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
January 23, 2024
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 that all CRC's are valid and in the correct facility name.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 23, 2024
Observations: Licensing audited two staff files. Two out of two staff files were missing valid CRC's from December 7, 2023 to January 22, 2024. The CRC's were from the previous facility ownership. On this date, LO observed the valid CRC's were under the new facility name were sent digitally to the manager at the time of the inspection.
3070 - CCLR 58(2)(b)
Description: The licensee must review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
Corrective Actions Required: Ensure to review care plans with parents annually.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 23, 2024
Observations: Licensing audited five children's files. Two children had care plans that were not reviewed by the parent within the past year.
3070 - SPS DOLSOP (Log Kept)
Description: Log kept of all inspections, maintenance & repairs
Corrective Actions Required: Ensure to keep a daily record of all inspections, maintenance & repairs. Specifically, the outdoor play space checklist.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 23, 2024
Observations: Licensing observed that the facility was not keeping a play space safety checklist of the outdoor play space for 2024.