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
August 29, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - RCR 86(b)
Description: A licensee must keep the following records in respect of each employee: character references
Corrective Actions Required: Ensure a record of character references are kept for each employee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 9, 2024
Observations: Licensing reviewed nine staff files and two staff files did not have character references.
3080 - CCALA 7(1)(b)(i)
Description: A licensee must 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 facility is operated in a manner that promotes 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: October 9, 2024
Observations: This contravention was carried over from Routine Inspection dated March 21, 2024. On this date, the Licensee had not followed the voluntary terms and conditions on a previously approved exemption for the Director of Culinary Services. Licensing has received a revised exemption from the Licensee which was in process.
3080 - RCR 69(1)(a)
Description: A licensee must ensure that a pharmacist packages all medications
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed pharmacy labels on two medications.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: