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
May 4, 2026
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 13(2)
Description: A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Corrective Actions Required: Ensure all furniture, equipment and fixtures are clean and in good repair.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 4, 2026
Observations: Licensing observed the diaper change mat to be in disrepair. Licensee provided a new mat during inspection.
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 children do not have access to any object or substance that may be hazardous to their health or safety.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 25, 2026
Observations: Licensing observed the cat litter box on the floor and toilet bowl cleaner on the sink in the washroom.
3010 - CCLR 20(1)
Description: The licensee must not permit a person over the age of 12 to be ordinarily present on the premises of a community care facility while children are present, unless the person is of good character and the licensee has obtained a criminal record check for that person.
Corrective Actions Required: Ensure all persons over the age of 12 who are ordinarily present on the premises have a valid criminal record check.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 5, 2026
Observations: Licensing observed three criminal records checks that expired in 2025. Licensee stated they were in the process of renewing them.
3020 - CCLR 56(1)(c)
Description: A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]
Corrective Actions Required: Ensure a record is kept respecting compliance with section 22(2)(b) and (c) [emergency training and equipment].
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 25, 2026
Observations: Licensing observed fire drills documented until August 2025. Licensee stated she completed fire drills and emergency drills but did not document them.
3050 - 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 is operated 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: May 25, 2026
Observations: Licensing observed the water flushes had not been recorded since April 13, 2026. Licensee stated she flushed the water but did not record. The Corrective Action Plan indicated water would be flushed and recorded.
3050 - CCLR 48(5)
Description: A licensee must ensure that safe drinking water is available to children.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Ensure safe drinking water is available to children.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 25, 2026
Observations: Licensing observed the water flushes had not been recorded since April 13, 2026. Licensee stated she flushed the water but did not record. The Corrective Action Plan indicated water would be flushed and recorded.
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 all children have on file written consent 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: May 25, 2026
Observations: Licensing audited three children's files, of which one was missing written consent to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.