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
August 28, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - SPS DOLSOP (Clearance)
Description: A 1.8 metre (6 feet) clearance around equipment is considered safest
Corrective Actions Required: Ensure that a 1.8 metre (6 feet) clearance zone around elevated equipment is maintained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 5, 2023
Observations: Licensing observed that there were loose toys and equipment in the fall zone of the composite play structure. These included two rocking style toys, a vehicle tire, and assorted play elements such as wooden boards and plastic pipes.
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 all outdoor play materials accessible to children are safely constructed and free from hazards.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 28, 2023
Observations: Licensing observed that there was entanglement hazards on the top left and right hand sides of the slide attached to the composite climber. This represents an immediate risk to the health and safety of persons in care and must be corrected immediately. The Licensee stated that the slide would be closed effectively immediately, and the entire play structure would be disassembled over the coming long weekend. Licensing accepted this plan. Full compliance will not be achieved until the plan has been implemented and completed.
3000 - SPS DOLSOP (Protective surfacing OVER 45 CM)
Description: For equipment over 45 cm (18”) but less than 1.5 metres (5’), protective surfacing is recommended
Corrective Actions Required: Ensure that equipment over 18" (45 cm) fall height has adequate depth of protective surfacing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 5, 2023
Observations: Licensing observed that the fall height of the composite play structure was 24" (61 cm) tall. The depth of the protective surfacing material (i.e. pea gravel) was tested in multiple locations in the fall zone and measured between 0 - 3" in depth.
3060 - 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 the facility is operated in a manner that promotes the health, safety and dignity of persons in care, including current policies for Communicable Disease Prevention.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 1, 2023
Observations: Licensing conducted a file review prior to the inspection and observed that the last facility policies were dated September 2016. During the inspection, the License stated that the policies had not been updated. Additionally, there was no written plan and procedures for Communicable Disease Prevention.