Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required: Ensure all employees comply with the policies and procedures of the medication safety and advisory committee. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 3, 2021

Observations: Licensing audited the Medication Administration Records for two persons in care. The MAR for both persons in care were missing signatures for medications that were administered earlier in the day.

Description: The medication safety and advisory committee must establish and review as required policies and procedures in respect of the safe and effective storage, handling and administration of the person in care’s medications, in compliance with the Pharmacists, Pharmacy Operations and Drug Scheduling Act

Corrective Actions Required: Ensure the medication safety and advisory committee establishes and reviews as required policies and procedures in respect of the safe and effective storage, handling, and administration of the person in care's medications, in compliance with the Pharmacists, Pharmacy Operations and Drug Scheduling Act. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 3, 2021

Observations: Licensing requested to see the policies and procedures established by the medication safety and advisory committee. The manager was unaware of such policies and could not produce any.

Description: Written policies and procedures for facility outbreak prevention and control

Corrective Actions Required: Ensure there are written policies and procedures for facility outbreak prevention and control.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 3, 2021

Observations: Licensing requested to see a policy and procedure for facility outbreak prevention and control. Manager was unable to locate this.

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required: Ensure each person in care is weighed at least once each month. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 3, 2021

Observations: Licensing reviewed the weight records for persons in care. Two persons in care were missing a weight record for October 2021.