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)
Non-Visit Follow-up
January 21, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required: Ensure that all rooms and common areas are maintained in a good state of repair.
Corrective Actions Taken By Licensee: On November 17, 2021, Licensing received copies of photographs of a bathtub that had been repaired with sealing.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
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:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3010 - RCR 86(b)
Description: A licensee must keep the following records in respect of each employee: character references
Corrective Actions Required: Ensure there are records kept in respect of each employee, including character references.
Corrective Actions Taken By Licensee: On November 17, 2021, Licensing received a copy of a reference in respect of one employee.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3020 - RCR 85(1)(b)
Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year
Corrective Actions Required: Ensure that policies and procedures are reviewed and if necessary revised, at least once each year.
Corrective Actions Taken By Licensee: On November 17, 2021, Licensing received an email from the Manager who stated the policy and procedure manual had been reviewed in full.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3020 - RCR 85(1)(b)
Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3060 - DOLSOP (Outbreak Policies)
Description: Written policies and procedures for facility outbreak prevention and control
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3060 - DOLSOP (Outbreak Policies)
Description: Written policies and procedures for facility outbreak prevention and control
Corrective Actions Required: Ensure there are written policies and procedures for facility outbreak prevention and control.
Corrective Actions Taken By Licensee: On November 17, 2021, Licensing received a copy of the facility's outbreak prevention policy.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: