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
March 4, 2026
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3030 - CCLR 51(1)(a)
Description: A licensee must ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance,
Corrective Actions Required: Ensure that behavioural guidance is appropriate to the age and development of the child who is receiving the guidance. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: The Licensee would take four courses related to behavioural guidance and working with challenging behaviours, to be completed by March 3, 2026 The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee: On March 3, 2026, Licensing received evidence that all courses had been completed by the Licensee and certificates had been submitted to Licensing.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Related to intake dated January 28, 2026. Through the investigation process, Licensing determined the Licensee did not use appropriate behavioural guidance with children.
3030 - CCLR 52(1)(b)
Description: A licensee must ensure that a child, while under the care or supervision of the licensee, is not subjected to confinement or physical restraint by an employee, except as authorized in a child care plan if the plan includes instructions respecting behavioural guidance.
Corrective Actions Required: Ensure that a child, while in care, is not subjected to confinement or physical restraint, unless authorized in the child's care plan. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: The Licensee would take four courses related to behavioural guidance and working with challenging behaviours, to be completed by March 3, 2026 The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee: On March 3, 2026, Licensing received evidence that all courses had been completed by the Licensee and certificates had been submitted to Licensing.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Related to intake dated January 28, 2026. Through the investigation process, Licensing determined the Licensee restrained a child in care as a form of behavioural guidance.
3030 - CCLR 52(1)(c)
Description: A licensee must ensure that a child, while under the care or supervision of the licensee, is not subjected to any of the following:
(c) harsh, belittling or degrading treatment by an employee or another child, whether verbal, emotional or physical, that could humiliate the child or undermine the child’s self respect
Corrective Actions Required: Ensure that a child, while in care, is not subjected to harsh, belittling or degrading treatment by a staff that could humiliate the child or undermine the child's self respect. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: The Licensee would take four courses related to behavioural guidance and working with challenging behaviours, to be completed by March 3, 2026 The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee: On March 3, 2026, Licensing received evidence that all courses had been completed by the Licensee and certificates had been submitted to Licensing.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Related to intake dated January 28, 2026. Through the investigation process, Licensing determined the Licensee used belittling or degrading treatment towards children in care.
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 to operate the facility in a manner that will promote the health, safety and dignity of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On February 9, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: Licensee conducting monthly staff meetings and weekly staff check ins. Additionally the Licensee would take four courses related to behavioural guidance and working with challenging behaviours, to be completed by March 3, 2026. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee: On March 3, 2026, Licensing received evidence that all courses had been completed by the Licensee and certificates had been submitted to Licensing. Licensing to follow up on staff meetings and weekly check ins.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 9, 2026
Observations: Related to intake dated January 28, 2026. Through the investigation process, Licensing determined the Licensee did not demonstrated the skills necessary for the role, specifically around her guidance and tone towards children and staff.