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

Complaint Investigation

Inspection Information

Facility Type

Residential Care - 400

Received Date

07-Jun-2024

Subject

["Sexual Abuse"]

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code

Category/Description

3080 - CCALA 7(1)(b)(i) 
 

A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Observation: Through the investigation process, Licensing determined that the Licensee did not ensure the health, safety, and dignity of a person in care.

Corrective action: Ensure the community care facility operated in a manner that will promote the health, safety, and dignity of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 22, 2024, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that on July 8, 2024, persons in care were relocated to the new build, Providence Living at The Views, the facility's physical changes included private rooms, CCTV monitoring, and smaller "households" for improved staff visibility, a review was conducted to find more suitable roommates for persons in care within the new setting and a guideline for Intimacy and Sexuality in Care was developed to ensure the health and safety of persons in care. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor the corrective action plan. On September 18, 2024, Licensing conducted a Complaint Inspection and confirmed the corrective actions were implemented, units were secured and monitored by staff and equipped with CCTV cameras and Licensing also reviewed guidelines regarding sexual intimacy between persons in care.

3070 - RCR 81(4)(b)(i) 
 

A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care

Observation: Through the investigation process, Licensing determined that a person in care's care plan had not included how staff were to redirect or intervene when the person in care was engaged in sexual activity.

Corrective action: Ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 22, 2024, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that on July 8, 2024, a guideline for Intimacy and Sexuality in Care was developed to ensure the health and safety of persons in care. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. On September 18, 2024, Licensing conducted a Complaint Inspection and reviewed the guidelines for Intimacy and Sexuality in Care.

3070 - RCR 82 
 

A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care’s care plan.

Observation: Through the investigation process, Licensing determined staff did not follow the care plan for a person in care.

Corrective action: Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On July 22, 2024, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that on July 8, 2024, a guideline for Intimacy and Sexuality in Care was developed for staff to follow and was implemented to ensure the health and safety of persons in care. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor the corrective action plan. On September 18, 2024, Licensing conducted a Complaint Inspection and reviewed the guidelines for Intimacy and Sexuality in Care.