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:

Corrective Actions Taken By Licensee: Licensing toured the kitchen and there was a safety lock on the kitchen cupboard where cleaning agents were stored.

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

To Be Corrected By:

Observations:

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

Corrective Actions Required: Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 20, 2026

Observations: This contravention was carried over from the Routine Inspection dated January 28, 2025. On this date Licensing audited three person in care medication administration records. Two did not include evidence that as needed medications effectiveness were recorded as per policy.

Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited two person in care files, all included assessments to determine the risk that the person in care may leave the community care facility without notification of an employee.

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: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited two person in care care plans and all included a fall prevention plan which addresses a plan for following up on any falls suffered by a person in care.

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

To Be Corrected By:

Observations: