Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: the continuing education of managers and employees

Corrective Actions Required: Ensure there is a written policy and procedure on the continuing education of managers and employees.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: April 30, 2026

Observations: Licensing audited the policy and procedure manual. There was no written policy on continuing education of managers and employees.

Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required: Ensure that each person in care on admission has an assessment to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: April 30, 2026

Observations: Licensing audited two person in care files. None included an assessment of the person in care on admission to determine the risk that they may leave the community care facility without notification of an employee.

Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Required: Ensure that medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: April 13, 2026

Observations: Licensing audited the medication cart. Two medications had expiry dates which had passed.