Description: A licensee must ensure that, at all times, the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to assist persons in care with activities of daily living, including eating, mobility, dressing, grooming, bathing and personal hygiene, in a manner consistent with the health, safety and dignity of persons in care.

Corrective Actions Required: Ensure that employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to assist persons in care with activities of daily living, including eating, mobility, dressing, grooming, bathing and personal hygiene, in a manner consistent with the health, safety and dignity 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 11, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included reminders to all staff at weekly meetings to ensure all care was provided, report to team lead and document when unable to complete care which was completed on December 5, 2025, staff would be reminded of strategies and resources to complete weekly baths when short staffed, the staffing contingency plan would be re-evaluated and communicated to nurses by March 17, 2025, and random audits of the bath checklist would be completed between February 11 to April 11, 2025. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 10, 2025

Observations: Through the investigation process, Licensing determined that employees on duty were not sufficient in numbers or organized in an appropriate staffing pattern, to assist persons in care with bathing.

Description: A licensee must ensure that a person in care is not, while under the care or supervision of the licensee subjected to any of the following types of abuse or neglect, as described in section 1 of Schedule D: neglect

Corrective Actions Required: Ensure that a person in care is not, while under the care or supervision of the Licensee, subjected to neglect. 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 11, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included reminders to all staff at weekly meetings to ensure all care was provided, report to team lead and document when unable to complete care which was completed on December 5, 2025, staff would be reminded of strategies and resources to complete weekly baths when short staffed, the staffing contingency plan would be re-evaluated and communicated to nurses by March 17, 2025, and random audits of the bath checklist would be completed between February 11 to April 11, 2025. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 10, 2025

Observations: Through the investigation process, Licensing determined that two persons in care did not receive a bath for fourteen days.