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 audit 18 persons in care's rooms and no medications were observed.

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 employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required: Ensure that all employees comply with the policies and procedures of the Medication Safety and Advisory Committee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 18, 2024

Observations: Licensing audited the Electronic Medication Administration Record. There were eight dates in April 2024 where medications were not signed for or coded for as per the Medication Safety and Advisory Committee.

Description: A care plan must include all of the following:if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan if the person in care leaves without notification, to locate the person in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the care plans of six persons in care who exhibited elopement behaviors and observed that the plans addressed how to respond when a person in care left without notification, including procedures for locating the person in care.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the weight records for June and July 2024 and observed that there were no missing weight logs for persons in care.

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

To Be Corrected By:

Observations:

Description: A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility the most recent routine inspection record made under section 9 (1) (d) of the Act.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the most recent Routine Inspection record in a prominent place in the community care facility.

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

To Be Corrected By:

Observations: