Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair

Corrective Actions Required: Ensure that all rooms and common areas are maintained in a good state of repair.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 13, 2022

Observations: Licensing toured the facility and noted scrapes and gouges out of the wall in the dining room area on the sixth and fourth floors and to a person in care's wall in their room on the sixth floor.

Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and audited three Narcotic Count Records for October 2022. All Narcotic counts were co-signed by staff.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A licensee must ensure that all medications in the community care facility are safely and securely stored.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and observed all medication safely and securely stored.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

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:

Corrective Actions Taken By Licensee: Licensing toured the facility and audited three medication rooms. All medications were within their expiry date.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations: