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 2, 2026
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: Licensing observed a sign posted at the kitchen entrance stating "children cannot walk through the cafe unless supervised by a leader". Licensing also observed that the cabinets used to store chemical products were locked.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3010 - CCLR 19(1)(a)
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: a criminal record check for the person
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed a valid CRC is obtained for all employees.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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:
Corrective Actions Taken By Licensee: Licensing observed character reference checks are obtained for all employees.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3010 - CCLR 19(5)(a)
Description: Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following a criminal record check for the person
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensee Contact stated that the volunteer is no longer providing volunteer services at the facility.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 of the monthly fire drill is kept.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 11, 2026
Observations: Licensing observed the December 2025 and March 2026 monthly fire drills were not recorded.
3040 - CCLR 53(2)(a)
Description: A licensee must ensure that a child’s medication is not accessible to any child, except that a child may have access to his or her own medication if
(a) the child’s parent has instructed the licensee to permit this,
Corrective Actions Required: Ensure a child's medication is not accessible to any child, except that a child may have access to the child's own medication if the child's parent has instructed the Licensee to permit this.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 11, 2026
Observations: Licensing observed a child's medication stored in their backpack. The backpack was left on the floor with other children's backpacks, making the medication accessible to children in care.
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: Licensing observed Licensee has following an approved Corrective Action Plan for documenting and implementing the weekly and monthly cleaning checklist.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: