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

Braefoot Childcare Program

Facility Type: Child Care - 300

Follow-Up

March 2, 2023
Score & Grade: 0 Grade:
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 valid criminal record checks on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 17, 2022
Observations: Licensing audited nine staff files; three had criminal record checks from a different organization and one did not have a criminal record check.
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:
Corrective Actions Taken By Licensee: Licensing observed references for staff files. Additionally, Licensee Contact stated staff without references were no longer working.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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:
Corrective Actions Taken By Licensee: Licensing observed copies of any diplomas, certificates or other evidence of the person's training and skills on file. Additionally, Licensee Contact stated if the staff did not provide the documentation they were not working in the programs.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 a community care facility is no less than that permitted in Schedule E.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 23, 2023
Observations: Licensing observed one staff with no qualifications as a Responsible Adult (RA) working in the Group Child Care (30 Months to School Age) program covering for a break for the RA who was acting as an Early Childhood Educator Assistant (ECEA) who was absent. Licensing observed the RA come back into ratio. Additionally, Licensing observed the staff with no RA qualifications drop off two children to the facility from completing bus pick ups from school in the Group Child Care (School Age) program. A Responsible Adult is required to be in ratio at all times in the Group Child Care (School Age) program.
3060 - CCLR 46(1)
Description: A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing did not observe children eating on mats on the floors this date.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: