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 13, 2021
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 17
Description: A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child
Corrective Actions Required: Ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child. Action/s Required by Licensing: Follow Up Inspection to be conducted
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 13, 2021
Observations: Licensing observed one uncovered electrical outlet. This was corrected during inspection.
3010 - CCLR 22(2)(b)
Description: A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
Corrective Actions Required: Ensure that each employee practices implementing the fire drill system at least once each month. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: October 13, 2021
Observations: Licensing observed the fire drill system had not been implemented since facility returned to operating status. Staff was unable to produce record of last drill conducted.
3010 - CCLR 22(2)(c)
Description: A licensee must ensure that each employee practices implementing the emergency plan at least once each year.
Corrective Actions Required: Ensure that each employee practices implementing the emergency plan at least once each year. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: October 13, 2021
Observations: Licensing observed the emergency plan had not been implemented since facility returned to operating status. Staff was unable to produce record of last emergency drill practised.
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 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. Action/s Required by Licensing: Follow Up Inspection to be conducted
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: October 13, 2021
Observations: Licensing observed no WorkSafe BC safety plan posted in accordance with the order of the provincial health officer.
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 in accordance with that section. Action/s Required by Licensing: Follow Up Inspection to be conducted
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: October 13, 2021
Observations: Licensing audited seven children's files of which seven were missing record of the written statement that the Licensee delivers to persons who prepay part of the cost of services.
3070 - CCLR 59(b)
Description: In respect of a record referred to in this Division, a licensee must (b) keep a record other than one referred to in paragraph (a) in a place from which it can be retrieved within a reasonable time, on request,
Corrective Actions Required: Ensure Licensee must keep a record other than one referred to in paragraph (a) in a place from which it can be retrieved within a reasonable time, on request. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 20, 2021
Observations: Licensing observed staff records were not kept in a place from which they could be retrieved within a reasonable time, on request.