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
April 23, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - 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 that the community care facility is operated in a manner that promotes the health, safety and dignity of persons in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2024
Observations: Licensing observed that four rooms of persons in care contained cleaning products.
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 medications are safely and securely stored.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2024
Observations: Licensing observed that four rooms of persons in care contained topical medication that was not safely and securely stored.
3060 - RCR 49(1)
Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure that all persons admitted to a community car facility comply with the Province's immunization and tuberculosis control program.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2024
Observations: Licensing audited thirteen records of persons in care and six did not contain immunization records.
3070 - RCR 78(2)(b)
Description: A licensee must keep, for each person in care, a medication administration record showing the date, amount and time at which the medication was administered.
Corrective Actions Required: Ensure that for each person in care, their medication administration records show the date, amount and time at which the medication was administered.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 24, 2024
Observations: Licensing audited one month of the electronic medication administration records for persons in care and eight records showed as overdue and did not indicate whether the medication had been administered by staff.