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 30, 2026
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - RCR 44(2)(a)
Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a nutrition manager with membership in the Canadian Society of Nutrition Management,
Corrective Actions Required: Ensure a Food Services Manager is a nutrition manager with membership in the Canadian Society of Nutrition Management.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 5, 2026
Observations: Licensing spoke with the Food Services Manager. The Food Services Manager informed Licensing that he did not have a membership in the Canadian Society of Nutrition Management.
3010 - RCR 86(b)
Description: A licensee must keep the following records in respect of each employee: character references
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing audited 14 staff files, all files contained records of character references.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: ences.
3010 - RCR 86(c)
Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing audited 14 staff files, all files contained records of immunizations.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - RCR 86(d)
Description: A licensee must keep the following records in respect of each employee: a record of any performance reviews made under section 40 [continuing monitoring of employees] and any attendance at continuing education programs.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing audited 14 staff files, all files contained current preformance review records.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: