Braefoot Childcare Program - Marigold Campus

• A licensee must ensure that a child, while under the care or supervision of the licensee, is not subjected to shoving, hitting or shaking by an employee or another child, or confinement or physical restraint by another child

  Observation. Regarding intake May 19, 2026. Through the investigation process, Licensing determined that a child had been physically restrained by another child when a child put another child in a choke hold while under the care and supervision of the Licensee.

  Corrective action. Ensure that children are not subjected to physical restraint by another child while supervised and in care at the facility. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 16, 2026, Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: staff actively scanning the entire play space, positioning themselves strategically, and anticipating potential risk before they escalate and continually move around the outdoor play space to maintain clear sightlines and respond quickly if something happens. The corrective action plan was reviewed and accepted by Licensing.

  3030 - CCLR 52(1)(a)
• 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. Regarding intake May 19, 2026. Through the investigation process, Licensing determined that a child was involved in a reportable incident that was not reported to Licensing within 24 hours.

  Corrective action. Ensure that incidents are reported within 24 hours when a child may have been or has been involved in a reportable incident while under the care and supervision of Licensee. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 16, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: incidents would be reported to Licensing within 24 hours of a reportable incident. The corrective action plan was reviewed and accepted by Licensing.

  3070 - CCLR 55(2)(a)

No violations recorded at this inspection.

• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

  Observation. Licensing observed the Group Child Care (School Age) program had not implemented emergency plan in the last calendar year. Manager stated they had not performed an emergency drill with the School Age program.

  Corrective action. Ensure employees practice implementing emergency drills at lease once a year.

  3010 - CCLR 22(2)(c)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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. Licensing audited six staff files. One staff file had an expired verification, May 20, 2026. Licensing observed this corrected at the time of inspection.

  Corrective action. Ensure all educators or assistants have their certificates verified.

  3010 - CCLR 19(4)(a)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing observed that a Group Child Care (School Age) program with 19 children and a Preschool (30 Months to School Age) program were being operated at the same time out of Portable 2. The facility Licence indicated that on times of school closures the Preschool (30 Months to School Age) will not be in operation however on this date the school has closed at 11:50 due to an early dismissal day and the preschool program was open until 1:00 pm.

  Corrective action. Ensure a facility operates in a manner that promotes the health and safety of children in care.

  3080 - CCALA 7(1)(b)(i)
• A licensee must display in a prominent place in the community care facility the certificate of any educator or assistant employed to work in the community care facility.

  Observation. Licensing observed that two certificates for Early Childhood Educator Assistants were not posted. Corrected a time of inspection.

  Corrective action. Ensure certificates are displayed in a prominent place at the facility.

  3080 - CCLR 11(4)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing observed a log of playground inspections was missing a record for April 25, 26, 31 March 26, 27, 28, 2025, Manager stated that the inspections were conducted but not recorded.

  Corrective action. Ensure a community care facility operates in a manner that promotes the health safety and dignity of persons in care.

  3070 - CCALA 7(1)(b)(i)

• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,

  Observation. Licensing observed that one staff who worked in the Group Child Care (School Age) program as a Responsible Adult had not completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  Corrective action. Ensure Responsible Adults have completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  3010 - CCLR 29(c)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
  3010 - CCLR 22(2)(b)
• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.
  3010 - CCLR 22(2)(c)
• Log kept of all inspections, maintenance & repairs
  3070 - SPS DOLSOP (Log Kept)

• 3000 - SPS DOLSOP (Depth)

  Observation. Licensing observed that the surfacing under the spinning wheel on the composite climber measured between one to two inches and the underlay was exposed. The spinning wheel measured approximately six feet in height.

  Corrective action. Ensure six inches of protective surfacing is installed for equipment between five feet and seven feet in height.

  3000 - SPS DOLSOP (Depth)
• 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: (b) character references in respect of the person
  3010 - CCLR 19(1)(b)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
  3070 - CCLR 58(2)(a)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
  3070 - CCLR 57(3)(b)
• A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency
  3070 - CCLR 57(2)(i)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.
  3070 - CCLR 57(2)(a)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,

  Observation. Licensing observed that one staff who worked in the Group Child Care (School Age) program as a Responsible Adult had not completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  Corrective action. Ensure Responsible Adults have completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  3010 - CCLR 29(c)
• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

  Observation. Licensing observed that an emergency plan had not bee practiced in the past year.

  Corrective action. Ensure staff practice implementing the emergency plan at least once annually.

  3010 - CCLR 22(2)(c)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Manager stated that the staff in the Group Child Care (School Age) program are not practicing montly fire drills. Licensing observed that the staff in the Group Child Care (30 Months to School Age) program have not consistantly practiced monthly fire drills.

  Corrective action. Ensure staff practice monthly fire drills.

  3010 - CCLR 22(2)(b)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.
  3010 - CCLR 19(5)(c)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
  3010 - CCLR 19(1)(f)
• Log kept of all inspections, maintenance & repairs

  Observation. Staff in the Group Child Care (30 Months to School Age) program stated that daily outdoor play space checks were completed, but not recorded.

  Corrective action. Ensure a log is kept of all inspections maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)

• A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

  Observation. Licensing observed that an emergency plan had not bee practiced in the past year.

  Corrective action. Ensure staff practice implementing the emergency plan at least once annually.

  3010 - CCLR 22(2)(c)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing performed an audit of 11 children's files this date. Two files were missing a medical insurance plan number.

  Corrective action. Ensure children's files contain a medical insurance plan number.

  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing performed an audit of 11 children's files this date. One file was missing medical practitioner information and two files were missing an emergency contact.

  Corrective action. Ensure children's files contain medical practitioner information and an emergency contact.

  3070 - CCLR 57(2)(d)
• A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency

  Observation. Licensing performed an audit of 11 children's files this date. Four files were missing a photo.

  Corrective action. Ensure children's files contain photo/digital image of the child.

  3070 - CCLR 57(2)(i)
• Log kept of all inspections, maintenance & repairs

  Observation. Staff in the Group Child Care (30 Months to School Age) program stated that daily outdoor play space checks were completed, but not recorded.

  Corrective action. Ensure a log is kept of all inspections maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing observed seven care plans this date. Two plans did not demonstrate that they were made in consultation with the children's parents.

  Corrective action. Ensure care plans are developed in consultation with the parent and any person requested by the parent.

  3070 - CCLR 58(2)(a)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.

  Observation. Licensing performed an audit of 11 children's files this date. Two files were missing consent to release the child to someone other than the parent.

  Corrective action. Ensure children's files contain consent to release to someone other than the parent.

  3070 - CCLR 57(3)(b)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,

  Observation. Licensing observed that one staff who worked in the Group Child Care (School Age) program as a Responsible Adult had not completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  Corrective action. Ensure Responsible Adults have completed a course/combination of course of at least 20 hours in child development, guidance, health and safety or nutrition.

  3010 - CCLR 29(c)
• 3000 - SPS DOLSOP (Depth)

  Observation. Licensing observed that the surfacing under the spinning wheel on the composite climber measured between one to two inches and the underlay was exposed. The spinning wheel measured approximately six feet in height.

  Corrective action. Ensure six inches of protective surfacing is installed for equipment between five feet and seven feet in height.

  3000 - SPS DOLSOP (Depth)
• 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: (b) character references in respect of the person

  Observation. Licensing observed nine staff files this date. One file was missing a character references.

  Corrective action. Ensure staff files contain character references.

  3010 - CCLR 19(1)(b)
• 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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing observed nine staff files this date. Six files were missing an immunization status.

  Corrective action. Ensure staff files contain an immunization status.

  3010 - CCLR 19(1)(f)
• Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.

  Observation. Licensing observed one volunteer file which was missing an immunization status.

  Corrective action. Ensure volunteer files contain an immunization status.

  3010 - CCLR 19(5)(c)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Manager stated that the staff in the Group Child Care (School Age) program are not practicing montly fire drills. Licensing observed that the staff in the Group Child Care (30 Months to School Age) program have not consistantly practiced monthly fire drills.

  Corrective action. Ensure staff practice monthly fire drills.

  3010 - CCLR 22(2)(b)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
  3030 - CCLR 34(2)(b)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• 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: (b) character references in respect of the person
  3010 - CCLR 19(1)(b)
• 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 covered container for soiled clothing
  3060 - CCLR 14(4)(a)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
  3010 - CCLR 22(2)(b)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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. Licensing observed one certificate did not have a validation.

  Corrective action. Ensure all educators or assistants have their certificates validated.

  3010 - CCLR 19(4)(a)
• A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility
  3070 - CCLR 57(2)(b)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing audited 15 children's files; one was missing date of birth, three were missing medical insurance plan number and two were missing immunization status. Staff corrected date of birth during inspection.

  Corrective action. Ensure a record is kept of the following: date of birth, medical insurance plan number and immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.

  Observation. Licensing observed children did not wash their hands before or after eating snack.

  Corrective action. Ensure a program is established to instruct children in and to practice rules of health and hygiene.

  3060 - CCLR 46(1)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached,
  3070 - CCLR 57(3)(a)
• A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency
  3070 - CCLR 57(2)(i)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)

• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing audited 15 children's files; one was missing date of birth, three were missing medical insurance plan number and two were missing immunization status. Staff corrected date of birth during inspection.

  Corrective action. Ensure a record is kept of the following: date of birth, medical insurance plan number and immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility

  Observation. Licensing audited 15 children's files and 10 were missing date of enrollment.

  Corrective action. Ensure date of enrollment is on file.

  3070 - CCLR 57(2)(b)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited 15 children's files and four were missing name and number of a medical practitioner.

  Corrective action. Ensure all children have name and telephone number of a medical practitioner on file.

  3070 - CCLR 57(2)(d)
• 3070 - CCLR 57(2)(f)

  Observation. Licensing observed one child who required medication did not have a record completed to show any medication to administer.

  Corrective action. Ensure all children who required medication have a record showing the amount and time it was administered.

  3070 - CCLR 57(2)(f)
• A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency

  Observation. Licensing audited 15 children's files and two were missing photos.

  Corrective action. Ensure all children have a photo or digital image on file that can be used to readily identify the child in an emergency.

  3070 - CCLR 57(2)(i)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached,

  Observation. Licensing audited 15 children's files and one was missing written consent to call a medical practitioner or ambulance in case of an accident or illness if the parent cannot immediately be reached.

  Corrective action. Ensure all children have written consent on file to call a medical practitioner or ambulance in case of an accident or illness if the parent cannot immediately be reached.

  3070 - CCLR 57(3)(a)
• A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.

  Observation. Licensing observed children did not wash their hands before or after eating snack.

  Corrective action. Ensure a program is established to instruct children in and to practice rules of health and hygiene.

  3060 - CCLR 46(1)
• 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 covered container for soiled clothing

  Observation. Licensing observed an uncovered container for soiled clothing in the Group Child Care (30 Months to School Age) program.

  Corrective action. Ensure a covered container for soiled clothing is next to the diaper change area.

  3060 - CCLR 14(4)(a)
• A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

  Observation. Staff stated there had been no fire drills implemented at the facility.

  Corrective action. Ensure fire drills are implemented monthly.

  3010 - CCLR 22(2)(b)
• A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid 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. Licensing observed one certificate did not have a validation.

  Corrective action. Ensure all educators or assistants have their certificates validated.

  3010 - CCLR 19(4)(a)
• 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: (b) character references in respect of the person

  Observation. Licensing audited two staff files and one was missing character references.

  Corrective action. Ensure all staff have character references on file.

  3010 - CCLR 19(1)(b)