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
July 3, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3010 - RCR 44(2)(a)
Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a nutrition manager with membership in the Canadian Society of Nutrition Management,
Corrective Actions Required: Ensure that if there are 50 or more persons in a community care facility, that the food services manager is a nutrition manager with the Canadian Society of Nutrition Management.
Corrective Actions Taken By Licensee: Licensee has submitted a an exemption request, which remains with Licensing as pending.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 9, 2024
Observations:
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:
Corrective Actions Taken By Licensee:
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: Licensing audited the electronic Medication Administration Record. All medications were signed or coded for as per the policies and procedures of the Medication Safety and Advisory Committee.
3070 - RCR 78(3)(a)
Description: A licensee must have, and keep with each person in care’s record, consent in writing from the person in care or a parent or representative of the person in care to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness,
Corrective Actions Required: Ensure that all persons in care have written consent to call a medical/nurse practitioner or ambulance in the case of accident or illness.
Corrective Actions Taken By Licensee: Licensing reviewed the files of two persons in care. Signed consents were observed to be included in the file of one person in care. Facility manager reports one person in care remains under the Public Guardian and Trustee of BC, and states the facility will submit an exemption request for same.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: June 9, 2024
Observations: