Description: A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care’s care plan.

Corrective Actions Required: Ensure the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On April 1, 2026, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: a memo was sent to nursing staff on March 6, 2026 on how to update care plans on Point Click Care (PCC) and when a care plan required updating in response to changes in care's status, all care plans were to be reviewed and updated on March 30, 2026 and a staff provided one-on-one nursing training for nursing staff that needed help with updating care plans by April 1, 2026. 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: April 1, 2026

Observations: Regarding intake February 2, 2026. Through the investigation process, Licensing determined that the care and supervision of person in care was not consistent with the terms and conditions of the person in care's care plan.