Description: Staff Trained Ensure that trained staff are available to administer Naloxone to persons in care when persons in care are on the premises of the licensed facility or away from the premises and remain under the care of facility staff.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed certificates of completion for Naloxone administration training for staff, as well as a two Naloxone kits on-site.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Required: Ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer to ensure that the employee demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 21, 2024

Observations: This item has been carried forward from Routine Inspection dated August 5, 2022. This item was unable to be corrected today as staff files were not audited due to being located at the head office.

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure to review and if necessary, revise the policies and procedures at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 21, 2024

Observations: This item has been carried forward from Routine Inspection dated August 5, 2022. Licensing reviewed the policy and procedure binders and with the exception of two policies, the majority had not been reviewed in the last year.

Description: If a person in care refuses or is unable to be weighed, the licensee must record in the nutrition plan of the person in care the reason why the person in care was not weighed

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the monthly weight records for four persons in care, and did not observe any persons in care who had refused to be weighed.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the monthly weight records for four persons in care, and observed that all persons in care had a monthly weight recorded for January through May, 2024.

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 audited the medication cabinet and did not observe any expired medications.

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

To Be Corrected By:

Observations: