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 audited the Medication Administration Record and observed medications were signed and coded for by staff.

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

To Be Corrected By:

Observations:

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

Corrective Actions Required: Ensure that all staff have a current criminal record check.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 23, 2022

Observations: Licensing audited four staff files. One staff's criminal record check expired in July 2022.

Description: A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan

Corrective Actions Required: Ensure that each care plan is reviewed and, if necessary, modified each year to ensure it still meets the need and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 16, 2022

Observations: Licensing audited four person in care's care plans which were last reviewed in 2019/2020.