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)
Follow-Up
October 13, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 17
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 two water sources. Both hot water temperatures did not exceeded 49 degrees Celsius.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3000 - RCR 29(1)(a)
Description: A licensee must provide, at no cost to the person in care, each person in care with bedroom furnishings, including a safe, secure place in which the person in care may store valuable property
Corrective Actions Required: Ensure that at no cost to the person in care, each person in care with bedroom furnishings, including a safe, secure place in which the person in care may store valuable property
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By:
Observations: Licensing observed two person in care bedrooms. Neither bedroom had a safe secure place for valuables.
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 that immunization records for persons in care are kept on file.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: October 14, 2022
Observations: Licensing audited two person in care binders. No immunization records were found for either person in care.
3070 - RCR 49(2)
Description: A licensee must record the height and weight of each person in care on admission.
Corrective Actions Required: Ensure person in care height and weight is recorded upon admission.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 28, 2022
Observations: Licensing audited two person in care files. There were no documented height or weight for either person in care upon admission.
3070 - RCR 87(b)
Description: A licensee must keep a record of the following matters respecting food services menus and menu substitutions
Corrective Actions Required: Ensure all menu food substitutions are recorded.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 21, 2022
Observations: Licensing requested to audit the menu food substitution list. Staff informed Licensing that menu food substitutions were not record.
3080 - CCALA 7(1)(b)(i)
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:
Corrective Actions Taken By Licensee: Licensing audited two fire extinguishers. Both fire extinguishers had valid tags.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3080 - RCR 71(a)
Description: A licensee must ensure that employees do not make handwritten changes to the directions for use of a medication on the medication container or package
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing audited the Medication Administration Record (MAR) binder. There were no MAR sheets with hand written changes.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: