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: Licensing observed signage on person in care's bedroom door regarding usage of serveillance.

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: character references

Corrective Actions Required: Ensure that character references are kept for each employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 3, 2025

Observations: Licensing reviewed four staff files and one staff file did not have character references.

Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,

Corrective Actions Required: Ensure staff have record of 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: July 3, 2025

Observations: Licensing audited four staff files and two staff files did not have record of compliance with the Province's immunization and Tuberculosis control programs.

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: 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 Taken By Licensee:

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

To Be Corrected By: June 15, 2025

Observations: Licensing audited two care plans for persons in care and one care plan did not have the updated information related to the use of a baby monitor in the bedroom to monitor falls. Staff stated the implementation of the baby monitor was in April 2025. Staff stated the person in care was now using a wheelchair which was not noted in the care plan.

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: June 6, 2025

Observations: Licensing observed seven medications in the medication room that were not labelled by the pharmacy and staff stated the medications were for persons in care.