Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Routine
April 29, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required: Ensure 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: May 28, 2022
Observations: Licensing toured the facility and observed baseboards in the front hallways were chipped and dented. The Manager stated they would send a Health and Safety Plan to Licensing, in regards to BC Housing repairing this damage.
3000 - RCR 30(b)
Description: A licensee must ensure that all bathrooms have slip resistant material on the bottom of each bathtub and shower,
Corrective Actions Required: Ensure that all bathrooms have slip resistant material on the bottom of each bathtub and shower.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 28, 2022
Observations: Licensing toured the facility and observed the tub room did not have a slip resistant material on the bottom surface.
3000 - RCR 35(1)(c)
Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials
Corrective Actions Required: Ensure cleaning agents, chemical products and hazardous materials are stored safely and securely.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 28, 2022
Observations: Licensing toured the facility and observed a cleaning agent on an open shelf next to the tub.
3070 - RCR 81(3)(e)(iii)
Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care
Corrective Actions Required: Ensure in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan addresses a plan for following up on any falls suffered by the person in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 28, 2022
Observations: Licensing audited two person in care's care plans. One person in care, identified as being at risk for falls, had a fall prevention plan that did not include a plan for following up on falls suffered by the person in care.
3080 - RCR 72(b)
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 medications are returned to the dispensing pharmacy if expiry date on the medication has passed.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 28, 2022
Observations: Licensing audited the facility's medication cabinet and observed three medications with the expiry dates of May 2021, March 2022 and February 2022.