Description: A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.

Corrective Actions Required: Ensure that water accessible to persons in care, from any source, is not heated to more than 49 degrees Celcius.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 16, 2026

Observations: Licensing audited eleven persons in cares water temperature, one room had a hot water temperature of 51.3 degrees Celsius. This represents an immediate risk to the health and safety of persons in care and must be corrected immediately. The Manager sent an immediate request to maintenance to have the water temperature lowered. Full compliance will not be achieved until the plan has been implemented and completed.

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 care facility comply with the Province's immunization and tuberculosis control programs.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 10, 2026

Observations: Licensing audited eleven persons in care files, five were missing a record of immunization status and seven were missing tuberculosis screening.

Description: A care plan must include all of the following: if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan to prevent the person in care from leaving

Corrective Actions Required: Ensure that if a person has been determined to be a risk of leaving a community care facility without notification of an employee, a plan to prevent the person in care from leaving is included in their care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 10, 2026

Observations: Licensing audited eleven persons in care files. One person in care had an assessment for a high risk elopement and did not have a plan in place to prevent the person in care from leaving. One person in care had contradicting information regarding leaving the community care facility without a notification of employee and there was no further care planning around elopement.

Description: A care plan must include all of the following:if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan if the person in care leaves without notification, to locate the person in care

Corrective Actions Required: Ensure that if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, that a plan is in place to locate the person.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 10, 2026

Observations: Licensing audited eleven persons in care files. One person in care had an assessment for a high risk elopement and did not have a plan in place to locate the person in care if they went missing.

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: August 10, 2026

Observations: Licensing observed a medicated cream in a person in care's room that was not safely and securely stored.