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)
Non-Visit Follow-up
June 12, 2024
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 equipment is 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 23, 2024
Observations: Licensing observed that a plastic slide measuring 2.7 ft in height had been bitten by a dog at the bottom were children place their hands resulting in exposed sharp plastic groves on the slide.
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:
Corrective Actions Taken By Licensee: On June 6, 2024 Licensing received a valid Criminal Record Check for the Licensee.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 a valid Criminal Record check is obatined for any persons ordinarily present.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licenisng observed that the criminal record check for two persons that were ordinarily present at the facility were not processed through the criminal records and review program and were obatined from the RCMP.
3050 - CCLR 48(5)
Description: A licensee must ensure that safe drinking water is available to children.
Corrective Actions Required: Ensure safe drinking water is available to children.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licensing observed that a corrective action plan to mitigate the risk of lead in water was not followed.
3060 - CCLR 46(1)
Description: A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Corrective Actions Required: Ensure a program establishes and practices the rules of health and hygene.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licensing observed that there was one hand towel available in the bathroom for all children to dry their hands on. Licensee stated she usually offered individual paper towels to each child but she was out of them at this time.
3070 - CCLR 57(2)(b)
Description: A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility
Corrective Actions Required: Ensure a record is kept for each child showing date of enrollment.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licensing audited five children's files, one file was missing date of enrollment for a child in care. Item corrected at time of inspection.
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: Ensure a record is kept showing persons not permitted access.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licensing audited five children files, five were missing a record of persons not permitted access.
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 a community care facility operates in a manner that promotes the health, safety and dignity of children in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2024
Observations: Licensing observed that a corrective action plan to mitigate the risk of lead in water was not being followed, specifically a record had not been kept for January 22, February 19, February 29, 2024. Licensee stated she practiced flushing the water but did not record on those dates.