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
October 20, 2021
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3030 - RCR 83(5)(a)
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: Ensure that if a person in care refuses or is unable to be weighted, the reason why must be recorded. 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: January 20, 2022
Observations: Licensing audited two person in care's charts. One person in care did not have weights recorded for August and September 2021. The Nurse stated the person in care was not weighed as they were not home at the time of monthly weights being completed.
3060 - RCR 49(1)
Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure that all persons admitted to a community care facility comply with the Province's immunization and tuberculosis control programs. 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 20, 2021
Observations: Licensing audited two person in care's charts. One person in care did not have a record of a tuberculosis test.
3070 - RCR 83(4)(a)
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 each person is weighed at least once each month. 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: January 20, 2022
Observations: Licensing audited two person in care's weight records. One person in care did not have weights recorded for August and September 2021.
3090 - RCR 55(1)(a)(i)
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 there is an ongoing planned program of physical, social and recreational activities suitable to the needs of the persons in care. 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 20, 2021
Observations: Licensing did not observe an ongoing planned program of physical, social and recreation activities suitable to the needs to the person in care.