Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Routine
September 21, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - CCLR 19(1)(a)
Description: 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 criminal record check for the person
Corrective Actions Required: Ensure licensee must not employ a person in a community care facility unless they have first met with the person and obtained a criminal record check in respect of the person.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited ten staff files. One file was missing a CRC.
3010 - CCLR 19(1)(b)
Description: 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
Corrective Actions Required: Ensure licensee must not employ a person in a community care facility unless they have first met with the person and obtained character references in respect of the person.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited ten children's files. One file was missing two character references. One file was missing one character reference.
3010 - CCLR 19(1)(f)
Description: 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
Corrective Actions Required: Ensure Licensee must not employ a person in a community care facility unless they have first met with the person and obtained evidence that the person has complied with the Province's immunization and tuberculosis program.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited ten staff files. One staff was missing a record of immunization status.
3010 - CCLR 19(4)(a)
Description: 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
Corrective Actions Required: Ensure licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate that has been verified by the licensee using a system established and maintained by the director of the early childhood registry.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited ten staff files. Ten files were missing validation of ECE or ECEA certificates.
3070 - CCLR 56.1(2)(b)
Description: A licensee must keep a current record of each person to whom the written statement is delivered in accordance with that section
Corrective Actions Required: Ensure licensee must keep a current record of each person to whom the written statement is delivered.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited nine children's files. Six files were missing record of receiving the repayment agreement.
3070 - CCLR 57(2)(a)
Description: 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.
Corrective Actions Required: Ensure licensee must keep, for each child, a record showing immunization status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited nine children's files. One file was missing a record of immunization.
3070 - CCLR 57(2)(d)
Description: 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
Corrective Actions Required: Ensure licensee must keep for each child, a record showing the name and number of a medical practitioner.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 16, 2023
Observations: Licensing audited nine children's files. Two files were missing record of a doctor name and number.