Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required: Ensure to operate the community care facility in a manner that promotes the health, safety and dignity of persons in care, specifically that chemicals and cleaning agents are safely and securely stored.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: March 27, 2026

Observations: Licensing audited two locations where cleaning agents and chemical products are stored. One location did not have a method to secure the stored chemicals and cleaning agents.

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: April 20, 2026

Observations: This contravention was carried over from the Routine Inspection dated January 28, 2025. On this date Licensing audited three person in care medication administration records. Two did not include evidence that as needed medications effectiveness were recorded as per policy.

Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required: Ensure there is an assessment completed on admission to determine the risk that a person in care may leave the community care facility without notification of an employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 20, 2026

Observations: Licensing audited two person in care files. None included assessment on admission of the risk that the person in care may leave the community care facility without notification of an employee.

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care

Corrective Actions Required: Ensure person in care care plan includes a fall prevention plan which addresses a plan for following up on any falls suffered by a person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 20, 2026

Observations: Licensing audited two person in care files and care plans. None included a plan for following up on any falls suffered by a person in care.