Description: A licensee must ensure that all furniture and equipment for use by persons in care are compatible with the health, safety and dignity of the persons in care,

Corrective Actions Required: Ensure all equipment meets the needs of persons in care. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: November 18, 2021

Observations: Licensing Officer toured facility and observed that the tub was not being used due to issues with residents slipping forward in the water, and not enough space to use a sit to stand lift appropriately.

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 references are obtained for all employees. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: November 18, 2021

Observations: Licensing Officer reviewed 7 staff files. Observed that one was missing references.

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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required: Ensure immunization information is on file for all staff. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: November 18, 2021

Observations: Licensing reviewed seven staff files. One file did not have immunization information on file.

Description: A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is a nutrition manager with membership in the Canadian Society of Nutrition Management,

Corrective Actions Required: Ensure the Food Services Manager in a nutrition manager with membership in Canadian Society of Nutrition Management. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: November 18, 2021

Observations: Licensing was told that the Food Services Manager was no longer with the facility, and they were recruiting a new one.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act

Corrective Actions Required: Ensure orientation policy for new staff is followed for all employees. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: October 26, 2021

Observations: Licensing spoke with employees who stated that the orientation policy for new hires is not being followed. New staff are not always orientated before starting working with persons in care.

Description: A licensee must ensure that each menu provides for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada’s Food Guide,

Corrective Actions Required: Ensure the menu provides at least 2 nutritious snacks per day. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: October 22, 2021

Observations: Licensing Officer observed that the posted menu did not include two snacks for the day.

Description: A licensee must keep, for each person in care, a record showing the following information: name, sex, date of birth, medical insurance plan number and immunization status

Corrective Actions Required: Ensure immunization records are on file for all persons in care. Action/s Required by Licensing: Follow up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: October 25, 2021

Observations: Licensing reviewed 3 resident files, one file did not have immunization information.

Description: On admitting a person in care to a community care facility, a licensee must ensure that a short term care plan is developed that will guide caregivers in protecting and promoting the health and safety of the person in care

Corrective Actions Required: Ensure all residents who reside in the Licensed Care Facility have all documents and care plans as required by the Residential Care Regulation. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: October 23, 2021

Observations: Licensing observed two residents in Salmon, that did not have care plans. Licensing was informed these residents will be moving into Assisted Living when it is complete.

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must record the weight in the nutrition plan of the person in care.

Corrective Actions Required: Ensure weights are recorded on the nutrition plan. Action/s Required by Licensing: Follow Up Inspection to be conducted.

Corrective Actions Taken By Licensee:

Actions Required By Licensing:

To Be Corrected By: October 26, 2021

Observations: Licensing reviewed 3 care plans, None of the care plans had weights on admission, or weights recorded.