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)
Non-Visit Follow-up
October 17, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 29(1)(a)
Description: A licensee must provide, at no cost to the person in care, each person in care with bedroom furnishings, including a safe, secure place in which the person in care may store valuable property
Corrective Actions Required: Ensure a Licensee provides, at no cost to the person in care, each person in care with bedroom furnishings, including
a safe, secure place in which the person in care may store valuable property.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 22, 2022
Observations: Licensing observed two person in care bedrooms. Neither bedrooms had a safe, secure place to store valuable property.
3000 - 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: September 23, 2022
Observations: Licensing observed an unlocked medication cabinet in an unlocked room.
3060 - RCR 39(1)
Description: A licensee must not continue to employ a person in a community care facility who does not provide to the licensee evidence of continued compliance with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure that a Licensee does not continue to employ a person in a community care facility who does not provide the Licensee of evidence continued compliance with the Province's TB control program.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 22, 2022
Observations: Licensing audited three staff files. One file did not contain a TB information.
3060 - RCR 39(1)
Description: A licensee must not continue to employ a person in a community care facility who does not provide to the licensee evidence of continued compliance with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing received documentation confirming person in care's compliance with the tuberculosis control programs.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
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 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 Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 22, 2022
Observations: Licensing reviewed two person in care files. Both files were missing consent forms to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
3080 - CCALA 7(1)(b)(i)
Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care
Corrective Actions Required: Ensure all cleaning agents, chemical products and other hazardous materials are safely and securely stored.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 23, 2022
Observations: Licensing observed an unlocked storage room for cleaning agents, chemical products and other hazardous materials.