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
February 20, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3070 - RCR 81(3)(a)(ii)
Description: A care plan must include all of the following: a plan to address behavioural intervention, if applicable
Corrective Actions Required: Ensure that if a person in care has behaviours, that they have a care plan to address behavioural interventions.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 20, 2024
Observations: Licensing reviewed four person in care's care plans. One person in care's care plan indicated the person in care had some behavioural needs but there was no plan or behavioural interventions included in the care plan.
3070 - RCR 81(3)(e)(iii)
Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care
Corrective Actions Required: Esnure that if a person in care is prone to falling, that they have a fall prevention plan which addresses a plan to follow up on falls suffered by the person in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 20, 2024
Observations: Licensing reviewed four person in care's care plans and found all care plans to be missing a plan to follow up on falls suffered by the persons in care.
3070 - RCR 81(3)(f)(ii)
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: Ensure that if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, there is a plan to locate the person in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: March 20, 2024
Observations: Licensing reviewed four person in care's care plans and two persons in care who were actively exit seeking, did not have a plan to locate the person in care if they left without notification.