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
March 13, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - CCLR 19(4)(a)
Description: A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry
Corrective Actions Required: Ensure that certificates for assistants and educators are validated.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 31, 2023
Observations: Licensing reviewed two of two staff files. Certificate for educator was not validated.
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 that, for each child, there is a copy of the signed repayment agreement.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 31, 2023
Observations: Licensing reviewed five of thirty children's record. One children's record did not have a copy of the repayment agreement signed by the child's parent/guardian.
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 that, for each child, there is a record showing a medical service plan number.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 31, 2023
Observations: Licensing reviewed five of thirty children's records. One child's record was missing a medical service plan number.
3070 - CCLR 57(2)(i)
Description: A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency
Corrective Actions Required:
Corrective Actions Taken By Licensee: Ensure that, for each child, there is a photo/digital image which can be used to readily identify a child in an emergency.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 31, 2023
Observations: Licensing reviewed five of thirty children's records. Two children's records were missing photos.
3080 - 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 that corrective action plan for lead in water is followed and documented.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 31, 2023
Observations: Licensing reviewed documentation of two minute flush for lead in water corrective action plan. Licensing observed that two minute flushes were last documented in November 2022. Manager stated that two minute flushes were conducted daily upon arrival to the facility.