Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Routine
February 2, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 29(1)(b)
Description: A licensee must provide, at no cost to the person in care, each person in care with bedroom furnishings, including a closet or wardrobe cabinet measuring at least 0.50 m2.
Corrective Actions Required: Ensure that person in care at no cost has bedroom furnishing. Action/s Required by Licensing: Follow Up Inspection to be conducted.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 2, 2022
Observations: Licensing observed no bed in person in care's bedroom. Manager stated person in care did not sleep in a bed.
3010 - RCR 68(4)
Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Corrective Actions Required: Ensure staff comply with policies and procedures of Medication Safety & Advisory Committee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 2, 2022
Observations: Licensing observed missing one staff signature for staff checker for the Narcotic Sheet.
3020 - RCR 74(1)(b)(i)
Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care,
Corrective Actions Required: Ensure written restraints agreements are signed off by representatives for persons in care with restraints.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 2, 2022
Observations: Licensing observed there were no written restraint agreements signed off by representatives for persons in care with restraints.
3020 - RCR 74(1)(b)(ii)
Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the medical practitioner or nurse practitioner responsible for the health of the person in care.
Corrective Actions Required: Ensure written restraints agreements are signed off by medical practitioner for persons in care with restraints.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 2, 2022
Observations: Licensing observed there were no written restraint agreements signed off by medical practitioner for persons in care with restraints.
3060 - DOLSOP (Immunization Records)
Description: Clear and up to date records of immunization status kept for each person in care
Corrective Actions Required: Ensure all persons in care have up to date record of immunization.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 2, 2022
Observations: Licensing observed no up to date record of immunization for persons in care.