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
January 5, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 23(2)
Description: A licensee must have first aid kits that are readily accessible to all employees, including while care is provided off the community care facility premises.
Corrective Actions Required: Ensure a first aid kit is readily accessible to all employees at all times including off site.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 4, 2024
Observations: Licensing observed a first aid kit was not readily accessible to all employees at all times including off site. Licensee stated the first aid kit was located upstairs and requested an adult to find the first aid kit from the second floor. The adult did not return during the Inspection.
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: Ensure children are divided into groups, with each group having no more than that permitted in Schedule E, no more than four children under 48 months and those four no more than two children younger than 24 months old.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 4, 2024
Observations: Licensing observed there were five children under 48 months (Ages:2.4, 2.11, 2.11, 3, 3.5) in care with the Licensee. Licensee stated the fifth child under 48 months was attending only for January 4, 2024. This did not meet Schedule E with no more than four children under 48 months.
3050 - 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: Ensure the health and safety of persons in care is maintained at all times.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 4, 2024
Observations: Licensing observed the submitted CAP for the lead in water was not being followed. Licensee stated she had not documented the correction action plan on the following dates: December 12, 13, 14, 15, 18, 19, 20, 21, 2023.
3050 - CCLR 48(5)
Description: A licensee must ensure that safe drinking water is available to children.
Corrective Actions Required: Ensure safe drinking water is available to children.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 4, 2024
Observations: Licensing observed the submitted CAP for the lead in water was not being followed. Licensee stated she had not documented the correction action plan on the following dates: December 12, 13, 14, 15, 18, 19, 20, 21, 2023.
3070 - CCLR 57(2)(c)
Description: A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure
Corrective Actions Required: Ensure a daily attendance record is kept, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 4, 2024
Observations: Licensing observed a record of attendance was not kept for January 4 and 5, 2024. On January 4, 2024 there were not departure times indicated. On January 5, 2024 there were no arrival times recorded. Licensee stated she had not completed the attendance record on this date.
3070 - SPS DOLSOP (Log Kept)
Description: Log kept of all inspections, maintenance & repairs
Corrective Actions Required: Ensure a log of all inspections, maintenance and repairs for outdoors is kept.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 4, 2024
Observations: Licensing observed the log of all inspections, maintenance and repairs for outdoors was not recorded on the following dates: December 12, 13, 14, 15, 18, 19, 20, 21, 2023.