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)
Routine
January 9, 2023
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 69(3)(a)
Description: A licensee must ensure that all medications in the community care facility are safely and securely stored,
Corrective Actions Required: Ensure that 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: February 9, 2023
Observations: Licensing inspected the rooms of persons in care. Two medicated creams were found the bathroom of a person in care.
3060 - RCR 49(1)
Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure all persons admitted to a community care facility are compliant with the provinces immunization and tuberculosis control programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 9, 2023
Observations: Licensing reviewed the records for persons in care. One person in care did not have a copy of their TB test result.
3070 - RCR 81(3)(b)
Description: A care plan must include all of the following: an oral health care plan
Corrective Actions Required: Ensure care plans include a oral health care plan.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 9, 2023
Observations: Licensing reviewed care plans for persons in care. One person in care did not have a oral health care plan.
3070 - RCR 81(3)(c)(i)
Description: A care plan must include all of the following: a nutrition plan that assesses a person in care’s nutrition status,
Corrective Actions Required: Ensure care plans include the following: a nutrition care plan that assesses a person in care's nutritional status.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 9, 2023
Observations: Licensing reviewed the care plans of persons in care. One person in care did not have a nutrition care plan.
3080 - RCR 70(4)(b)
Description: A licensee may permit a person in care to self-administer medications if a plan for self-medication is included in the care plan of the person in care.
Corrective Actions Required: Ensure persons in care who self-administer medications have a plan for self-administration included in their care plan.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 9, 2023
Observations: Licensing reviewed the care plans of persons in care. One person in care currently self-administers a medicated cream, but a plan for self-administration was not included in the care plan.