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 13, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - CCLR 13(1)
Description: A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees
Corrective Actions Required: Ensure a health and safe environment is provided at all times.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing observed that the fire extinguisher was due for service in June 2023.
3000 - CCLR 16(4)(b)
Description: A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are safely constructed, free from hazards and in good repair.
Corrective Actions Required: Ensure all outdoor play material is free from hazards and in good repair.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing observed that one of the foot holds on the climbing wall in the Group Child Care (School Age) program was cracked and loose.
3000 - SPS DOLSOP (Equipment height)
Description: Height of equipment – Highest play surface as reported by Licensee or observed by LO: for toddlers (12 to 36 months) no more than .9 metres (3 feet) for preschool children (30 months to school age, no more than 1.5 metres (5 feet) for school-age children (attending school) no more than 2.3 metres (7 feet)
Corrective Actions Required: Ensure that the highest play surface for school aged children is no more than seven feet.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 13, 2023
Observations: Licensing observed that the climbing wall in the outdoor play space for the Group Child Care (School Age) program measured approximately nine feet in height. Staff stated that children climbed up and over this piece of equipment.
3010 - CCLR 19(1)(a)
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 criminal record check for the person
Corrective Actions Required: Ensure staff files contain a CRC.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing performed an audit of six staff files this date. One file did not contain a criminal record check (CRC).
3030 - CCLR 34(2)(b)
Description: Without limiting subsection (1), a licensee must ensure that the ratio of employees to children attending a community care facility is no less than that permitted in Schedule E.
Corrective Actions Required: Ensure ratio of employees to children is no less than that permitted in Schedule E.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: This item was carried over from Routine Inspection dated April 4, 2023. Licensing observed an Early Childhood Educator and a Responsible Adult with 11 children in the Group Child Care (30 Months to School Age) program.
3070 - CCLR 57(2)(b)
Description: A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility
Corrective Actions Required: Ensure children's files contain date of enrollment.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing performed an audit of seven children's files this date. One file was missing date of enrollment.
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 children's files contain a photo of the child that can be used to readily identify the child in an emergency.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing performed an audit of seven children's files. Two files were missing a photo of the child.
3070 - CCLR 57(3)(b)
Description: A licensee must have in writing from a parent, and maintain at the community care facility, consent (b) to release a child to someone other than the parent.
Corrective Actions Required: Ensure children's files contain consent to release to someone other than the parent.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing performed an audit of seven children's files this date. One file did not contain consent to release to someone other than the parent.
3070 - CCLR 58(2)(a)
Description: The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.
Corrective Actions Required: Ensure care plans for children with extra support are made in consultation with the child's parent and any person requested by the parent.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 27, 2023
Observations: Licensing observed there were five children with emergency medication and one child with behavioural support that did not have care plan in place.