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)
Routine
May 13, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 15(2)(b)
Description: A licensee must ensure that each piece of furniture or equipment for sleeping is clean and comfortable
Corrective Actions Required: Ensure that each piece of furniture or equipment for sleeping is used by only one child at a time, is clean and comfortable.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 20, 2022
Observations: Licensing observed bedding in the Group Child Care (30 Months to School Age) program stored in mesh bags together in a large bin. This poses risk for cross contamination.
3000 - CCLR 47
Description: A licensee, other than a licensee who provides a care program described as School Age Care on School Grounds, must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Corrective Actions Required: Ensure hat any heated water accessible to children is heated to no more than 49° Celsius.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 13, 2022
Observations: Licensing tested the hot water in the Group Child Care (Under 36 months) bathroom. Water tested 55' Celsius. This is an immediate risk to the health and safety of children in care. A safety plan has been put in place that all children will be supervised during hand washing by a staff so the water temperature can be monitored, until the water temperature can be lowered and retested by Licensing. Full compliance will not be met until Licensing re-tests the water and it tests no higher than 49 degrees Celsius.
3000 - SPS DOLSOP (Inspected)
Description: Thorough daily, monthly and annual inspections, as well as maintenance and repairs of the outdoor play area are performed and recorded
Corrective Actions Required: Ensure that thorough daily, monthly and annual inspections, as well as maintenance and repairs of the outdoor play area are performed and recorded
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 31, 2022
Observations: Licensing observed the outdoor check list in the Group Child Care (Under 36 months) program only completed up until May 3, 2022. Manager stated that yard checks are competed daily before the children go out, they just hadn't been recorded.
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: Ensure not to 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 Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 17, 2022
Observations: Licensing reviewed 7 of 7 staff files. One file was missing a CRC. Manager stated the CRC is in process.
3010 - CCLR 19(1)(f)
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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
Corrective Actions Required: Ensure 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: evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 20, 2022
Observations: Licensing reviewed 7 of 7 staff files. One file was missing immunization status.
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 not to employ a person in a community care facility as an educator or an assistant unless the person holds a 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 Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 20, 2022
Observations: Licensing reviewed 7 of 7 staff files. One file was missing ECE certificate verification.
3070 - CCLR 57(2)(a)
Description: A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.
Corrective Actions Required: Ensure for each child, a record is kept showing the following information: name, sex, date of birth, medical insurance plan number and immunization status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 31, 2022
Observations: Licensing reviewed 10 of 28 children's files. One child's file was missing immunization status and MSP number.
3070 - CCLR 57(2)(j)
Description: A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child
Corrective Actions Required: Ensure for each child, a record is kept showing the following information: a record of any person who is not permitted access to the child.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 31, 2022
Observations: Licensing observed 10 of 28 children's files. 9 files were missing persons not permitted access.
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: Ensure to develop the care plan in consultation, and review the care plan at least once each year.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 20, 2022
Observations: Licensing observed one medical care plan for a child that was not signed or dated by a parent.