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 Medication Safety Advisory Committee policies.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 16, 2025

Observations: Licensing audited the April 2025 Medical Administration Record for four person in care. One person in care had a medication not signed and/or coded for by staff on three occasions as required by the Medication Safety Advisory Committee policies.

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 four person in care's care plans. All four care plans had 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: a recreation and leisure plan

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited four person in care's care plans. All four care plans had a recreation and leisure 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 four person in care's care plans. All four care plans had a fall prevention plan that addressed following up on any falls suffered.

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

To Be Corrected By:

Observations: