Description: A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing tested the water temperature in two sinks which read 44.0 degrees Celsius and 45.0 degrees Celsius.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure that policies and procedures are reviewed and, if necessary, at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2024

Observations: Licensing audited the policies and procedures. The Manager stated some policies and procedures had not been reviewed within the last year.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: if the licensee provides a type of care described as Substance Use, the monitoring of persons in care, including the use of electronic surveillance

Corrective Actions Required: Ensure that there are written policies and procedures in respect of the monitoring of persons in care, including the use of electronic surveillance.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2024

Observations: Licensing audited the policies and procedures. There was no policy regarding the monitoring of persons in care, including the use of electronic surveillance.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act, before admitting an adult to the community care facility.

Corrective Actions Required: Ensure that there are written policies and procedures in respect of obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act, before admitting an adult to the community care facility.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2024

Observations: Licensing audited the policies and procedures. There was no policy and procedure related to obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act.

Description: Written policies and procedures for facility outbreak prevention and control

Corrective Actions Required: Ensure there are written policies and procedures for facility outbreak prevention and control.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2024

Observations: Licensing audited the policies and procedures. There was no policy related to facility outbreak prevention and control.

Description: A licensee must keep a record of the following matters respecting food services menus and menu substitutions

Corrective Actions Required: Ensure that a record of menu substitutions is kept for the facility.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 22, 2024

Observations: Licensing reviewed the menu and menu substitution record. The Manager stated there was no menu substitution record.