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 facility on this date. Licensing found all cleaning agents securely 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 medications in the community care facility are safely and securely stored,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing toured the facility on this date. Licensing found all medications securely 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:

Corrective Actions Taken By Licensee: Licensing reviewed the electronic medication administration record. All persons in cares medications were signed for by staff.

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

To Be Corrected By:

Observations:

Description: Clear and up to date records of immunization status kept for each person in care

Corrective Actions Required: Ensure clear and up to date records of immunization status are kept.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 4, 2024

Observations: Licensing audited seven person in care's files. Two persons in care were missing a record of immunization status.

Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited seven person in care's files. All persons in care had a record of tuberculosis screening.

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

To Be Corrected By:

Observations:

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 ten person in care's charts. All ten persons in care had a record of written consent to call a medical or nurse practitioner or ambulance.

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 seven person in care's care plans. Two persons in care, who were at risk for elopement, both had a plan to locate the person in care if they were missing.

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: April 4, 2024

Observations: Licensing audited seven person in care's weight records. Five persons in care had multiple weights missing for the previous 6 months.

Description: A licensee must keep the following records in respect of each employee: character references,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited ten employee files. All employee files had two character references.

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

To Be Corrected By:

Observations: