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​In April of 2018, changes to the Community Care and Assisted Living Act (CCALA) were developed to provide the public with a broader range of online information as they search for care for their loved ones. These amendments apply to child daycare and to long-term community care facilities, and require health authorities to post business information and inspections for licensed care facilities. Also posted, will be information regarding substantiated complaints of illegally operating care facilities.

Inspection reporting

Inspection report postings include summary information about routine and follow up inspection reports, information about substantiated complaints for all licensed care providers as well as reports for those found to be operating in contravention of the CCALA. This information will be posted on health authority public websites for five years.

Licensing Officers conduct routine inspections of community care facilities to ensure compliance with the CCALA. The frequency of inspection is determined by using provincially accepted risk tool: FAQs for the Inspection and Risk Assessment Process.

At each inspection, the Licensing Officer reviews all aspects of the facility, records, policies, programming and care delivery. Greater detail of the categories of inspection observations are described as:

Terms and Definitions for Child Care

  • Care and supervision: Licensing officers assess whether appropriate care and supervision is being provided. Licensees are required to ensure that children are supervised at all times. Staff must take practical measures to protect children from injury and harm in a healthy and safe environment.
  • Hygiene and communicable disease control: Licensees are required to maintain an acceptable level of hygiene in their facility. Licensing officers audit handwashing and hygienic practices which prevent the spread of communicable diseases.
  • Licensing: This category includes a number of administrative requirements for the operation of a licenced care facility. Licensees have a continuing duty to inform their licensing officer of any significant changes to the structure or operation of the community care facility.
  • Medication: Licensees must ensure that they store and administer medication safely.
  • Nutrition and food services: Licensing officers assess nutrition and food service practices. Licensees must use appropriate feeding principles, promote good nutrition and prepare food safely. They must also provide parents with information regarding the food and drink that is offered to children.
  • Physical facility, equipment and furnishings: Licensees are required to maintain the facility, equipment, furnishings and toys in clean and good repair. Licensing officers assess these aspects of the care centre to ensure that it is safe, free from hazards and appropriate for the age and developmental level of the children.
  • Policies and procedures: Licensees are required to have written policies and procedures to guide staff in all matters regarding the care and supervision of children. 
  • Program: Licensees must provide children with a variety of age and developmentally appropriate indoor and outdoor activities. The program must be adapted to meet the needs of children who require additional supports. Licensing officers look for a balance of programming that promotes children’s intellectual, physical, social and emotional well-being.
  • Records and reporting: Licensing officers assess documentation and record keeping to ensure compliance with expected requirements in the legislation. Documentation is necessary to guide staff and ensure the health and safety of children.
  • Staffing: Licensees must ensure that there that there are adequate numbers of staff with the necessary training and experience to provide for the care and supervision of children. Licensing officers verify that required staff-to-child ratios are followed and assess whether all employees meet the health and competency standards needed to carry out their duties effectively.

Typically a recorded observation is made when a licensing officer identifies an area of non-compliance during an inspection. When a facility is in non-compliance it means that they are not operating according to legislated requirements. Observations are discussed with the facility operator and depending on the level of risk associated with the issue, an action plan to resolve the matter is completed.



MoH     PCQO