White Rock Montessori Group Care

• 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. A large heavy cabinet in the washroom is not secured to the wall which may pose as a topple hazard during an emergency situation.

  Corrective action. Manager said that they will secure the cabinet.

  11010 - CCLR s.13(1)
• HYGIENE AND COMMUNICABLE DISEASE

  A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.

  Observation. The children's blankets are stored in one box all together which risks cross contamination.

  Corrective action. Manager said they will store blankets in separate bins.

  15030 - CCLR s.46(1)
• 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. It was observed that the attendance records were not accurately maintained.

  Corrective action. Manager will have a conversation with the staff about correctly recording attendance.

  19090 - CCLR s.57(2)(c)
• 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. One staff currently working in the program has a lapsed criminal record check.

  Corrective action. Manager said that she will apply for the new criminal record check today.

  12040 - CCLR s.19(1)(a)

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child.

  Observation. The cleaning supplies were in an unlocked cabinet accessible to children in care.

  Corrective action. The Licensee stated that moving forward the storage cupboard will be locked at all times.

  11200 - CCLR s.17
• 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. The drinks in the emergency supply kit have all expired. The food in the supply kit has all been removed from the original packages and therefore there is no expiry date to review.

  Corrective action. The Licensee stated that the expired supplies will be removed and replaced with new ones by the end of the week.

  13020 - CCLR s.22(1)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Licensing reviewed four children's files. Three of these files did not identify the child's start date.

  Corrective action. The Licensee will update the missing start dates by the end of the week.

  19080 - CCLR s.57(2)(b)
• 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. At the time of arrival the daily attendance document was not accurate; a child that attended in the AM only had not yet been signed out.

  Corrective action. The Licensee stated that the daily attendance document will be accurate at all times moving forward.

  19090 - CCLR s.57(2)(c)
• STAFFING

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

  Observation. An emergency drill has not been conducted within the past year.

  Corrective action. The Licensee will conduct an full emergency drill by the end of the month.

  12200 - CCLR s.22(2)(c)

• RECORDS AND REPORTING

  The licensee must (a) develop the care plan in consultation with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Care plan not developed in consultation with the parent or any person requested by the parent for a child who requires an epi pen.

  Corrective action. Ensure a care plan is developed for children who require one.

  19250 - CCLR s.58(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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Upon an inspection of 2 staff files, Licensing noted that one did not contain evidence of staff certificate validation.

  Corrective action. Ensure all staff files are complete.

  12140 - CCLR s.19(4)(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: (c) a record of the person's work history.

  Observation. Upon inspection of 2 staff files, Licensing noted that a record of the person's work history was not obtained for one employee.

  Corrective action. Ensure staff files are complete.

  12060 - CCLR s.19(1)(c)

No violations recorded at this inspection.

• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. One regular staff member's certificate was not posted at the facility.

  Corrective action. Ensure that employee certificates are displayed in a prominent place in the community care facility.

  10070 - CCLR s.11(4)
• 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. At the time of Licensing's arrival there were 11 children in care with one educator. A second staff member arrived shortly after.

  Corrective action. Ensure that the ratio of employees to children attending the CCF is no less than that permitted in schedule E.

  14030 - CCLR s.34(2)(b)
• 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. Licensing observed that the food in the facility's emergency kit was expired. Licensing suggested systems of emergency supply refresh.

  Corrective action. Ensure all aspects of the emergency plan are current at all times to ensure that facility can mitigate respond to and recover from any emergency.

  13020 - CCLR s.22(1)(b)
• 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 inspection of the facility attendance records it was noted that only 4 of the 13 children in attendance were signed in with an accurate time of arrival. Intent of accurate record keeping was discussed with the Licensee.

  Corrective action. Ensure that for each child there is an accurate record of daily attendance including times of arrival and departure.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Licensing observed 2 children's files did not contain a record showing the date of enrollment.

  Corrective action. Ensure children's records are complete.

  19080 - CCLR s.57(2)(b)
• STAFFING

  A licensee must keep current records of each of the following: (b) for each employee, the records required under section 19 (1) [character and skill requirements].

  Observation. Licensing observed that the manager's criminal record check is not current.

  Corrective action. Ensure staff records are current at all times.

  12430 - CCLR s.56(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. One staff file did not contain evidence of immunization declaration. .

  Corrective action. Ensure staff files are complete.

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

No violations recorded at this inspection.

• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. Licensing observed that the manager's name was not posted.

  Corrective action. Ensure the manager's name is posted at the facility.

  10050 - CCLR s.11(1)
• 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. Licensing observed arrival/departure times are not noted as part of facility's attendance records.

  Corrective action. Ensure that a daily record is kept indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.

  Observation. A minor incident log could not be produced at time of inspection.

  Corrective action. Ensure a log of minor accidents, illness and unexpected event involving children is kept.

  19050 - CCLR s.56(1)(f)
• STAFFING

  A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.

  Observation. Licensing observed that a fire drill had not been conducted in June 2021.

  Corrective action. Ensure that each employee practices implementing the fire drill system at least once each month.

  12190 - CCLR s.22(2)(b)
• 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 system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Licensing inspected three staff certificates and could not find evidence of verification.

  Corrective action. Ensure staff certificates are verified using the system maintained by the early childhood educator registry.

  12140 - CCLR s.19(4)(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: (a) a criminal record check for the person.

  Observation. Licensing observed that one staff member's criminal record check was not site specific.

  Corrective action. Ensure a site specific criminal record check is obtained for employees before the start of employment.

  12040 - CCLR s.19(1)(a)
• STAFFING

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

  Observation. Licensing could not find a record of implementation of the emergency plan the year 2020. A clarifying conversation with the manager indicated that the implementation of the emergency plan did not take place for 2020.

  Corrective action. Ensure that emergency plan is implemented at least once each year.

  12200 - CCLR s.22(2)(c)
• 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: (c) a record of the person's work history.

  Observation. A record of the person's work history was not obtained for one employee.

  Corrective action. Ensure employees' record of work history is obtained before the start of their employment.

  12060 - CCLR s.19(1)(c)

No violations recorded at this inspection.