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
June 18, 2026
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:
Corrective Actions Taken By Licensee: Licensing observed that the right side of the slide on the wooden composite climber had been caulked. Licensing used the entanglement test device, and no entanglement hazards were identified.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 educator or assistant certificates are validated through the ECE Registry.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing audited a staff file and a certificate verified through the ECE Registry was missing.
3020 - CCLR 22(3)
Description: A licensee must display a copy of the fire drill system in a prominent place in the community care facility.
Corrective Actions Required: Ensure a copy of the fire drill system is displayed in a prominent place in the community care facility.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing observed there was no copy of the fire drill system displayed in a prominent place in the facility.
3050 - CCLR 48(1)(b)
Description: A licensee must (b) promote healthy eating and nutritional habits.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed that the children were having snacks indoors while seated.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - 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 log of all inspections, maintenance, and repairs is kept.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing observed a log of all inspections, maintenance, and repairs was not recorded.
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 records of medical insurance plan number and immunization status must be kept for each child's file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing audited five children's file and one child file did not contain medical insurance plan number and two children files did not contain immunization status.
3070 - CCLR 57(2)(c)
Description: A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed a record of daily attendance was kept.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3080 - CCALA 7(1)(c)
Description: Licensee must display licence in the prescribed manner
Corrective Actions Required: Ensure licence is displayed in the prescribed manner.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing observed that no license was displayed in the prescribed manner.
3080 - CCLR 11(4)
Description: A licensee must display in a prominent place in the community care facility the certificate of any educator or assistant employed to work in the community care facility.
Corrective Actions Required: Ensure the certificate or copy of the certificate of any educator/assistant employed displayed in a prominent place.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2026
Observations: Licensing observed the certificate or copy of the certificate of an Early Childhood Educator was not displayed in a prominent place.