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
August 4, 2021
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
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 current CRC's through the CRRA. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited 19 staff files and observed three missing Criminal Record Checks through the Ministry.
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 character references are obtained for all staff. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited 19 staff files and observed four staff missing character references.
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 immunization status is obtained for all staff. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited 19 staff files and observed three 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 all educators or educator assistants are verified through the ECEBC Registry. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited 19 staff files and observed three had not been verified through the ECEBC Registry.
3010 - CCLR 19(5)(b)
Description: Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: character references in respect of the person
Corrective Actions Required: Ensure character references are obtained for all volunteers. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited one volunteer file and observed character references missing.
3010 - CCLR 19(5)(c)
Description: Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or 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 immunization status is obtained for all volunteer files. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited one volunteer file and observed immunization status missing from file.
3030 - CCLR 34(2)(b)
Description: Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Corrective Actions Required: Ensure that the ratio of employees to children attending in no less than permitted in Schedule E. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited 19 staff files and observed two staff with expired ECE certificates working in ratio.
3070 - CCLR 57(3)(b)
Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Corrective Actions Required: Ensure all children's files have written consent to call someone other than parent. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By: September 3, 2021
Observations: Licensing audited ten children's files and observed two missing consent to release a child to someone other than parent.