Description: Despite subsection (1), a licensee may accommodate 2 persons in care in a bedroom if fewer than 5% of the maximum number of persons in care that the community care facility is licensed to accommodate share a bedroom

Corrective Actions Required:

Corrective Actions Taken By Licensee:

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

To Be Corrected By:

Observations: Licensing observed that the exemption for the section RCR 25(2)(a) had expired July 20, 2022. Licensing observed four double bedrooms.

Description: A licensee who provides a type of care described as Long Term Care must display in a prominent place in each dining area the menu for each weekly period.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the posted menus beside the white board in the dining room.

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

To Be Corrected By:

Observations:

Description: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: a criminal record check for the person

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed 10 staff files and 10 staff files had a copy of a criminal record check.

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

To Be Corrected By:

Observations:

Description: Despite this section, a licensee may employ a person as a volunteer who does not provide care to persons or supervise persons if the licensee or manager has first met with the person and obtained all of the following: character references in respect of the person

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed 10 staff files and 10 staff files had record of character references.

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

To Be Corrected By:

Observations:

Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a nutrition manager with membership in the Canadian Society of Nutrition Management,

Corrective Actions Required: Ensure that the Food Service Manager is a member in the Canadian Society of Nutrition Management.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 29, 2023

Observations: Licensing observed that the current Food Service Manager was not a member in the Canadian Society of Nutrition Management.

Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed 10 staff files and all staff files had record of compliance with the Province's immunization and TB.

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

To Be Corrected By:

Observations:

Description: A care plan must include all of the following:if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan if the person in care leaves without notification, to locate the person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed two care plan where person in care were missing/wandering risks and both care plans had plans to locate the persons in care if missing.

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

To Be Corrected By:

Observations: