Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure policies and procedures are reviewed at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 4, 2024

Observations: Licensing audited the policies and procedures and all policies had not been reviewed in the last year.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: if the licensee provides a type of care described as Substance Use, the monitoring of persons in care, including the use of electronic surveillance

Corrective Actions Required: Ensure there is a written policy and procedure for monitoring persons in care regarding the use of electronic surveillance.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 4, 2024

Observations: Licensing audited the policy and procedures and there was no policy for electronic surveillance.

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:

Corrective Actions Taken By Licensee: Licensing received a copy of one person in care's immunization record.

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

To Be Corrected By:

Observations: