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

Le' Lum' Uy' Lh Daycare

Facility Type: Child Care - 300

Follow-Up

August 8, 2022
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 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: Two sand boxes, one in the Group Child Care (Under 36 Months) and one in the Group Child Care (30 Months to School Age) program had blue tarp covers. Large blackberry thorny branches encroaching through the fence into both the Group Child Care (Under 36 Months) and the Group Child Care (30 Months to School Age) program had been removed.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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:
Corrective Actions Taken By Licensee: Hot water in Room 3 measured 27.5 C.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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:
Corrective Actions Taken By Licensee: Three new bound binders for the three outdoor play areas are now being used to record daily inspections and record any maintenance and repairs.
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: Ensure all staff have valid CRCs on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 31, 2022
Observations: Licensing reviewed 19 staff files. Two staff had valid CRCs, three staff had CRCs addressed to another agency and require a sharing agreement and 14 staff had expired CRCs.
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: Ensure all staff have character references on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 31, 2022
Observations: Licensing reviewed 19 staff files. Two staff did not have character references on file.
3010 - CCLR 19(1)(d)
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: copies of any diplomas, certificates or other evidence of the person’s training and skills
Corrective Actions Required: Ensure all Educators and Infant Toddler Educators have a valid certificate on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 31, 2022
Observations: Licensing reviewed 19 staff files and one staff had an expired Infant Toddler Certificate.
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 all staff have immunization status on file prior to employment.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: July 31, 2022
Observations: Licensing reviewed 19 staff files. Two staff did not have immunization status on file.
3010 - CCLR 22(2)(b)
Description: A licensee must ensure that each employee practices implementing the fire drill system at least once each month,
Corrective Actions Required: Ensure at least one fire drill is practiced and recorded monthly.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 31, 2022
Observations: Licensing reviewed fire drills for the last 12 months. One fire drill was practiced in September 2021 but not recorded and no other fire drills were practiced between January 2021 and July 15, 2022.
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 all children have immunization status on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 30, 2022
Observations: Licensing reviewed five children's records, two children did not have immunization status on file.
3070 - SPS DOLSOP (Wear Helmets)
Description: Teach children to wear helmets & other sports safety equipment while riding & playing team sports. Staff aware of their responsibility to ensure such equipment is properly adjusted/worn
Corrective Actions Required:
Corrective Actions Taken By Licensee: The facility has purchased 15 new bike helmets. Children observed wearing helmets on bikes at this inspection.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: