Description: A licensee must provide, at no cost to the person in care, each person in care with bedroom furnishings, including a safe, secure place in which the person in care may store valuable property

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the Manager's office, which included a safe, secure place in which persons in care may store valuable property and confirmed that persons in care are provided the secured storage on request.

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: April 27, 2026

Observations: Licensing audited three person in care Medication Administration Records (MARs). Three person in care MARs did not have a record of the outcome of an administered as needed (PRN) medication as required by policy.

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 audited the policies and procedures binder. Policies and procedures had been reviewed within the last year.

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

To Be Corrected By:

Observations:

Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited two person in cares records. Both included an assessment on admission that determined the risk that the person in care may leave the community care facility without notification of an employee.

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

To Be Corrected By:

Observations:

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 that all persons in care admitted to a community care facility comply with the Province's immunization control programs.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 27, 2026

Observations: Licensing audited two person in care records. Two persons in care did not have documentation demonstrating compliance with the Province's immunization control programs.