Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Complaint Investigation

Inspection Information

Facility Type

Child Care - 300

Received Date

15-Jun-2023

Subject

["Supervision","Recordkeeping (Includes issues such as not keeping records, insufficient records, care planning issues, health care consent, admission records.)"]

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code

Category/Description

3080 - CCALA 7(1)(b)(i) 
 

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: Through the investigation process, Licensing determined the Licensee did not ensure the health, safety or dignity of a child in care, specifically, the care plan on file was not implemented.

Corrective action: Ensure to operate the community care facility in a manner that would promote the health, safety and dignity of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On August 10, 14 and 30, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Care plans would be developed in consultation with the parent(s), care plans would be reviewed with staff when they were created and staff would sign off on all care plans. Care Plans would also be reviewed throughout the year at staff meetings and all meeting minutes would be documented and kept on site. The corrective action plan was reviewed and accepted by Licensing. On September 14, 2023, Licensing received copies of the three care plans in place showing they had been reviewed and signed by parents and staff.

3070 - CCLR 58(2)(a) 
 

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: Through the investigation process, Licensing determined the care plan in place for a child had not been developed in consultation with the parent.

Corrective action: Ensure to develop the care plan in consultation, with a parent of the child requiring extra support and any person requested by the parent. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On August 10, 14 and 30, 2023, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Care plans would be developed in consultation with the parent(s), and once agreed upon signed by the parent(s) and all staff. The corrective action plan was reviewed and accepted by Licensing. On September 14, 2023, Licensing received copies of the three care plans in place showing they had been reviewed and signed by parents and staff.