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

29-Mar-2023

Subject

["Medication (Includes issues such as missing, inappropriate use/overuse of medications, errors, etc.)"]

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: Through the investigation process, Licensing determined that the care plan of a person in care was not updated when there was a change in circumstance.

Corrective action: Ensure that each care plan is reviewed, and if necessary, modified if there is change in circumstance, at least once each year. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On May 10, 2023 Licensee submitted a corrective action plan to Licensing. This corrective action plan included: an updated care plan, which was submitted to Licensing, for the person in care. This corrective action plan was reviewed and accepted by Licensing.

3070 - RCR 81(4)(b)(ii) 
 

A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan

Observation: Through the investigation process, Licensing determined that the care plan of a person in care was not updated when there was a change in circumstance.

Corrective action: Ensure that each care plan is reviewed, and if necessary, modified if there is change in circumstance, at least once each year. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On May 10, 2023 Licensee submitted a corrective action plan to Licensing. This corrective action plan included: an updated care plan for the person in care. This corrective action plan was reviewed and accepted by Licensing.