Description: A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.

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Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair

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Description: A licensee must ensure that all medications in the community care facility are safely and securely stored,

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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 observed no medications in persons in care's rooms.

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

To Be Corrected By:

Observations:

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.

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Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

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Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

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Description: A licensee must keep the following records in respect of each employee: criminal record check results,

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Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

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Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed persons in care restraint agreement signed from representatives.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care,

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Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the medical practitioner or nurse practitioner responsible for the health of the person in care.

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Description: Subject to subsection (2), a licensee may restrain a person in care if there is agreement to the use of a restraint given in writing by both the medical practitioner or nurse practitioner responsible for the health of the person in care.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed persons in care restraint agreement from the physician.

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

To Be Corrected By:

Observations:

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed the updated policy table of content dated 2021.

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

To Be Corrected By:

Observations:

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

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Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the greeter wear eye protection and ask for proof of vaccination.

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

To Be Corrected By:

Observations:

Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

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Description: A licensee must ensure that meals are provided by ongoing room tray service, if approved by the person in care’s medical practitioner or nurse practitioner

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Description: A licensee must ensure that meals are provided by ongoing room tray service, if approved by the person in care’s medical practitioner or nurse practitioner

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing reviewed the physician orders for ongoing meal tray service for person in care with tray service.

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

To Be Corrected By:

Observations:

Description: A Licensee must do all of the following: operate the community care facility in a manner that will promote the health, safety and dignity of persons in care.

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Description: Clear and up to date records of immunization status kept for each person in care

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Description: Subject to subsections (2) to (4), a licensee must keep, for each person in care, a record showing the following information: in the case of an adult, the consent for that person in care to be admitted or to continue to be accommodated in the community care facility, given in accordance with section 21 or 22 of the Health Care (Consent) and Care Facility (Admission) Act or section 50.1 of this regulation, as applicable

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed two new admissions of persons in care's record of Health Care consents to be admitted in the community care facility.

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

To Be Corrected By:

Observations:

Description: Subject to subsections (2) to (4), a licensee must keep, for each person in care, a record showing the following information: in the case of an adult, the consent for that person in care to be admitted or to continue to be accommodated in the community care facility, given in accordance with section 21 or 22 of the Health Care (Consent) and Care Facility (Admission) Act or section 50.1 of this regulation, as applicable

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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 observed weight charts for six persons in care for the last three months and noted all weights were recorded.

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,

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Description: A licensee must keep the following records in respect of each employee: criminal record check results,

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Description: A licensee must, to the greatest extent possible while maintaining the health, safety and dignity of persons in care, keep the records and personal information of persons in care confidential.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed medication carts locked in the medication room.

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

To Be Corrected By:

Observations:

Description: A licensee must, to the greatest extent possible while maintaining the health, safety and dignity of persons in care, keep the records and personal information of persons in care confidential.

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