Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Routine
January 18, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3020 - RCR 23(3)(a)
Description: A licensee must make a policy respecting all of the following the engagement by persons in care in restricted activities, other than the consumption of medical cannabis, on the premises
Corrective Actions Required: Ensure that there is a policy respecting recreational cannabis consumption and storage.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 18, 2024
Observations: Licensing audited the policies and procedures and could not locate a policy related to recreational cannabis.
3020 - RCR 85(2)(b)
Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act
Corrective Actions Required: Ensure there is a written policy regarding orientation of new managers and employees.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 18, 2024
Observations: Licensing audited the policies and procedures and could not locate a policy regarding orientation of employees.
3020 - RCR 85(2)(c)
Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: the continuing education of managers and employees
Corrective Actions Required: Ensure that there is a written policy related to the continuing education of managers and employees.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 18, 2024
Observations: Licensing audited the policies and procedures and could not locate a policy related to continuing education of employees.
3020 - RCR 85(2)(l)
Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: the appropriate manner and schedule of record keeping.
Corrective Actions Required: Ensure that there is a written policy related to the appropriate manner and schedule of record keeping.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 18, 2024
Observations: Licensing audited the policies and procedures and could not locate a policy regarding the appropriate manner and schedule of record keeping.
3070 - RCR 86(a)
Description: A licensee must keep the following records in respect of each employee: criminal record check results,
Corrective Actions Required: Ensure that each employee has a valid copy of Criminal Record Check results kept.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 18, 2024
Observations: Licensing reviewed one employee file. The Criminal Record Check for the employee file expired in September 2023.
3090 - RCR 55(1)(a)(i)
Description: A licensee, other than a licensee who provides a type of care described as Hospice, must provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities suitable to the needs of the persons in care
Corrective Actions Required: Ensure that there is an ongoing planned program of physical, social and recreational activities.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 18, 2024
Observations: Licensing was unable to locate an ongoing planned program of activities at the facility suitable to the needs of persons in care.