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 persons in care are involved in a reportable incident, that the Licensee immediately notifies 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 the contravention. Action/s Required by Licensing: On July 23, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a staff meeting was to occur in early August about incident reporting and one on one meetings with each nurse would occur until all have been made aware of incident reporting requirements. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 15, 2025

Observations: Regarding intake June 25, 2025. Through the investigation process, Licensing determined that the licensee did not notify the medical health officer when persons in care were involved in a reportable incident.