Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited two person in care Medication Administration Record for November 2022 with all dates and times signed or coded for in both records.

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

To Be Corrected By:

Observations:

Description: A care plan must include all of the following: a recreation and leisure plan

Corrective Actions Required: Ensure a care plan includes a recreation and leisure plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 19, 2022

Observations: Licensing audited two persons in care's care plans. One care plan did not include a recreation and leisure plan.