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 staff comply with the policies and procedures of the Medication Safety & Advisory Committee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 15, 2022

Observations: Licensing observed two persons in care's medication administration sheet for February 2022 and observed one person in care's medication for February 14, 2022 8:30am medications were not signed for by staff. The medication had been administered.

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 policies and procedures are reviewed at least once each year/ revised as necessary.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 15, 2022

Observations: Licensing observed the policies were dated December 2020.