  Observation. Licensing observed three children signed in. Eight children were present in the room, meaning five children had not been signed in.

• RECORDS AND REPORTING / Records Must Be AvailableNon-critical

  All records other than those referred to in CCLR sections 56 to 58 are kept in a place from which they can be retrieved within a reasonable time, on request. [CCLR Sec. 59(b)]

  Observation. Licencing asked to see the emergency consent cards and registration records of the children on the attendance sheet. Three newly enrolled children did not have emergency consent cards or registration records that could be retrieved. When asked how the staff would contact the parents of these children in an emergency, the staff replied that they would phone the Licensee.

• 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. Observation: On May 15, 2024 licensing observed that the laminate on the kitchenette doors was chipped off at the top and bottom of the doors posing a cleaning and sanitizing challenge. The Licensee informed licensing that they have plans to renovate and replace the kitchenette. Work will be conducted between June 22 and July 7, during which time the facility is closed. A discussion was held with the Licensee to provide plans to licensing for review and approval prior to any work taking place. Licensing observed large chipped drywall areas on the pillar located by the kitchenette. The Licensee informed licensing these areas will be repaired during the kitchen renovation. Licensing observed a tv on a wheeled base in the nap room that posed a risk of tripping. The Licensee informed licensing the tv is used for the monthly pyjama party and for viewing occasional educational content that supports programming. The tv was removed from the environment at the time of inspection and will only be used under staff supervision.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Some children did not have parental consent to release the chid to someone other than the parent.

• 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. Child records have not been completed. Some children are missing the following information: medical practitioner immunization status care card number.

• HYGIENE AND COMMUNICABLE DISEASE CONTROL / Health and HygieneNon-critical

  There is an established program to instruct children in, and to practise the rules of, health and hygiene. [CCLR Sec. 46(1)]

  Observation. Licensing observed the following on the away playground: One child squat down in the corner of the playground, pulled down their pants and peed on the Fibar. Other children observed the child. Licensing saw a staff gaze in the direction of the peeing child. A second child went to the corner and peed. The other staff noticed, intervened and prevented a third child from peeing in the corner. The other staff then asked if any of the other children needed to use the bathroom. One staff left the playground taking a group of children back to the facility to use the bathroom. After a while one child told the remaining staff they had to use the bathroom. The staff asked the child to wait. A discussion was held with the Licensee regarding cleaning up the Fibar corner.

• 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: 1) A hole in the drywall. 2) The laminate on the kitchenette doors was chipped off at the top and bottom of the doors posing a cleaning and sanitizing challenge. 3) A fluorescent light fixture in the gross motor / nap room with a broken cover.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. Licensing observed the following: 1) A heavy plant pot placed on top of a low cabinet that posed a risk of falling of the shelf if a child were to accidentally pull or push the pot. 2) Mouse droppings in the lower kitchenette cabinets, on the floor in front of the kitchenette, and on the baseboards in the kitchenette. The Licensee informed licensing that the church has a mouse problem which started last winter. A pest control company pays weekly visits to the childcare facility. 3) An unsecured wood bookshelf in the gross motor / nap room that posed a risk of tipping over. 4) An unsecured computer monitor on top of the cubbies on the main floor that posed a risk of falling.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  When care is provided to any child younger than 36 months of age a separate sleeping area located away from any activity area is provided. [CCLR Sec. 15(3)]

  Observation. Licensing observed that the lower level gross motor / nap room was cluttered and appeared to be used for storage of additional materials. Numerous items were stored on top of a tall cabinet. These items posed a risk of falling. A desk was placed in a corner with a variety of bags and items all around and behind the desk. A water table was filled with a variety of toys and items including a bag of baby wipes. A discussion was held with the Licensee to declutter the gross motor / nap room and maintain this as a safe useable space at all times.

• 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 items and substances accessible to children in care: 1) An electrical cord from a video camera hanging down at child's height. 2) Electrical cords from a diffuser and sound bar with loose slack that posed a choking hazard. 3) A mouse bait trap in an unlocked cabinet under the kitchen sink. 4) A lighter and an Exacto knife in an unlocked cabinet.

• 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: 1) A wood stool and table set in the gross motor /nap room with broken wood pieces and exposed nails. This furniture is no longer in good repair and cannot be properly sanitized. 2) A wood stove in the gross motor / nap room with exposed sharp screws. 3) A toy shelf in the on the main floor intended to hold baskets. Some of the wood dowels to hold the baskets were missing. No baskets were present. 4) All toys shelves in the main floor gross motor /nap room were empty with the exception of one cabinet. 5) A green carpet in the main floor gross motor /nap room with curled up corners that posed a tripping hazard.

• 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. Licensing observed a broken gate at the bottom of the stairs.

• 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 that the food and water emergency supplies expired in 2023.

• 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. Licensing observed the following: 1) Incomplete child records. Some children did not have the following on file: - medical practitioner - care card number 2) 10 children were present on the main floor, however only 8 children were signed in.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Some children did not have parental consent to release the chid to someone other than the parent.

No violations recorded at this inspection.

• HYGIENE AND COMMUNICABLE DISEASE CONTROL / Physical Requirements of FacilityNon-critical

  There is a diaper changing area that is adjacent to a wash basin, that is located away from the food preparation area, and that has a covered container for soiled clothing. [CCLR Sec. 14(4)]

  Observation. The main floor bathroom did not have a covered container for soiled clothing or a diaper changing mat.

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

  The licence is displayed in a prominent place in the facility, including any terms or conditions of the licence, and including the name of the manager. [CCLR Sec. 11(1)(2); CCALA Sec.7(c)]

  Observation. The Licence was not displayed on the main floor.

• 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. ECE certificates were not displayed on the main floor.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. On the main floor licencing observed three brown cabinets that were not secured to the wall and presented a tipping hazard. The lower level nap/gross motor room appeared cluttered with various items stored throughout. A discussion was held with the Manager to declutter the nap room. It is recommended to keep a thermometer in the main floor bar fridge in order to monitor that foods are refrigerated at a safe temperature. The aquarium water appeared muddy with algae growth on the glass. It is recommended to clean the aquarium more regularly.

• 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 taken to the away play space did not contain an ice pack. The Manager stated they keep ice packs in the fridge at the facility.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  Furniture or equipment for sleeping is used by only one child at a time, is clean and comfortable, and is appropriate for the size, age and development of the children intended to use it. [CCLR Sec. 15(2)]

  Observation. Licensing observed mats stored in a pile with the sheets and blanket left on. Sheets and blankets were touching each other causing potential cross contamination. A discussion was held with the Manager to store sheets and blankets individually for each child.

• PHYSICAL, EQUIPMENT AND FURNISHING / Furniture, Equipment and FixturesNon-critical

  When care is provided to any child younger than 36 months of age a separate sleeping area located away from any activity area is provided. [CCLR Sec. 15(3)]

  Observation. The main floor gross motor / nap room is currently not used for children that require a nap. Main floor children are send to the lower level nap room to join the lower level children for nap in the lower level nap room. The Manager stated that this is done in order to facilitate staff breaks. A discussion was held with the Manager to use the upstairs nap room for children who are enrolled upstairs and facilitate staffing breaks in a different manner.

• 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. Licencing observed the following: 1) On the away play space, the wood fence is aging and moves easily back and forth when pushed. This fence section needs to be secured to prevent it from falling. 2) On the away play space, the gate latch between the house and the fence is broken and cannot be secured. 3) In the Memorial garden, some of the stones on the planting bed edge are loose and present a tripping hazard.

• 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. One child in care had an Anaphylaxis care plan in place with an Epi Pen that expired in February 20203. When the group went to the away play space the Epi Pen was left at the facility and not brought with the child in the emergency backpack.

• 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. No Log of minor incidents was kept on the main floor.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  The licensee has written, parental consent to release a child to someone other than the parent. [CCLR Sec. 57(3)(b)]

  Observation. Some children in care did not have parental consent to release the child to someone other than the parent.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency is not kept. [CCLR Sec. 57(2)(i)]; A record for each child containing the name and telephone number of a parent, medical practitioner and emergency contact is not kept. [CCLR Sec. 57(2)(d)]; A record for each child containing the name, sex, date of birth, medical insurance plan number and immunization status is not kept. [CCLR Sec. 57(2)(a)]

  Observation. Ten children were in attendance on the main floor. The main floor registration form binder contained only eight registration forms. The registration forms of the two other children were observed in the lower floor binder. Only five emergency consent cards were observed on the main floor. One child who attends on the lower floor had an emergency consent form on the main floor. A discussion was held with the Manager to keep registration forms and emergency consent forms separately on each floor for greater clarity.

• 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. One staff did not have a record of ECE verification on file.

• STAFFING / Character and skill requirementsNon-critical

  Evidence of compliance with the Province's immunization and tuberculosis control programs has not been obtained. [CCLR Sec.19(1)(b)]; Character references have not been obtained. [CCLR Sec.19(1)(b)]; Records of staff's work histories have not been obtained. [CCLR Sec. 19(1)(c)]; Criminal record checks have not been obtained. [CCLR Sec. 19(1)(a)]

  Observation. One staff had an incomplete record on file.

• 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 main floor was licensed in January 2023. The staff who worked on the main floor since January stated that they had not yet done any fire drills. No record of fire drills was available.

• CARE AND/OR SUPERVISION / Behavioural GuidanceNon-critical

  Behavioural guidance is appropriate to the age and development of each child. [CCLR Sec.51(1)(a)]

  Observation. Licensing observed a staff use physical redirection on multiple occasions to guide children's behavior during conflict situations, transitions and circle: - The staff would hold a child by putting their hand around the child's wrist and move the child out of the way or towards another area. - The staff would hold a child by putting their hand around the child's upper arm and move the child out of the way or towards another area. - The staff would put their hand on or around a child's leg or on a child's back back during circle if a child was moving around a lot. During circle time children sat down holding their legs in various positions while participating, for example straight ahead in front of them or crossed over each other. Staff verbally directed children several times to "sit properly", "criss cross applesauce".

• CARE AND/OR SUPERVISION / Harmful actions not permittedNon-critical

  No child is subjected to harmful actions as defined in Section 52. [CCLR Sec 52(1)(a)-(f)]

  Observation. Licensing observed the following staff child interaction. Child A stepped onto child B's toy. Child B told the staff. The staff went down to the children's level to talk to them. Child A appeared to not listen, turned away from the staff and attempted to walk away. Staff put her arms around child A's body at waist level preventing the child from walking away and held her arms around the child while talking to them.

• PHYSICAL, EQUIPMENT AND FURNISHING / EnvironmentNon-critical

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

  Observation. Licensing observed that the nap/gross motor room was closed and appeared it had not been used in a very long time. Licensing observed a large suitcase, a movie projector screen, trampoline, large boxes with blankets and china cups, bankers boxes with papers all stored around the room.

• 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. Staff reported that the diaper mat and the dishes are not always sanitized with a bleach water solution after each use. Sometimes household cleaners or only water and soap are used. Licensing recommends clearly labelling the bleach/water spray bottles. Licensing observed a fish tank overgrown with algae and recommends to clean out the fish tank.

• 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. Licensing observed the following on the away play space: 1) The fence on the West side of the house is wobbly and unstable and the latch on the gate cannot be engaged properly. 2) Propane bbq's, pruners, metal tent stakes and large upright pallets that could tip over. 3) The sandbox was empty.

• RECORDS AND REPORTING / Records For Each ChildNon-critical

  A record for each child containing a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency is not kept. [CCLR Sec. 57(2)(i)]; A record for each child containing the name, sex, date of birth, medical insurance plan number and immunization status is not kept. [CCLR Sec. 57(2)(a)]

• STAFFING / Additional criminal record checksNon-critical

  All persons over the age of 12 that are ordinarily present on the premises while children are present are of good character and the licensee has obtained a criminal record check for each person. [CCLR Sec 20]

  Observation. A volunteer was present during the inspection. They stated they had volunteered for 2 to 3 weeks in July and were back for today. No criminal record check was on site.

No violations recorded at this inspection.

• PHYSICAL, EQUIPMENT AND FURNISHING / Safe Play Space Standard of PracticeNon-critical

  Design: Safety zones are provided under and around equipment to allow for the safe and proper use of the equipment, with adequate space for entering and exiting. [Director of Licensing Standard of Practice - Safe Play Space]

  Observation. Licensing officer observed a plastic slide in close proximity to a metal dome climber leaving insufficient clearance around the climber.