Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Complaint

December 9, 2025
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3020 - CCLR 56(1)(d)
Description: A licensee must keep current records of each of the following: written policies and procedures that are intended to guide employees in the care and supervision of children
Corrective Actions Required: Ensure that a supervision policy to guide staff in the supervision of children is created. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On November 20, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a new supervision policy, specific to continuous supervision, had been created and added to the Employee Handbook and Welcome Booklet for all on call educators to review by December 5, 2025. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 16, 2025
Observations: Regarding intake November 6, 2025. Through the investigation process, Licensing determined that a written policies and procedures intended to guide employees in care and supervision of children had not been created.
3030 - CCLR 39(1)
Description: A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.
Corrective Actions Required: Ensure that children are supervised at all times by and educator or an assistant. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On November 20, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: staff reviewed the new continuous supervision policy that was created, by December 5, 2025, the gate would not be closed before staff ensured no children were there, conversations with parents would be brief to ensure supervision of the children was a priority. The corrective action plan was reviewed and accepted by Licensing.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 16, 2025
Observations: Regarding intake November 6, 2025. Through the investigation process, Licensing determined that [child] had not be adequately supervised by staff.