Description: A licensee must ensure that all medications in the community care facility are safely and securely stored,

Corrective Actions Required: Ensure all medications are safely and securely stored.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 22, 2023

Observations: Licensing toured the facility and audited six person in care bedrooms. On the third floor medicated cream was found in one person in care bathroom. On the second floor a medicated cream and ointment was found in three person in care bathroom.

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 policies and procedures of the medication safety and advisory committee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 22, 2023

Observations: Licensing audited six persons in care bedrooms and observed medicated cream that was not labelled by the pharmacy in three of the bedrooms.

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

Corrective Actions Required: Ensure character references are obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 22, 2023

Observations: Licensing audited 12 employee files. Three employee files were missing records of two references.

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: On June 22, 2023 Licensing received a copy of the monthly weight records for all person in care.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Required: Ensure that a person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 22, 2023

Observations: Licensing toured the facility and audited six person in care bedrooms and found expired medicated ointment in two of the bathrooms of person in care.