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: Enusre that water accessible to a person in care, from any source, is not heated to more than 49 degrees Celsius.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 22, 2025

Observations: Licensing audited water temperatures in 18 rooms of persons in care, and 8 were over 49 degrees Celsius. This represents an immediate risk to health and safety of persons in care and must be corrected immediately. Maintenance stated that they have turned down the temperatures and would continue to re-test. Full compliance will not be achieved until the plan has been implemented and completed.

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

Corrective Actions Required: Ensure that all rooms and common areas are maintained in a good state of repair.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 27, 2026

Observations: Licensing toured the facility and observed that multiple doorways had significant damage at the doorway base. Additionally, all cottages had cupboard doors missing in the kitchen area, visible from common areas. Maintenance stated that the cupboards were to be replaced but they did not have an anticipated date of completion.

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 demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Required: 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 demonstrates the competence required for the duties to which employee is assigned.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 27, 2026

Observations: Licensing audited 11 employee records and seven did not have performance review completed annually.

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: Ensure that a person in care's medication is returned to the dispensing pharmacy if the expire date on the medication has passed.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 27, 2026

Observations: Licensing audited medications and observed that two Cottages had medications that had expired and had not been returned to pharmacy.