Description: A licensee must do all of the following: operate the community care facility in a manner that will promote in the case of adult persons in care, the rights of those persons in care;

Corrective Actions Required: Ensure that the community care facility is operated in a manner that promotes the rights of persons 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 February 24, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: In early January 2026 a referral was made to the Crisis Response Team related to a person in care, the person in care had a one-to-one support staff throughout the weekday evenings, as well as the weekend, they offered two persons in care one-to-one activity time outside the facility or in their own bedrooms with staff, a request was made by a person in care to temporarily relocate however this was not approved by the funding agency, a request was made to temporarily relocate another person in care however the meeting was tabled for two weeks by the funding agency, and the Licensee would continue with the support hours for the person in care until they were certain there was no longer a concern with their behaviours or until the person in care was transferred to another location. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 3, 2026

Observations: Regarding intake dated January 11, 2026. Through the investigation process, Licensing determined that the Licensee did not operate the community care facility in a manner that promoted the rights of a person in care.