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 tested the hot water temperature in the downstairs bathroom which read 46 Degrees Celsius.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that laundry facilities if used by persons in care, have a slip resistant floor surface

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the laundry facility, used by persons in care, had a slip resistant floor surface.

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

To Be Corrected By:

Observations:

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: November 24, 2025

Observations: Licensing audited two person in care's Medication Administration Records (MARs) and observed one person in care's MAR had three PRN (as needed) medications administered, with the results documented with a question mark. The PRN Medication Policy and Procedure indicated staff were to monitor a person in care after administering a PRN and document the effectiveness results.