Description: A licensee must keep the following records in respect of each employee: criminal record check results,

Corrective Actions Required: Ensure that criminal record check results are kept.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 22, 2025

Observations: Licensing reviewed twenty staff files and five staff files did not have criminal record check results.

Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the medical practitioner or nurse practitioner responsible for the health of the person in care.

Corrective Actions Required: Ensure persons in care have an agreement to the use of restraints given in writing by the medical practitioner or nurse practitioner responsible for the health of the person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 22, 2025

Observations: Licensing reviewed twenty-one persons in care files. Two persons in care, who had restraints, did not have a written agreement for the use of restraints by their medical practitioner.

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address an assessment of the nature of the risk of falling presented by the person in care

Corrective Actions Required: Ensure that in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, there is a fall prevention plan that addresses the nature of risk for falling presented by the person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 22, 2025

Observations: Licensing reviewed twenty-one care plans for persons in care. Two persons in care did not have a fall prevention plan which addressed an assessment of the nature of fall risk.

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for preventing the person in care from falling

Corrective Actions Required: Ensure that in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, there is a fall prevention plan that addresses a plan to prevent the person in care from falling.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 22, 2025

Observations: Licensing reviewed twenty-one care plans for persons in care. Two persons in care did not have a fall prevention plan.

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care

Corrective Actions Required: Ensure that in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, there is a fall prevention plan that addresses a plan to follow up on falls suffered by the person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 22, 2025

Observations: Licensing reviewed twenty-one care plans for persons in care. Two persons in care did not have a fall prevention plan that addressed following up on falls suffered by the person in care.