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

Trillium Lodge

Facility Type: Residential Care - 400

Routine

October 2, 2024
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3010 - RCR 37(1)(a)
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: a criminal record check for the person
Corrective Actions Required: Ensure that a person is not employed at a community care facility unless a criminal record check is obtained.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: This contravention has been carried over from Routine Inspection, dated April 14, 2023.
3060 - RCR 39(1)
Description: A licensee must not continue to employ a person in a community care facility who does not provide to the licensee evidence of continued compliance with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure that an employee provides evidence of continued compliance with the Province's immunization and tuberculosis control programs.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: This contravention has been carried over from Routine Inspection dated April 14, 2023.
3070 - RCR 81(3)(e)(iii)
Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care
Corrective Actions Required: Ensure that a care plan includes a fall prevention plan that addresses a plan for following up on any falls suffered by a person in care.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: December 2, 2024
Observations: Licensing audited five records of persons in care and none contained a fall prevention plan that addressed a plan for following up on any falls suffered by a person in care.