Complaint Investigation
Inspection Information
Facility Type
Residential Care - 400
Received Date
21-Sep-2021
Subject
["Neglect","Recordkeeping (Includes issues such as not keeping records, insufficient records, care planning issues, health care consent, admission records.)"]
Contraventions: A summary of the new contraventions found during the inspections are listed below.
Code
Category/Description
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 that the care and supervision of a person in care was not consistent with the terms and conditions of the person in care's care plan.
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 the contravention. Action/s Required by Licensing: On November 15 and 22, 2021, Licensee submitted a corrective action plan to Licensing specific to the contravention. The corrective action plan included: a care plan was updated and a communication log post was posted on November 22, 2021 for all staff regarding following the care plan. Licensing received a copy of the updated care plan and communication log post. This corrective action plan was reviewed and accepted by Licensing.
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 care plan was not modified when there was a substantial change in the circumstances of the person in care.
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 November 15 and 22, 2021, Licensee submitted a corrective action plan to Licensing specific to the contravention. The corrective action plan included: a care plan was updated for a person in care. Licensing received a copy of the updated care plan. This corrective action plan was reviewed and accepted by Licensing.