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 the contravention. Action/s Required by Licensing: On January 20, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: On January 20, 2026, a memo was sent to nursing staff regarding immediately reporting deaths to Licensing. 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: March 10, 2026

Observations: Regarding intake November 28, 2025. Through the investigation process, Licensing determined that a person in care was involved in a reportable incident and it was not immediately reported to Licensing.