Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation,

Corrective Actions Required: Ensure that performance of each employee is reviewed regularly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 2, 2023

Observations: Licensing observed five staff files that did not have updated performance reviews.

Description: A care plan must include all of the following: a nutrition plan that assesses a person in care’s nutrition status,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed one care plan and noted an updated nutrition plan was created in April 2023.

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

To Be Corrected By:

Observations:

Description: A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed one care plan which was updated to remove the need for ongoing food tray service.

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 medications in the community care facility are safely and securely stored.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed four person in care's room and observed no prescribed creams left out in the rooms. Licensing observed that the PCA room door was locked where all persons in care's prescribed creams were stored.

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

To Be Corrected By:

Observations: