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
March 11, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - RCR 37(1)(b)
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: character references in respect of the person
Corrective Actions Required: Ensure that all staff files contain character references.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 11, 2022
Observations: Licensing reviewed 23 staff files. One staff file did not contain character references.
3070 - RCR 81(3)(a)(i)
Description: A care plan must include all of the following: a plan to address medication, including self-administered medication if approved under section 70 (4) [administration of medication],
Corrective Actions Required: Ensure that all care plans include a plan to address medication administration.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 11, 2022
Observations: Licensing reviewed 18 care plans. One plan did not contain a plan to address medication administration.
3070 - RCR 81(3)(b)
Description: A care plan must include all of the following: an oral health care plan
Corrective Actions Required: Ensure that all care plans include an oral care plan.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 11, 2022
Observations: Licensing reviewed 18 care plans/file. One care plan did not include an oral care plan.
3080 - RCR 69(3)(a)
Description: A licensee must ensure that all medications in the community care facility are safely and securely stored.
Corrective Actions Required: Ensure that all medications in the community care facility are safely and securely stored.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 11, 2022
Observations: Licensing toured the facility and found prescription creams in persons in care rooms throughout the facility.