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
November 21, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - SPS DOLSOP (Depth)
Description: Depth guidelines for loose fill material (if protective surfacing used) :
minimum 15 cm (6”) for 1.5 metre (5’) equipment height
minimum 30 cm (12”) for 2.3 metre (7’) equipment height
(Consider surfacing table, Triax, etc.)
Corrective Actions Required: Ensure a minimum of 6" in protective surfacing underneath equipment that is 5 feet in height.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 20, 2024
Observations: Licensing observed that the pea gravel underneath composite climber measuring 5' in height and a swing bay measuring 5' in height was hard. Due to this hardness, Licenisng used the depth measuring tool and was unable to detect any amount of protective surfacing underneath equipment.
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 a valid Criminal Record Check is obatined for employees.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 19, 2024
Observations: Licenisng audited two staff files, one file for an Early Childhood Educator working on this date had expired on April 23, 2023 and a second had not been obtained for the Early Childhood Educator Assistant working on this date.
3080 - 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 operates in a manner that will promote the health, safety and dignity of persons in care
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 19, 2024
Observations: Licenisng observed that a Corrective Action Plan that stated staff will have valid Criminal Record Checks in place prior to being employed at the faiclity was not being followed.
3080 - CCLR 11(4)
Description: A licensee must display in a prominent place in the community care facility the certificate of any educator or assistant employed to work in the community care facility.
Corrective Actions Required: Ensure a certificate for an educator or assistant is displayed in a prominent place in the community care facility.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 19, 2024
Observations: Licenisng observed that a certificate for an Early Childhood Educator Assistant was not displayed at the facility.