Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure that policies and procedures are reviewed and if necessary, revised at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 4, 2022

Observations: Licensing reviewed the facility policies which were last reviewed in 2016, 2017 and 2019.

Description: If the manager of a community care facility resigns, or is or expects to be absent for at least 30 consecutive days, the licensee must notify a medical health officer

Corrective Actions Required:

Corrective Actions Taken By Licensee: On July 25, 2022, a new Manager was placed on the facility licence.

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

To Be Corrected By:

Observations: