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
October 5, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3020 - CCLR 22(3)
Description: A licensee must display a copy of the fire drill system in a prominent place in the community care facility.
Corrective Actions Required: Ensure to display in a prominent place a copy of the evacuation diagram and procedures.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing observed no copy of fire drill system (emergency exit route) displayed in a prominent place; Licensing observed the proposed Manager state she was unaware of where it was and was unsure of the emergency exit route.
3050 - 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 to operate the community care facility 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: November 5, 2023
Observations: Licensing observed no water flush chart being maintained to record an approved corrective action plan of a two minute water tap flush daily, to mitigate the risk of the facility's water containing higher than the allowable maximum concentrate of lead in water; Licensing observed the proposed Manager state there was not currently a stock of bottled water at the facility and that they were unaware the facility water contained higher than allowable maximum concentrate limits of lead in water and that she was unaware of the corrective action plan on file.
3070 - CCLR 56(1)(f)
Description: A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.
Corrective Actions Required: Ensure to keep a current record of minor accidents/illnesses/unexpected events involving children that did not require medical attention and were not reportable incidents.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing observed no record of minor accidents/illnesses/unexpected events involving children that did not require medical attention and were not reportable.
3070 - SPS DOLSOP (Log Kept)
Description: Log kept of all inspections, maintenance & repairs
Corrective Actions Required: Ensure to keep a log of all outdoor inspections, maintenance and repairs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 5, 2023
Observations: Licensing observed no log kept of daily outdoor play space checks, maintenance and repairs.