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 16, 2025
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - CCLR 19(1)(b)
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: (b) character references in respect of the person
Corrective Actions Required: Ensure not to employ a person without first obtaining: two written character references.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 17, 2025
Observations: Licensing reviewed 8 of 8 staff files. Two files were missing one character reference each.
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 not to employ a person without first obtaining: immunization status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 17, 2025
Observations: Licensing reviewed 8 of 8 staff files. Three files were missing immunization status. Two staff immunization status' were collected while on site.
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 a record for each child showing: name and telephone number of medical practitioner.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 17, 2025
Observations: Licensing reviewed 7 of 24 children's files. Two files were missing name and number of medical practitioner. One file was updated while on site.
3070 - CCLR 57(2)(j)
Description: A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child
Corrective Actions Required:
Corrective Actions Taken By Licensee: Ensure to keep a record for each child showing: record of any persons not permitted access.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 17, 2025
Observations: Licensing reviewed 7 of 24 children's files. Three files were missing record of persons not permitted access.