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
April 24, 2025
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - CCLR 19(1)(b)
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: (b) character references in respect of the person
Corrective Actions Required: Ensure all staff files have a record of character references.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2025
Observations: Licensing audited seven staff files and observed one file missing character references.
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 all staff files have record of work history.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2025
Observations: Licensing audited seven staff files and observed one missing record of work history.
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 all staff files have record for copies of any diploma, certificate or other evidence of training.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2025
Observations: Licensing audited seven staff files and observed one did not have a copy of certificate or other evidence of training.
3010 - CCLR 37(3)(b)
Description: Despite the employee qualifications required by Column 4 of the table in section 1 of Schedule E [group sizes and employee to children ratios], a licensee must replace an absent employee described in Column 1 of the following table who is absent (b) for 30 consecutive days or more with a person described in Column 3 opposite that employee and the row in Column 2 labelled as '= 30 days' (see table listed under Absent employees in CCLR)
Corrective Actions Required: Ensure Licensee replaces an absent manager who has is absent for 30 consecutive days or more with a person qualified to be manager.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 8, 2025
Observations: Licenisng observed the facility licence had name of manager that has not worked at the facility for over a year.
3080 - CCLR 11(4)
Description: A licensee must display in a prominent place in the community care facility the certificate of any educator or assistant employed to work in the community care facility.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Ensure certificates or copy of the certificates of any educator or assistant employed are displayed in a prominent place.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 23, 2025
Observations: Licensing observed two educator certificates in the Group Child Care (Under 36 Months) program not posted and two missing educator certificates in the Group Child Care (30 Months to School Age) program not posted in a prominent place at the time of inspection.