Description: A licensee must keep the following records in respect of each employee: character references

Corrective Actions Required: Ensure character references are kept in respect of each employee. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 3, 2021

Observations: Licensing reviewed two staff files. One staff file did not have any character references stored on the Employee file.

Description: A care plan must include all of the following: a nutrition plan that assesses a person in care’s nutrition status,

Corrective Actions Required: Ensure a nutrition plan that assesses a person in care's nutrition status is included in the care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 3, 2021

Observations: Licensing reviewed care plans for two persons in care. One person in care did not have a nutrition plan stored on their electronic file.

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 persons in care's medications are returned to the dispensing pharmacy if the expiry date on the medication has passed. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 3, 2021

Observations: Licensing inspected the medication cabinet. There were several expired medications located in the medication cabinet.