Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required: Ensure each person in care is assessed upon admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 22, 2026

Observations: Licensing audited two person in care's records. Both did not contain an elopement assessment on admission. Licensing spoke with the nurse who confirmed that an elopement risk for persons in care was not conducted on admission.

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 had passed.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 22, 2026

Observations: Licensing audited the medication room and observed more than one medication that had an expiry date that had passed.