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

01-Sep-2021

Subject

["Recordkeeping (Includes issues such as not keeping records, insufficient records, care planning issues, health care consent, admission records.)","Health and Safety"]

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

Code

Category/Description

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:

Corrective action: Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On October 5, 2021, Licensee submitted a corrective action plan to Licensing. The corrective action included, on October 14, 2021, the Behaviorist reviewed the person in care's care plan, the care plan was in process of being revised to include no restrictions for outings and all staff were aware the person in care had no restrictions for outings. This corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. Follow Up inspection required. On March 28, 2022, Licensing received a copy of the person in care's revised behaviour care plan.