Description: Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer

Corrective Actions Required: Ensure that if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On August 28, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that all nursing staff were to review reportable incidents and appropriate timing with sign-off sheets by September 15, 2025. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 15, 2025

Observations: Regarding intake August 5, 2025. Through the investigation process, Licensing determined that a reportable incident involving a person in care was not immediately reported.