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
October 12, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 17
Description: A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licenisng observed that all hazards had been removed from the community care facility.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Licensing observed that cleaning solutions were accessible in the downstairs room. Air fresher with hazard labels accessible in the bathroom downstairs. Broken plastic equipment with sharp edges accessible in the outdoor play area, cracked plastic on climbing equipment and a broken rusty hockey net.
3000 - SPS DOLSOP (Clearance)
Description: A 1.8 metre (6 feet) clearance around equipment is considered safest
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed that equipment in the outdoor play area had the recommended clearance.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Licensing observed that climbing equipment measuring 4 feet in height had no clearance around it and was positioned next to other equipment, a wall and a fence. Item corrected at time of inspection.
3000 - SPS DOLSOP (Depth)
Description: Depth guidelines for loose fill material (if protective surfacing used) :
minimum 15 cm (6”) for 1.5 metre (5’) equipment height
minimum 30 cm (12”) for 2.3 metre (7’) equipment height
(Consider surfacing table, Triax, etc.)
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licenisng observed that a dome climber had been removed.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Licensing observed a dome climber measuring 5.2 feet had been installed over hard dry grass.
3050 - CCLR 48(5)
Description: A licensee must ensure that safe drinking water is available to children.
Corrective Actions Required: Ensure safe drinking water is accessible to children in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 3, 2023
Observations: Licensing observed that a Corrective Action Plan to mitigate the risk of lead in water was not followed.
3070 - SPS DOLSOP (Log Kept)
Description: Log kept of all inspections, maintenance & repairs
Corrective Actions Required: Ensure a log is kept of all inspections, maintenace and repairs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 3, 2023
Observations: Licensing observed that a log of maintenance and repairs was out of date, the last recorded date was June 1, 2023 for the portable and May 8, 2023 for the downstairs program.
3080 - 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:
Corrective Actions Taken By Licensee: Ensure a facility operates in a manner that will promote the health, safety and dignity of persons in care
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 3, 2023
Observations: Licensing observed that the Corrective Action Plan to mitigate the risk of lead in water by conducting a two minute flush and recording it in a log was not being followed, the log had not been filled since May 8, 2023.