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 audited thirteen water sources accessible to persons in care. All water accessible to persons in care was not heated to more than 49 Degrees Celsius.

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

To Be Corrected By:

Observations:

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 state of repair.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 27, 2026

Observations: Licensing toured the facility and observed that multiple doorways had significant damage at the doorway base. Additionally, all cottages had cupboard doors missing in the kitchen area, visible from common areas. Maintenance stated that the cupboards were to be replaced but they did not have an anticipated date of completion.

Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Required: Ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee demonstrates the competence required for the duties to which employee is assigned.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 27, 2026

Observations: Licensing audited 11 employee records and seven did not have performance review completed annually.

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:

Corrective Actions Taken By Licensee: Licensing audited medication in the three cottages. All medication were returned to the pharmacy if the expiry date on the medication had passed.

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

To Be Corrected By:

Observations: