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
March 2, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
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: Ensure a person is not employed 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 copies of any diplomas, certificates or other evidence of the person's training and skills.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing audited three of three staff files; of which one was missing copies of any diplomas, certificates or other evidence of the person's training and skills.
3010 - CCLR 19(1)(f)
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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
Corrective Actions Required: Ensure a person is not employed 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 evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing audited three of three staff files; of which one was missing evidence that the person has complied with the Province's immunization and tuberculosis control programs.
3010 - CCLR 19(4)(a)
Description: A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry
Corrective Actions Required: Ensure a person is not employed in a community care facility as an educator or an assistant unless the person holds a certificate, which must be verified by the licensee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing audited three of three staff files; of which one was missing verification of ECEA certificate.
3030 - CCLR 34(1)
Description: A licensee must ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.
Corrective Actions Required: Ensure that children are adequately supervised by qualified employees in sufficient numbers to meet the needs of each child.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing inquired about washroom supervision. Manager stated children attend in pairs and are not supervised by an employee.
3070 - CCLR 55(2)(a)
Description: A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee,
Corrective Actions Required: Ensure the medical health officer is notified within 24 hours after
a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing observed an incident in the minor incident log book, dated January 18th, indicating a child had been missing and wandering.
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 for each child, a record is kept showing the following information: 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: April 4, 2022
Observations: Licensing audited five of nine children's records; of which one was missing immunization status.
3070 - SPS DOLSOP (Log Kept)
Description: Log kept of all inspections, maintenance & repairs
Corrective Actions Required: Ensure log is kept of all inspections, maintenance & repairs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 4, 2022
Observations: Licensing observed outdoor inspection log had not been kept since February 8th.