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)
Routine
November 12, 2024
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 35(2)(a)
Description: A licensee must ensure that laundry facilities if used by persons in care, have a slip resistant floor surface
Corrective Actions Required: Ensure that laundry facilities used by persons in care have a slip resistant floor surface.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 20, 2024
Observations: Licensing observed that a laundry facility used by persons in care did not have a slip resistant floor surface.
3000 - RCR 69(3)(b)(ii)
Description: A licensee must ensure that in the case of a person in care whose short term care plan or care plan provides for the person in care to self-administer medication, the person in care stores all medications in the storage area described in subparagraph (i).
Corrective Actions Required: Ensure that a person in care whose care plan provides them to self-administer medication, that they store all medications in the secure storage area provided.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 15, 2024
Observations: Licensing observed that a room of a person in care, who self-administered medication, contained three blister packs of medication that were not securely stored in the locked storage provided by the Licensee.
3070 - RCR 81(3)(a)(ii)
Description: A care plan must include all of the following: a plan to address behavioural intervention, if applicable
Corrective Actions Required: Ensure that a care plan included a plan to address behavioral intervention, if applicable.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 15, 2025
Observations: Licensing observed that the kitchen cupboards and fridge were locked and persons in care did not have access. Staff stated that one person in care had behaviours that made it unsafe to have unrestricted access to food. The Licensee stated that this behaviour was not included in the person in care's care plan.
3080 - RCR 69(1)(a)
Description: A licensee must ensure that a pharmacist packages all medications
Corrective Actions Required: Ensure that a pharmacist packages all medications.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 15, 2025
Observations: Licensing observed that the medication cupboard contained four medications that were not labelled by the pharmacy.
3080 - RCR 72(b)
Description: A licensee must ensure that a person in care’s medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Corrective Actions Required: Ensure that a person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: January 15, 2025
Observations: Licensing observed that four medications in the medication cupboard were expired.