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 Advisory Committee policies.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 19, 2025

Observations: Licensing audited two person in care's Medication Administration Records. One person in care had three medications on May 3, 2025 and one medication on May 4, 2025, not signed or coded for by staff as per the Medication Safety Advisory Committee policies.

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 that there is a record of compliance with the Province's immunization and tuberculosis control programs for each employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 26, 2025

Observations: Licensing audited three employee files. One employee file did not have a record of tuberculosis.