Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility and observed the damage to the wall by the bathroom in a person in care's room had been repaired.

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:

Corrective Actions Taken By Licensee: Licensing audited the Medication Administration Record and observed all person in care's medicatons had been signed for or coded by staff.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required: Ensure that each person in care is weighed at least once each month.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2023

Observations: Licensing audited six person in care's weight records. Five persons in care had no weight recorded in either May or August 2022.

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: Ensure that all persons in care, who require safety monitoring, have safety checks documented as indicated in their care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: October 24, 2022

Observations: Licensing audited four person in care's elopement and restraint monitoring. One person in care, who required hourly restraint safety checks, had not had safety checks completed between 9:00 a.m. and 2:00 p.m. on October 21, 2022.