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
October 5, 2023
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 a Licensee must not employee a person without having first obtained a valid criminal record check.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing reviewed eight staff files and observed one file missing a valid criminal record check; Licensing observed that the application had been made and that the staff member had a previous clearance letter on file.
3030 - CCLR 34(2)(b)
Description: Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Corrective Actions Required: Ensure that the ratio of employees to children attending the community care facility is no less than permitted in Schedule E.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing observed no early childhood educator available for Group Child Care (30 Month to school Age) and no early childhood educator available for Preschool (30 Month to School Age); Licensing observed an expired staffing exemption and no staffing exemption application was on file for either classroom.
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 to operate the community care facility 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: November 6, 2023
Observations: Licensing observed no two minute flush chart being maintained that indicated that the corrective action plan accepted by Licensing, was being implemented to conduct a two minute water flush daily, in order to mitigate the risk of the facility water testing higher than the allowable maximum concentrate of lead in water. Licensing observed the Manager state that the facility only utilizes bottled water and that a new corrective action plan for the use of bottled water only will be submitted to Licensing. Licensing also observed multiple jugs of bottled water and a water dispenser machine.
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 a record showing the following information: Name, sex, date of birth, medical insurance plan number and immunization status for each child in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing reviewed 7 child files and observed four files missing record of immunizations and one file missing a medical services plan number.