Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Routine
September 16, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 69(3)(b)(i)
Description: A licensee must ensure that in the case of a person in care whose short term care plan or care plan provides for the person in care to self-administer medication, the person in care
has a safe and secure storage area for medication
Corrective Actions Required: Ensure that in the case of a person in care whose short term care plan or care plan provides for the person in care to self-administer medication, the person in care has a safe and secure storage area for medication
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 23, 2022
Observations: Licensing observed 19 persons in care bedrooms. One person in care bedroom who self-administers medication had unsecured medications in his room.
3010 - RCR 37(1)(b)
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: character references in respect of the person
Corrective Actions Required: Ensure the Licensee does not employ a person in a community care facility unless the Licensee or, in the case of a person who is not a manager, the manager has obtained all of the following character references of the person.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 16, 2022
Observations: Licensing audited 19 staff files. Seven staff files did not contain character references.
3010 - RCR 40(1)(a)
Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation,
Corrective Actions Required: Ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 16, 2022
Observations: Licensing audited 19 staff files. Four staff files did not contain performance reviews.
3060 - RCR 49(1)
Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.
Corrective Actions Required: Ensure all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control program.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: November 16, 2022
Observations: Licensing audited 19 staff files. Six files did not contain immunization or tuberculosis information.
3080 - RCR 69(3)(a)
Description: A licensee must ensure that all medications in the community care facility are safely and securely stored.
Corrective Actions Required: Ensure that all medications in the community care facility are safely and securely stored.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: September 23, 2022
Observations: Licensing observed 18 persons in care bedroom. Four of the bedrooms had unsecured medications in the room.