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
January 9, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
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 are obtained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 9, 2023
Observations: Licensing audited four staff files of which one was 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 evidence is obtained indicating staff have complied with the provinces immunization programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: March 9, 2023
Observations: This item has been carried forward from Follow Up Inspection B7FF4C6A-66FD-4727-9BDE-758BFEC7EC9F. Licensing audited four staff files of which one was missing immunization status.
3020 - CCLR 56(1)(c)
Description: A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]
Corrective Actions Required: Ensure a record is kept respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment].
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 9, 2023
Observations: This item has been carried forward from the Follow Up Inspection B7FF4C6A-66FD-4727-9BDE-758BFEC7EC9F. Licensee contact stated fire drills and emergency plans were being practiced but 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 all children's records, medical insurance plan number is obtained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 9, 2023
Observations: Licensing audited five children's files of which one was missing the medical insurance plan number and four were missing immunization status.
3070 - CCLR 57(2)(d)
Description: A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
Corrective Actions Required: Ensure the name and number of a medical practitioner are obtained in the children's records.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 9, 2023
Observations: This item has been carried forward from Follow Up Inspection B7FF4C6A-66FD-4727-9BDE-758BFEC7EC9F. Licensing audited five children's files of which one was missing the medical practitioners name and two were missing the telephone number.