Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

North Douglas Preschool

Facility Type: Child Care - 300

Follow-Up

June 8, 2026
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3000 - CCLR 13(1)
Description: A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed the fire extinguisher's were serviced on April 22, 2026 and verification was obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3000 - CCLR 15(1)(a)
Description: A licensee must supply equipment, furniture and supplies that are of sturdy and safe construction, easy to clean and free from hazards.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed the outdoor area with the little play house with exposed nail, two metal chairs that were rusty with chipping paint were removed and repaired. One of the slides, being used by children at the time of inspection, with an exposed screw was removed.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 objects stored high on shelves with intentional play spaces below in Group Child Care (30 months to school age) and Group Child Care (Under 36 months) had been removed.
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 the two staff files missing references listed but not date, notes or otherwise indicating that the references had been obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3010 - CCLR 19(4)(a)
Description: A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry
Corrective Actions Required: Ensure all staff files obtain verification.
Corrective Actions Taken By Licensee: Licensing observed the two staff files with expired verifications from 2025 and two staff files with missing verification was obtained.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 22, 2026
Observations: Licensing observed the two staff files with expired verifications from 2025 and two staff files with missing verification.
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 current record is kept of monthly fire drills and yearly emergency drills.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 27, 2026
Observations: Licensing observed that the fire drill had not been recorded for the month of April. Staff stated they had not performed the fire drill for the month April.
3030 - CCLR 34(2)(a)
Description: Without limiting subsection (1) a licensee must ensure that children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E, (except FCC/IHMACC/REC; child qualified if in age range or within one month (except GCC School Age)).
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed children were divided into groups, with each group having no more than that permitted in Schedule E.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3030 - CCLR 35(2)(b)
Description: A licensee must not, while providing a care program, conduct any business or other activity within or from the licensee's personal residence that may threaten the health or safety of children.
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3040 - CCLR 53(1)(b)
Description: If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (b) readily accessible to employees.
Corrective Actions Required: Ensure medication is accessible to staff incase of an emergency at all times.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 29, 2026
Observations: Licensing observed one child's care plan for use of an epi pen did not have the epi pen in the emergency bag and accessible to employees at all time.
3070 - CCLR 58(2)(a)
Description: The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed care plan missing parent consultation signature was obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: