Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Sunset Lodge - Salvation Army

Facility Type: Residential Care - 400

Non-Visit Follow-up

November 3, 2022
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
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 regular employee reviews are completed to ensure they continue to meet the requirements of the RCR.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: August 6, 2022
Observations: Licensing audited twenty staff files and observed four staff did not have a current performance review conducted.
3010 - RCR 68(4)
Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing received Medication Administration Records for two persons in care, for October 2022. All medication had been signed or coded for.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: