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
December 12, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - SPS DOLSOP (Clearance)
Description: A 1.8 metre (6 feet) clearance around equipment is considered safest
Corrective Actions Required: Ensure six feet clearance around equipment is considered safest.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licensing observed that three different pieces of equipment containing slides and climbing had been situated immediately next to each other containing no clearance. A red slide was also observed situated next to the facility fence with no clearance.
3000 - SPS DOLSOP (Hard surfaces)
Description: Equipment must not be installed over concrete, asphalt or other hard surfaces (may include dry grass
Corrective Actions Required: Ensure equipment is not installed over hard surfaces.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licenisng observed that a red slide with step ladder, a composite climber with a slide, a green slide and a climber with climbing holes and walls had been installed over hard grass surfacing.
3010 - CCLR 19(1)(c)
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 record of the person’s work history
Corrective Actions Required: Ensure a record is obtained of a person's work history.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licensing audited three staff files, one file was missing a record of work history for a person employed.
3020 - CCLR 56(1)(c)
Description: A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]
Corrective Actions Required: Ensure current record are kept respecting compliance with section 22 (2) (b) and (c).
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licenisng observed that a record had not been kept of the yearly emergency drill practiced.
3030 - CCLR 34(2)(b)
Description: Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Corrective Actions Required: Ensure staff to child ratio is maintained as permitted in Schedule E.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 12, 2025
Observations: Licensing observed that the ECE working at this facility left the program through a door that connects 940 and 938 Walfred Road, switching with the ECEA that was working at another facility and not ensuring staff to child ratio was maintained as an ECE is required in the Mutli Age Child Care category of care.
3070 - CCLR 10(1)
Description: Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9
Corrective Actions Required:
Corrective Actions Taken By Licensee: Ensure notification of any changes in information provided under Section 9.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 13, 2025
Observations: Licensing observed an Educator transfer between two residences [both licenced community care facilities] by way of a door that connected one licenced facility to the second facility at time of inspection. Licensing reviewed a plan, received on August 8, 2023, was not being followed, which indicated both licenced community care facilities would be physically separated [separate legal addresses] and a door that connected the two residences allowing common access would remain locked and physically separated at all times.
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 a record is kept for each child showing name and telephone number of medical practitioner.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licensing audited five children's files, one file was missing name and telephone number of medical practitioner.
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 a community care faiclity 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 2, 2024
Observations: Licensee stated a Ford passenger van had been purchased and that 12 children were being transported to activities with one ECE and one ECEA. This was not following an approved Corrective Action Plan dated July 14, 2023 that stated that Licensee will be transporting all children to outings.