Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Follow-Up
May 26, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 17
Description: A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing observed the hot water at 46 degree Celsius in the kitchen and bathroom.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3000 - RCR 22(1)(b)
Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Corrective Actions Required: Ensure that all rooms and common areas are maintained in a good stated of repair.
Corrective Actions Taken By Licensee: The Licensee provided an update that the flooring would be replaced in the summer of 2023 but no specific dates provided.
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 30, 2023
Observations: Licensing observed duct tape covering ripped flooring throughout the facility.
3010 - DOLSOP (Prevent Overdose Deaths Training)
Description: Licensee Training Licensee must receive training in the administration of Naloxone from their pharmacist, and must ensure that their staff also receive appropriate training
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3090 - RCR 55(1)(a)(ii)
Description: A licensee, other than a licensee who provides a type of care described as Hospice, must provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities designed to meet the objectives of the care plans of the persons in care,
Corrective Actions Required: Ensure that there is ongoing planned program of activities designed to meet the care plan objectives.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 27, 2023
Observations: Licensing observed the ongoing activity calendars were updated to only February 2023. There was no March, April or May 2023 activity calendar.