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
October 29, 2025
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 13(1)
Description: A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed that the fire extinguishers were maintained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3000 - CCLR 47
Description: A licensee, other than a licensee who provides a care program described as School Age Care on School Grounds, must ensure that any heated water accessible to children is heated to no more than 49° Celsius.
Corrective Actions Required: Ensure person in care do not have access to water greater than 49 degrees Celsius.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 26, 2025
Observations: Licensing tested seven sinks. The sink in the Multi - purpose classroom measured at 55 degrees Celsius. This represents an immediate risk to the health and safety of persons in care and must be corrected immediately. A plan for corrective action is to be submitted to Licensing on September 11, 2025. The Manager will have staff supervise children while washing their hands with cold water until the immediate risk to children in care is corrected. The manager stated that children would not be able to turn on the hot water tap until Licensing returns to reassess. Full compliance will not be achieved until the plan has been implemented and completed.
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 to obtain missing character references for each staff.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 29, 2025
Observations: Licensing audited 24 staff files. Three staff files were missing character references in respect of the person.