Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing received photos of a new lock on the garden shed where chemicals are stored.

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

To Be Corrected By:

Observations:

Description: Licensee Training Licensee must receive training in the administration of Naloxone from their pharmacist, and must ensure that their staff also receive appropriate training

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing received an email confirmation that the palliative person in care requiring opioids for pain relief was transferred to hospital where he subsequently passed away. His opioid medications have been returned to the pharmacy.

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

To Be Corrected By:

Observations:

Description: Licensee Training Licensee must receive training in the administration of Naloxone from their pharmacist, and must ensure that their staff also receive appropriate training

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing was advised via email that the person in care requiring opioids for pain use was transferred to hospital and his medications returned to the pharmacy. Licensee has decided to train staff at a later date.

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

To Be Corrected By:

Observations:

Description: Immunization in adult residential care facilities – Director of Licensing Standard of Practice

Corrective Actions Required: Ensure clear & up to date records of immunization status be kept for each person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: March 11, 2022

Observations: Licensing reviewed the records for two persons in care. One person in care did not have any historic immunization records in their file.

Description: A licensee must keep the following records in respect of each employee: character references,

Corrective Actions Required: Ensure employee character references are kept.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 1, 2022

Observations: Licensing audited staff files on this date. One staff file had only one character reference.

Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,

Corrective Actions Required: Ensure records kept of evidence of employee compliance with the Province's immunization/TB control programs.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 1, 2022

Observations: Licensing audited staff files on this date. One staff file did not have a TB test.

Description: Licensees that provide care to persons who are at risk of an opioid drug overdose must obtain and maintain a supply of Naloxone and associated supples for safe administration for emergency use in the event that a person in care suffers from a drug overdose.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing received an email confirmation that the palliative person in care requiring opioids for pain relief was transferred to hospital where he subsequently passed away. His opioid medications have been returned to the pharmacy.

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

To Be Corrected By:

Observations: