Description: A licensee must do all of the following: operate the community care facility in a manner that will promote in the case of adult persons in care, the rights of those persons in care;

Corrective Actions Required: Ensure that the community care facility is operated in a manner that promotes the rights of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On July 22, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: staff education was to be provided on communication and reporting for transfer challenges, Resident Bill of Rights, Toileting with dignity and Use of Commode by August 15, 2025 and all care plans for persons in care using a commode for toileting, or who had challenges with toileting, would be reviewed and updated as needed by August 15, 2025. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: August 15, 2025

Observations: Regarding the intake dated June 4, 2025. Through the investigation process, Licensing determined that the Licensee did not operate the community care facility in a manner that promoted the rights of persons in care.