Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and did not observe any wall damage in the bedrooms of persons in care, and was also shown an audit book for physical plant related maintenance.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation,

Corrective Actions Required:

Corrective Actions Taken By Licensee: On this date, Licensing was made aware that all performance reviews for staff were up to date, and Licensing reviewed a new system for keeping track of staff performance reviews and when they are due.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A licensee must keep the following records in respect of each employee: criminal record check results,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited a staff file and observed that a criminal record check result was kept on-file for that staff.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: Clear and up to date records of immunization status kept for each person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the charts and care plans for three persons in care, and observed a record of immunization kept on-file for all persons in care.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

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:

Corrective Actions Taken By Licensee: Licensing audited the charts and care plans for three persons in care and observed that all persons in care had a record of consent to call a medical practitioner, nurse practitioner, or ambulance in a case of accident or illness.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

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: March 18, 2024

Observations: Licensing toured the facility and observed a medication that was not safely or securely stored.

Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the medication room and did not observe any expired medications.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations: