Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Millgrove Home

Facility Type: Residential Care - 400

Routine

February 4, 2022
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3010 - 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: Ensure all COVID 19 screening protocols is completed for all visitors.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 21, 2022
Observations: Licensing was not screened at the main door for COVID 19.
3070 - RCR 83(4)(a)
Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,
Corrective Actions Required: Ensure all persons in care are weighed monthly.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 21, 2022
Observations: Licensing reviewed two persons in care's monthly weights for the last six months and both person in care had two missing monthly with no documentation of reason.
3090 - RCR 55(1)(a)(ii)
Description: A licensee, other than a licensee who provides a type of care described as Hospice, must provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities designed to meet the objectives of the care plans of the persons in care,
Corrective Actions Required: Ensure there is ongoing planned activities for persons in care that meet their care plan needs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: February 21, 2022
Observations: Licensing observed no ongoing activity calendars for Jan or Feb 2022.