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
September 19, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - SPS DOLSOP (Entanglement)
Description: Equipment is free of entanglement hazards in areas of uncontrolled motion. (Something around the child’s neck becomes caught on equipment)
Use Entanglement test device
Corrective Actions Required: Ensure equipment being used by children is free of entanglement hazards.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 19, 2024
Observations: Licensing observed entanglement hazards on either side of the 4 foot 2 inches slide in the play space. This is an immediate risk to health and safety. Licensee stated supervision plan in place until entanglement hazard can be corrected; Licensee will stand beside the slide when it is in use to supervise. Full compliance will not be reached until Licensing can retest the slide.
3000 - SPS DOLSOP (Inspected)
Description: Thorough daily, monthly and annual inspections, as well as maintenance and repairs of the outdoor play area are performed and recorded
Corrective Actions Required: Ensure daily, monthly and annual inspections are conducted and recorded.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 18, 2024
Observations: Licensing observed outdoor checks had not been recorded through August and September 2024. Licensee stated the daily checks of the play space had been done but not recorded.
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 that a copy of the fire drill system is displayed.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 19, 2024
Observations: Licensing observed that no copy of the fire drill system was displayed. While on site the Licensee drew up the upstairs fire drill system and posted in on the wall.
3070 - CCLR 56(1)(f)
Description: A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Corrective Actions Required: Ensure to keep a record of: log of minor accidents/illnesses involving children in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 18, 2024
Observations: Licensing observed no daily log book being used for non reportable incidents. While on site Licensee found a book that will be used going forward.
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 to keep a record for each chid showing sex of child.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 19, 2024
Observations: Licensing reviewed four of four children's files. Four were missing the sex of the child. While on site the sex/gender was added to each registration form.
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: Ensure to keep a record for each child showing time of arrival and departure.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 18, 2024
Observations: Licensing observed no record of attendance for children in care. Last recorded dates observed were July 29 and 30, 2024.
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 to develop a care plan in consultation with a parent and any person requested.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 18, 2024
Observations: Licensing reviewed children's files. Licensee identified two children in care who require additional support did not have care plans in place.