Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required: Ensure the community care facility is operated in a manner that will promote the health, safety and dignity of persons in care, specifically regarding suitability of staff members. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On March 4, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that a staff member's employment was terminated on February 10, 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: February 10, 2025

Observations: Through the investigation process, Licensing determined that a staff member did not demonstrate the skills and abilities necessary to carry out the duties as assigned.

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: physical abuse

Corrective Actions Required: Ensure that a person in care is not, while under the care or supervision of the licensee subjected to physical abuse. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On March 4, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that a staff member's employment was terminated on February 10, 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: February 10, 2025

Observations: Through the investigation process, Licensing determined that a staff member subjected a person in care to physical abuse.

Description: Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer

Corrective Actions Required: Ensure that if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to this contravention. Action/s Required by Licensing: On March 4, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: education to all staff relating to abuse, rights, whistleblower policy and incident reporting was provided on January 28, 2025, with staff sign off, and a review of what constituted a reportable incident, who was responsible for submitting and appropriate timing to report, was reviewed with the nursing staff with a staff sign off by January 28, 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 11, 2025

Observations: Through the investigation process, Licensing determined that the Licensee did not notify the medical health officer of a reportable incident.