Description: If a licensee installs electronic devices for the purposes of transmitting or recording images of persons in care or members of the public, the licensee must display in a prominent place notice that electronic surveillance is being used.

Corrective Actions Required:

Corrective Actions Taken By Licensee: On January 12, 2023, Licensing received a photo of the sign that is now displayed in a prominent place indicating that electronic surveillance is being used.

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

To Be Corrected By:

Observations:

Description: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: copies of any diplomas, certificates or other evidence of the person’s training and skills

Corrective Actions Required: Ensure to obtain copies of any diplomas, certificates, or other evidence of the person's training and skills.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 12, 2023

Observations: Licensing audited employee files. Two employee files did not have any records of diplomas, certificates, or other evidence of training and skills.

Description: A licensee must make a policy respecting all of the following the engagement by persons in care in restricted activities, other than the consumption of medical cannabis, on the premises

Corrective Actions Required: Ensure there is a policy respecting all of the following: the engagement by persons in care in restricted activities, other than the consumption of medical cannabis, on the premises.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 12, 2023

Observations: Licensing reviewed the policies and did not locate a policy respecting all of the following: the engagement by persons in care in restricted activities, other than the consumption of medical cannabis, on the premises.

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must record the weight in the nutrition plan of the person in care.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing received photographs of the calendar where monthly weight records were documented. All four residents had monthly weights recorded on the paper calendar.

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

To Be Corrected By:

Observations:

Description: A licensee must keep the following records in respect of each employee: criminal record check results,

Corrective Actions Required: Ensure to keep the following records in respect of each employee: criminal records check result.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 12, 2023

Observations: Licensing reviewed staff files. One staff file did not contain a current criminal record check.

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 to operate the community care facility in a manner that will promote the health, safety, and dignity of persons in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: March 12, 2023

Observations: Licensing confirmed that there continued to be no manager listed on the license. The current license specified under condition #1 that the manager must be a full scope Licensed Practical Nurse or a Registered Nurse. The person currently acting as manager is not a nurse.