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)
Follow-Up
November 2, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 16(4)(b)
Description: A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are safely constructed, free from hazards and in good repair.
Corrective Actions Required: Ensure all outdoor play material is free from hazards and in good repair.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing observed that one of the foot holds on the climbing wall in the Group Child Care (School Age) program was cracked and loose.
3000 - SPS DOLSOP (Equipment height)
Description: Height of equipment – Highest play surface as reported by Licensee or observed by LO: for toddlers (12 to 36 months) no more than .9 metres (3 feet) for preschool children (30 months to school age, no more than 1.5 metres (5 feet) for school-age children (attending school) no more than 2.3 metres (7 feet)
Corrective Actions Required: Ensure that the highest play surface for school aged children is no more than seven feet.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 13, 2023
Observations: Licensing observed that the climbing wall in the outdoor play space for the Group Child Care (School Age) program measured approximately nine feet in height. Staff stated that children climbed up and over this piece of equipment.
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 staff files contain a CRC.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing performed an audit of six staff files this date. One file did not contain a criminal record check (CRC).
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 character references have been obtained for staff.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 6, 2023
Observations: Licensing performed an audit of three staff files. Two files were missing character references.
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 an immunization status has been obtained for staff.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 6, 2023
Observations: Licensing performed an audit of three staff files. One file did not contain an immunization status.
3010 - CCLR 29(c)
Description: To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,
Corrective Actions Required: Ensure a staff that is employed as a responsible adult has completed a course/combination of courses of at least 20 hours duration in child development, guidance, health and safety or nutrition.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 6, 2023
Observations: Licensing performed an audit of three staff files this date. One file did not show that the staff had completed a course/combination of courses of at least 20 hours duration in child development, guidance, health and safety or nutrition.
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 ratio of employees to children is no less than that permitted in Schedule E.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: This item was carried over from Routine Inspection dated April 4, 2023. Licensing observed an Early Childhood Educator and a Responsible Adult with 11 children in the Group Child Care (30 Months to School Age) program.
3070 - CCLR 57(3)(b)
Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing performed an audit of seven children's files this date. All files contained consent to release to someone other than the parent.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - CCLR 58(2)(a)
Description: The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
Corrective Actions Required: Ensure care plans for children with extra support are made in consultation with the child's parent and any person requested by the parent.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing observed there were five children with emergency medication and one child with behavioural support that did not have care plan in place.