Description: A licensee must ensure that, if necessary for the health and safety of a person in care, windows are secured in a manner that prevents a person in care from falling from, or exiting through, the window.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and observed a window in a person in care's room that was secured in a manner to prevent the person in care from exiting the window.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing checked the hot water from the main bathroom which read 44.9 Degrees Celsius.

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 rooms and common areas are maintained in a safe and clean condition.

Corrective Actions Required: Ensure that all rooms and common areas are maintained in clean condition.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 2, 2023

Observations: Licensing toured the facility and observed windows that were dirty in two person in care's rooms. Staff stated that the windows have been requested to be replaced by BC Housing.

Description: A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan

Corrective Actions Required: Ensure that each care plan is reviewed and, if necessary modified if there is no substantial change in circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is subject of the care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 16, 2022

Observations: Licensing audited two person in care's care plan which were last reviewed in April 2021.

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: Ensure that persons in care are weighed at least monthly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 2, 2023

Observations: Licensing audited two person in care's charts and there were no weight records for 2022 available.

Description: A licensee, other than a licensee who provides a type of care described as Hospice, must provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities suitable to the needs of the persons in care

Corrective Actions Required: Ensure that persons in care are have on ongoing planned program of physical, social, and recreational activities suitable to persons in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 16, 2022

Observations: Licensing observed the facility recreation calendar. The calendar did not have on ongoing planned program of physical, social, and recreational activities suitable to persons in care.