Description: A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care

Corrective Actions Required: Ensure that care plans for persons in care are modified when there is a substantial change in the circumstances of a person 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 October 3, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a care plan for a person in care was updated to reflect that the person in care no longer consumed alcoholic beverages, there was a plan in place for ongoing monitoring of the person in care's care plan and audits would be conducted to ensure proper documentation of any changes of care needs. 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: October 3, 2025

Observations: Regarding intake dated July 25, 2025. Through the investigation process, Licensing determined that a care plan for a person in care was not modified when there was a substantial change in the circumstances of the person in care.