Songhees Nation Head Start

No violations recorded at this inspection.

• A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child

  Observation. Licensing observed three cans of Frebreeze on the side of toilet in the Group Child Care (Under 36 Months) program accessible to the children in care. Licensing observed this placed up high on the shelf at the time of inspection.

  Corrective action. Ensure children do not have access to any object and substance that may be hazardous to the health and safety of a child.

  3000 - CCLR 17
• A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]

  Observation. Licensing observed that an emergency drill had not been recorded in the last year. Licensing observed this recorded at the time of inspection as staff stated they had conducted an emergency drill but had not recorded.

  Corrective action. Ensure emergency drills are conducted and recorded once a year.

  3020 - CCLR 56(1)(c)
• Applicants for licences and licensees must notify a medical health officer immediately of any change in the information provided under section 9

  Observation. Licensing observed the Care Group Child Care( 30 Months to School Age) was under construction in the bathroom. The children were not in care while the construction was being completed. Licenisng was not notified of the construction in the Group Child Care (30 months to School Age) program.

  3070 - CCLR 10(1)
• 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

  Observation. Licensing observed that the outdoor log was not regularly checked as it was dated 2024. Last date recorded was April 9, 2025. Staff stated that a daily check was conducted but not recorded.

  3070 - CCALA 7(1)(b)(i)
• 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.

  Observation. Licensing observed one staff working in the Preschool room with one child that was a Responsible Adult. The staff stated they were a qualified teacher through the Ministry. Child Care Licensing Regulations require an ECE for this category of care as per Schedule E.

  Corrective action. Ensure ratio of employees to children attending he community care facility is no less than that permitted in Schedule E.

  3030 - CCLR 34(2)(b)

No violations recorded at this inspection.

• 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)

  Observation. Licenisng observed the facility licence had name of manager that has not worked at the facility for over a year.

  Corrective action. Ensure Licensee replaces an absent manager who has is absent for 30 consecutive days or more with a person qualified to be manager.

  3010 - CCLR 37(3)(b)
• 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.
  3080 - CCLR 11(4)
• 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
  3010 - CCLR 19(1)(c)
• 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
  3010 - CCLR 19(1)(d)

• 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.

  Observation. 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.

  3080 - CCLR 11(4)
• 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

  Observation. Licensing audited seven staff files and observed one missing record of work history.

  Corrective action. Ensure all staff files have record of work history.

  3010 - CCLR 19(1)(c)
• 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

  Observation. Licensing audited seven staff files and observed one did not have a copy of certificate or other evidence of training.

  Corrective action. Ensure all staff files have record for copies of any diploma, certificate or other evidence of training.

  3010 - CCLR 19(1)(d)
• 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)

  Observation. Licenisng observed the facility licence had name of manager that has not worked at the facility for over a year.

  Corrective action. Ensure Licensee replaces an absent manager who has is absent for 30 consecutive days or more with a person qualified to be manager.

  3010 - CCLR 37(3)(b)

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)
• Log kept of all inspections, maintenance & repairs
  3070 - SPS DOLSOP (Log Kept)

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited seven children's files and one file was missing a name and telephone number of a medical practitioner.

  Corrective action. Ensure that all children's files contain a record of medical practitioner's name and telephone number.

  3070 - CCLR 57(2)(d)
• Log kept of all inspections, maintenance & repairs

  Observation. Licensing observed that the playground check log had not been completed in the month of February 2024. The staff stated that the outdoor play checks had been conducted but not recorded.

  Corrective action. Ensure that a log is kept of all inspections, maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)

No violations recorded at this inspection.

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited seven children's files and two children's files were missing name and telephone number of a medical practitioner.

  Corrective action. Ensure that all children's files contain a name and telephone number of a medical practitioner.

  3070 - CCLR 57(2)(d)
• 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

  Observation. Licensing audited six staff files and one staff file was missing a record of character references obtained.

  Corrective action. Ensure that all staff files contain a record of character references obtained.

  3010 - CCLR 19(1)(b)
• 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

  Observation. Licensing audited six staff files and one staff file was missing a record of work history/resume.

  Corrective action. Ensure that all staff files contain a record of work history/resume.

  3010 - CCLR 19(1)(c)
• 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

  Observation. Licensing audited six staff files and one was missing a certificate.

  Corrective action. Ensure that all staff files contain a copy of diplomas/certificates/evidence of training/skills/obtained for employees.

  3010 - CCLR 19(1)(d)

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited seven children's files and two children's files were missing name and telephone number of a medical practitioner.

  Corrective action. Ensure that all children's files contain a name and telephone number of a medical practitioner.

  3070 - CCLR 57(2)(d)
• 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

  Observation. Licensing audited six staff files and one was missing a certificate.

  Corrective action. Ensure that all staff files contain a copy of diplomas/certificates/evidence of training/skills/obtained for employees.

  3010 - CCLR 19(1)(d)
• 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

  Observation. Licensing audited six staff files and one staff file was missing a record of work history/resume.

  Corrective action. Ensure that all staff files contain a record of work history/resume.

  3010 - CCLR 19(1)(c)
• 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

  Observation. Licensing audited six staff files and one staff file was missing a record of character references obtained.

  Corrective action. Ensure that all staff files contain a record of character references obtained.

  3010 - CCLR 19(1)(b)

No violations recorded at this inspection.

No violations recorded at this inspection.

• A licensee must ensure that children have at all times immediate access to an employee who holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C,

  Observation. Licensing reviewed staff file and the First Aid certificate was expired on March 18, 2022.

  Corrective action. Ensure that children have at all times immediate access to an employee who holds a valid first aid and CPR certificate.

  3010 - CCLR 23(1)(a)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing audited six children's files and two were missing immunization status.

  Corrective action. Ensure that all children's files have immunization status on file.

  3070 - CCLR 57(2)(a)

No violations recorded at this inspection.

No violations recorded at this inspection.