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 14, 2023

Observations: Licensing audited the medication cart and three person in care had a medication not labelled by the pharmacy. Licensing audited the medication administration record and one person in care had a medication not signed for or coded on multiple dates and one person in care had a medication not signed for or coded on June 3, 2023.

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

Corrective Actions Required: Ensure character references are kept in respect to each employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 14, 2023

Observations: Licensing audited ten employee files. One employee file had only one reference check and one employee file did not have a record of any references checked.

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 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: July 14, 2023

Observations: Licensing audited the charts of five person in care and three person in care were missing weights for multiple months.