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
June 5, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 13(1)
Description: A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees
Corrective Actions Required: Ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: July 11, 2024
Observations: Licenisng observed three fire extinguishers which had a service due date of May 12, 2024.
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 a person is not employed 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 a criminal record check for the person.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: July 11, 2024
Observations: Licensing reviewed seven staff files of which one had an expired criminal record check dated February 27, 2024.
3060 - CCALA 7(1)(b)(i)
Description: 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
Corrective Actions Required: Ensure the community care facility operates in a manner that will promote the health, safety and dignity of persons in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 26, 2024
Observations: Licensing reviewed corrective action plan dated December 1, 2023 which had not been followed for the months of February and March.
CAP indicated in part the following:
Staff would review emergency procedures and incident/accident reports for the month of February and child care staff responsibilities including behavior management and schedule H of the CCLR for reporting purposes for the month of March. Additionally, staff would sign a document agreeing that they had reviewed and understood the policies and procedures.
Licensing observed no documents signed by staff or record of review. This was confirmed by the Manager.
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 for each child, a record is kept showing the name and telephone number of a medical practitioner.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: July 11, 2024
Observations: Licensing reviewed 10 children's files of which three were missing the name and telephone number of a medical practitioner.