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
October 31, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required: Ensure all rooms and common areas are maintained and in a good state of repair.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 30, 2022
Observations: Licensing toured the facility and observed a plywood wall with plaster on it and not painted. Licensing observed a closet door removed from a closet in the upstairs hallway.
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 all employees comply with the policies and procedures of the Medication Safety and Advisory Committee.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 30, 2022
Observations: Licensing audited the Medication Administration Record of two person's in care. One person in care did not have an evening medication signed for on October 30, 2022. One person in care did not have a evening medication signed for on October 20, 25, and 26, 2022. Both person in care Medication Administration Record were missing a record of reason and result for the administration of PRN medication for multiple days in October, 2022.
3070 - RCR 83(4)(a)
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 each person in care is weighed once a month.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 30, 2022
Observations: Licensing audited the charts of two person's in care. There was no weight record for all of 2022 for one person in care. There was no weight record for September 2022 for one person in care.