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
January 14, 2026
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3020 - CCLR 56(2)
Description: A licensee must ensure that the policies and procedures referred to in subsection (1) are implemented by employees.
Corrective Actions Required: Ensure that the policies and procedures referred to in subsection (1) are implemented by employees.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed a record of a minor incident where a child was made to take time away from play and was not allowed to have toys. The facility Behaviour Guidance policy does not guide staff to use this type of approach. The facility Behaviour Guidance policy was not implemented by the employee.
3040 - CCLR 53(1)(a)
Description: If a licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child’s parent or in the child’s record or care plan
Corrective Actions Required: Ensure that if a Licensee has agreed with a parent to give a child any medication prescribed by a medical practitioner or provided by the parent, the Licensee and his or her employees must ensure that the medication is (a) administered to the child in the amount and at the times specified by the child's parent or in the child's record.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed a medication was prescribed to a child by a medical practitioner and the medication was provided to the facility by a parent. There was no record what the Licensee had agreed to with the parent and there was no indication of the amount or times indicated by the child's parents in the child's record.
3070 - CCLR 57(2)(a)
Description: A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.
Corrective Actions Required: Ensure that a record is kept for each child showing all of the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed 11 children's files. One children's file was missing the medical insurance number and immunization status.
3070 - CCLR 57(2)(c)
Description: A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure
Corrective Actions Required: Ensure that a record is kept for each child showing the following information: daily attendance record, indicating for each day whether the child is absent or, if the child is present, the arrival and departure time.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed attendance records had the arrival time, however, in December 2025, five attendance records were missing the departure time.
3070 - CCLR 57(2)(d)
Description: A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
Corrective Actions Required: Ensure that a records is kept for each child showing showing the following information: name and telephone number of a parent, medical practitioner and emergency contact.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed eleven children's files. Two children's files were missing an emergency contact.
3070 - CCLR 57(2)(i)
Description: A licensee must keep, for each child, a record showing the following information:(i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency
Corrective Actions Required: Ensure that a record is kept for each child showing the following information: a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 30, 2026
Observations: Licensing observed eleven children's files. Two children's files were missing a photo or digital image of the child.
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 that a a record is kept in writing from a parent, and maintained at the community care facility, consent to release a child to someone other than the parent.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 14, 2026
Observations: Licensing observed eleven children's files. Two children's files were missing written consent to release a child to someone other than a parent.