Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a nutrition manager with membership in the Canadian Society of Nutrition Management,

Corrective Actions Required: Ensure a licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is (a)a nutrition manager with membership in the Canadian Society of Nutrition Management,

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 28, 2022

Observations: Licensee Contact emailed Feb 1, 2022 with an exemption request for not having a Food Service Manager who is a nutrition manager with membership in he Canadian Society of Nutrition Management.

Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a person who is eligible to be a member of the Canadian Society of Nutrition Management,

Corrective Actions Required: Ensure a licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a person who is eligible to be a member of the Canadian Society of Nutrition Management.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 28, 2022

Observations: Licensee Contact emailed Feb 1, 2022 with an exemption request for not having a Food Service Manager who is eligible to be a member of the Canadian Society of Nutrition Management.

Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a dietitian

Corrective Actions Required: Ensure a licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a dietitian.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 28, 2022

Observations: Licensee Contact emailed Feb 1, 2022 with an exemption request for not having a Food Service Manager.

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: Licensee emailed Jan 5, 2022 a copy of the Dec 2021 Narcotic Sheet with double nursing signatures.

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

To Be Corrected By:

Observations:

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 the community care facility is operated in a manner that will promote the health, safety and dignity of persons in care. Specifically follow all Provincial Health Orders.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 6, 2022

Observations: Licensing observed that the greeter did not ask for proof of vaccination during the screening process.

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

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensee emailed Jan 5, 2022 copies of persons in care's immunization status.

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

To Be Corrected By:

Observations:

Description: Subject to subsections (2) to (4), a licensee must keep, for each person in care, a record showing the following information: in the case of an adult, the consent for that person in care to be admitted or to continue to be accommodated in the community care facility, given in accordance with section 21 or 22 of the Health Care (Consent) and Care Facility (Admission) Act or section 50.1 of this regulation, as applicable

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensee emailed Jan 5, 2022 copies of persons in care's admission consent.

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:

Corrective Actions Taken By Licensee: Licensee emailed Jan 5, 2022 weights for persons in care for Oct, Nov and Dec 2021.

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

To Be Corrected By:

Observations:

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 the community care facility is operated in a manner that will promote the health, safety and dignity of persons in care. Specifically follow all Provincial Health Orders. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee: Licensee emailed dated Jan 5, 2022 copy of COVID policy for greeters and PPE equipment use.

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

To Be Corrected By:

Observations: Licensing was screened for COVID-19 symptoms upon entry to the facility however the greeter conducting the screening had not worn eye protection as per the Provincial Health Orders.