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)
Follow-Up
March 1, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 35(1)(c)
Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3000 - RCR 35(1)(c)
Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3010 - DOLSOP (Prevent Overdose Deaths Training)
Description: Licensee Training Licensee must receive training in the administration of Naloxone from their pharmacist, and must ensure that their staff also receive appropriate training
Corrective Actions Required: Ensure staff are trained to administer Naloxone or provide first aid appropriate to the situation.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 11, 2022
Observations: Licensing inspected the medication cabinet and one person in care is currently on palliative care and receiving hydro-morphone for pain management. The manager advised that no staff are currently trained to administer Naloxone or provide first aid appropriate to the situation.
3020 - DOLSOP (Immunization in Adult Care)
Description: Immunization in adult residential care facilities – Director of Licensing Standard of Practice
Corrective Actions Required: Ensure clear & up to date records of immunization status be kept for each person in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 11, 2022
Observations: Licensing reviewed the records for two persons in care. One person in care did not have any historic immunization records in their file.
3070 - RCR 86(b)
Description: A licensee must keep the following records in respect of each employee: character references,
Corrective Actions Required: Ensure employee character references are kept.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 1, 2022
Observations: Licensing audited staff files on this date. One staff file had only one character reference.
3070 - RCR 86(c)
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: Ensure records kept of evidence of employee compliance with the Province's immunization/TB control programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 1, 2022
Observations: Licensing audited staff files on this date. One staff file did not have a TB test.
3080 - DOLSOP (Supply Available)
Description: Licensees that provide care to persons who are at risk of an opioid drug overdose must obtain and maintain a supply of Naloxone and associated supples for safe administration for emergency use in the event that a person in care suffers from a drug overdose.
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations: