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
February 3, 2026
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: February 24, 2026
Observations: Licensing observed that fire extinguishers had expired service tags indicating August 2024.
3000 - CCLR 15(1)(a)
Description: A licensee must supply equipment, furniture and supplies that are of sturdy and safe construction, easy to clean and free from hazards.
Corrective Actions Required: Ensure a licensee must supply equipment, furniture and supplies that are of strudy and safe construction, easy to clean and free from hazards.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing observed that bathroom vanities and wall panels had been taped up with painter tape.
3010 - CCLR 19(1)(c)
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 record of the person’s work history
Corrective Actions Required: Ensure to 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 record of the person's work history.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 6 staff files and observed that 2 were missing resumes.
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 to 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 me 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 Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 6 staff files and observed that 3 were missing immunization status.
3060 - CCLR 14(4)(b)
Description: A licensee, other than a licensee who provides a care program described as either Preschool (30 Months to School Age) or Group Child Care (School Age), must have in a community care facility a sturdy surface for changing diapers, located outside the food preparation area, next to a wash basin
Corrective Actions Required: Ensure to have a sturdy surface for changing diapers, located outside the food preparation area, next to a wash basin.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing observed that a changing station in the GCC (Under 36 Months) program had been relocated away from a wash basin.
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 to keep for each child, a record showing the following information:(a) name, sex, date of birth, medical insurance plan number and immunization status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 9 children's records and observed that 9 were missing MSP numbers.
3070 - CCLR 57(2)(c)
Description: A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure
Corrective Actions Required: Ensure to keep for each child, a record showing the following information:(c) daily attendance record, indicating for each day whethere the child is absent or, if the child is present, the time of arrival and departure.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing observed 13 children in the GCC (30 Months to SA) program while only 11 had been signed in for the program.
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 to keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 9 children's files and observed that 2 were missing a medical practitioner and emergency contact.
3070 - CCLR 57(2)(i)
Description: A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency
Corrective Actions Required: Ensure to keep for each child a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 9 children's files and observed that 1 was missing a digital photo or image.
3070 - CCLR 57(3)(a)
Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached,
Corrective Actions Required: Ensure to keep in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 9 children's files and observed that 9 were missing consent to call a medical practitioner.
3070 - CCLR 57(3)(b)
Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Corrective Actions Required: Ensure to have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 24, 2026
Observations: Licensing audited 9 children's files and observed that 1 file did not have permission to release a child to someone other than parent.