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)
Complaint
July 28, 2026
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - 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 to operate the community care facility in a manner that will promote the health, safety & dignity of persons in care, specifically, staffing skills. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2026, Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: Staff will receive training on professional conduct, child guidance, emotional regulation, respectful communication, and appropriate interactions with children. Management will increase supervision and document regular observations made to staff. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 21, 2026
Observations: Regarding intake June 19, 2026. Through the investigation process, Licensing determined that staff did not demonstrate the skills necessary to carry out their assigned duties, when they handled children forcefully and negatively impacted children emotionally by yelling and shouting at them.
3030 - CCLR 52(2)(a)
Description: A licensee must ensure that a child is not, while under the care or supervision of the licensee, subjected to any of the following types of abuse or neglect: emotional abuse,
Corrective Actions Required: Ensure that a child is not, while under the care or supervision of the licensee, subjected to any type of abuse or neglect, specifically, emotional abuse.
Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2026, Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: The staff will receive training on positive guidance, emotional regulation, respectful communication, co-regulation strategies, professional conduct and appropriated interactions with children and will continue to work under increased supervision by management that will be documented. All staff members will review the Guiding and Caring Policy. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 21, 2026
Observations: Regarding intake June 19, 2026. Through the investigation process, Licensing determined that children were subjected to emotional abuse by a staff member who raised their voice, yelled, shouted, and used a harsh tone toward them, causing children to feel scared during their interactions with the staff member.
3030 - CCLR 52(2)(d)
Description: A licensee must ensure that a child is not, while under the care or supervision of the licensee, subjected to any of the following types of abuse or neglect: physical abuse
Corrective Actions Required: Ensure that a child is not, while under the care or supervision of the licensee, subjected to any type of abuse or neglect, specifically, physical abuse.
Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2026, Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: The staff will receive training on positive guidance and will review expectations for safe and appropriate physical interactions with children and will continue to work under increased supervision by management that will be documented. All staff members will review the Guiding and Caring Policy. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 21, 2026
Observations: Regarding intake June 19, 2026. Through the investigation process, Licensing determined that children were subjected to physical abuse by a staff member who grabbed, pulled, and lifted them by their arms, wrists, and feet, and placed them forcefully onto furniture, causing them to bump their heads.
3070 - CCLR 55(2)(a)
Description: A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee,
Corrective Actions Required: Ensure the Medical Health Officer is notified within 24 hours if a child has been involved in or may have been involved in a reportable incident described in Schedule H. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 28, 2026, Licensee Contact submitted a corrective action plan to Licensing. The corrective action plan included: Management will review reporting requirements and implement procedures to ensure incidents are reviewed promptly and reported to Licensing when required. Staff will be reminded of their reporting responsibilities The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 21, 2026
Observations: Regarding intake June 19, 2026. Through the investigation process, Licensing determined that staff were aware of allegations of physical and emotional abuse, as described in Schedule H, and did not report them to the Medical Health Officer.