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 toured the facility on this date and checked the hot water temperature in person in care's rooms on three separate floors. Water temperatures did not exceed 49 degrees Celsius.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that all furniture and equipment for use by persons in care are maintained in a good state of repair,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility on this date. Two dresser handles that were previously broken had been repaired.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the electronic Medication Administration Record (eMAR) between December 13 and 19, 2024. All medications appeared to be signed and coded for by employees as per the Medication Safety and Advisory Committee (MSAC) policies.

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

To Be Corrected By:

Observations:

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 in care is weighed at least once each month.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: March 12, 2025

Observations: Licensing audited 19 person in care's weight records for the last six months. Three persons in care had a missing monthly weight in July 2024.

Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited three medication carts and rooms. There were no expired medications.

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

To Be Corrected By:

Observations: