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: July 21, 2023

Observations: Licensing observed the medication signature form was not co-signed on two different dates in July 2023.

Description: A care plan must include all of the following: a plan to address behavioural intervention, if applicable

Corrective Actions Required: Ensure that the care plan includes a plan to address behavioural intervention.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 21, 2023

Observations: Licensing reviewed two care plans and one care plan did not have a behaviour plan that addressed locking of clothing in a closet.

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 that if a person in care has been determined to be at risk for falls, that they have a fall care plan that addresses a follow up to any falls suffered by the person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 21, 2023

Observations: Licensing reviewed two care plans. One person in care, who was at risk for falls, did not have a plan to address follow up to falls suffered by the person in care.