Description: A licensee must keep the following records in respect of each employee: criminal record check results,

Corrective Actions Required: Ensure that criminal record check results are kept for each employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 17, 2025

Observations: Licensing audited six staff files and observed that one staff had a criminal record check that expired in June 2024, and did not have an up to date criminal record check kept on-file.

Description: A licensee must have, and keep with each person in care’s record, consent in writing from the person in care or a parent or representative of the person in care to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the records and charts for four persons in care and observed that all persons in care had a record of consent to call a medical practitioner, nurse practitioner, or ambulance in case of accident or illness.

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

To Be Corrected By:

Observations:

Description: On admitting a person in care to a community care facility, a licensee must ensure that a short term care plan is developed that will guide caregivers in protecting and promoting the health and safety of the person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited three care plans and observed that all short term care plans were developed to guide caregivers in protecting and promoting the health and safety of the persons in care.

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: an oral health care plan

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited three care plans and observed that all persons in care had a care plan that included an oral health care plan.

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 three care plans and observed that all care plans included a plan to follow up on any falls suffered by the persons in care.

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:if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan if the person in care leaves without notification, to locate the person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the care plans for three persons in care and observed that all persons in care had care plans that contained a plan to locate the person in care if they were determined to be at risk of leaving 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: