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

12-Sep-2023

Subject

["Neglect","Health and Safety","Staffing (Includes issues such as suitability, insufficient levels, etc.)"]

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

Code

Category/Description

3030 - CCLR 34(2)(b) 
 

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.

Observation: Through the investigation process, Licensing determined that the ratio of employees to children was less than that permitted in schedule E, Specifically related to the number of children permitted under the age of 30 months, no more than two.

Corrective action: Ensure that the ratio of employees to children attending a community care facility was no less than that permitted in Schedule E. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On December 5, 2023, the facility Manager submitted a corrective action plan to Licensing. The corrective action plan included: Exemptions approved by Licensing on November 6, 2023: Early Childhood Educator (ECE) to act as an Infant and Toddler Educator (ITE), expiry August 30, 2024 and Early Childhood Educator Assistant (ECEA) to act as an Early Childhood Educator (ECE), expiry August 30, 2024. Staff were given a deadline of two months to complete ECEA certification. Additional staff were hired. Staff certifications would be posted in each room, management would ensure every certificate has been verified and would ensure that staff were actively attending professional development. Staff would be given deadlines to complete the required certification to ensure staff were following through, this would vary based on individual circumstances. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. On December 13, 2023, Licensing completed a Routine Inspection and observed compliance with CCLR 34(2)(b). On February 27, 2024, Licensing completed a Follow Up Inspection, during this Inspection noncompliance to CCLR 34(2)(b) was observed.

3030 - CCLR 34(2)(a) 
 

Without limiting subsection (1) a licensee must ensure that children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E, (except FCC/IHMACC/REC; child qualified if in age range or within one month (except GCC School Age)).

Observation: Through the investigation process, Licensing determined that the ratio of employees to children attending the community care facility was less than that permitted in Schedule E.

Corrective action: Ensure that the ratio of employees to children attending a community care facility was no less than that permitted in Schedule E. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On December 5, 2023, the facility Manager submitted a corrective action plan to Licensing. The corrective action plan included: Exemptions approved by Licensing on November 6, 2023: Early Childhood Educator (ECE) to act as an Infant and Toddler Educator (ITE), expiry August 30, 2024 and Early Childhood Educator Assistant (ECEA) to act as an Early Childhood Educator (ECE), expiry August 30, 2024. Staff were given a deadline of two months to complete ECEA certification. Additional staff were hired. Staff certifications would be posted in each room, management would ensure every certificate has been verified and would ensure that staff were actively attending professional development. Staff would be given deadlines to complete the required certification to ensure staff were following through, this would vary based on individual circumstances. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. On December 13, 2023, Licensing completed a Routine Inspection and observed compliance with CCLR 34(2)(a). On February 27, 2024, Licensing completed a Follow Up Inspection, during this Inspection compliance to 34(2)(a) was observed.