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
September 9, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 17
Description: A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child
Corrective Actions Required: Ensure children do not have access to any object or substance that may be hazardous to the health or safety of a child.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 22, 2022
Observations: Licensing observed a air conditioner unit with wheels placed on top of a shelve that was accessible to children.
3000 - CCLR 17
Description: A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed the air condition out of reach from children.
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:
Corrective Actions Taken By Licensee: his item was corrected at the time of the Routine Inspection.
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 children 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: August 3, 2022
Observations: Licensing tested one sink in the bathroom where children access hot water and the temperature was 52. 2 ° Celsius. This represents an immediate risk to the health and safety of children in care and must be corrected immediately. Full compliance will not be achieved until the plan has been implemented and completed. The Licensee stated the temperature gauge was turned off . The temperature gauge was turned back on during the inspection. Licensing tested the water in the bathroom sink again and the temperature was 35.1 ° Celsius. This item was corrected during the inspection.
3070 - CCLR 57(1)(a)
Description: A licensee must keep current records for each child showing (a) the information set out in subsection (2)
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing audited one child's file that was complete.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - CCLR 57(1)(a)
Description: A licensee must keep current records for each child showing (a) the information set out in subsection (2)
Corrective Actions Required: Ensure a current record is kept for each child showing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 22, 2022
Observations: Licensing audited six children's files. One child's was missing a file with their information.
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:
Corrective Actions Taken By Licensee: Licensing audited one child's file. The immunization status had been obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 immunization status is obtained for children's records.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 22, 2022
Observations: Licensing audited six children's files. One child's file did not have their immunization status.
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:
Corrective Actions Taken By Licensee: Licensing audited one child's file. The name and telephone number of a medical practitioner was obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 the name and telephone number of a medical practitioner is obtained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 22, 2022
Observations: Licensing audited six children's files. One child's file did not have name and telephone number of a medical practitioner.
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 a photograph or digital image of the child, is obtained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 22, 2022
Observations: Licensing audited six children's files. One child's file did not have a photograph or digital image of the child.
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:
Corrective Actions Taken By Licensee: Licensing audited one child's file. A photograph had been obtained.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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:
Corrective Actions Taken By Licensee: The Licensee stated the one child aged 3.11 has alternate care and only attends when there is space for another child under 48 Months as per Schedule E.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 the community care facility is operated in a manner that will promote (i)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: August 3, 2022
Observations: Licensing approved a TPR request on July 7, 2022 to have a fifth child younger than 48 months old from July 4, 2022 to August 31, 2022. The Voluntary conditions included having an assistant working Monday to Friday for the duration of this TPR request from the hours of 9:30 a.m. to 1:30 p.m. Licensing observed the voluntary conditions for the TPR were not being followed. The Licensee stated the assistant did not start as planned