Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required: Ensure that the facility is operated in a manner that will promote the health, safety and dignity 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 November 6, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a staff member's employment term concluded on October 31, 2025, the staff was required to complete a review of skills and conduct by October 31, 2025 and review a Licensing module education by November 30, 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: December 11, 2025

Observations: Regarding intake August 21, 2025. Through the investigation process, Licensing determined that a staff member did not demonstrate the skills necessary to carry out duties assigned.

Description: A licensee must ensure that a person in care is not, while under the care or supervision of the licensee subjected to any of the following types of abuse or neglect, as described in section 1 of Schedule D: emotional abuse

Corrective Actions Required: Ensure that a person in care is not, while under the care or supervision of the licensee subjected to emotional abuse. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On November 6, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a staff member's employment term concluded on October 31, 2025, the staff was required to complete a review of skills and conduct by October 31, 2025 and review a Licensing module education by November 30, 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: December 11, 2025

Observations: Regarding intake August 21, 2025. Through the investigation process, Licensing determined that a staff member had subjected persons in care to emotional abuse.

Description: Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer

Corrective Actions Required: Ensure that if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On November 6, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a staff member would review an educational resource tool for incident reporting by November 21, 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: December 11, 2025

Observations: Regarding intake August 21, 2025. Through the investigation process, Licensing determined that persons in care were involved in a reportable incident and it was not immediately reported to Licensing.