| Czorny Alzheimer Centre - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Residential Care (Hospital Act) - 400 |
| Investigation Completed | March 11, 2020 |
| Reason for Investigation | - Staffing - Policies and procedures - Care and supervision |
| Report of Findings |
|---|
| Licensing received a complaint on November 6, 2019, regarding care and supervision, staffing, and records and reporting. The following details were provided: - Inappropriate staff training - Inadequate dispute resolution - Inappropriate admission screening All areas of the complaint were fully investigated. Evidence was collected through records and staff statements. Licensing determined the following contraventions: - Community Care and Assisted Living Act (CCALA) section 7(1)(b)(i) – Standards to be maintained - Residential Care Regulations (RCR) section 42(1)(a) – Staffing coverage - RCR section 60(a)(c) – Dispute resolution - RCR section 80(1) – Short term care plan on admission - RCR section 85(1)(d) – Policies and procedures - RCR section 89(1) – Records of Complaints and compliance |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 32170 - RCR s.42(1)(a) | A licensee must ensure that, at all times, the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to (a) meet the needs of the persons in care. Observation: Staff have not been trained regularly in code white protocols. Corrective action: Corrective action required. |
| 32410 - CCALA s.7(1)(b) | A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care, Observation: Staff were not trained regularly in code white protocols.. Corrective action: Corrective action required. |
| 33120 - RCR s.60(c) | A licensee must (c) ensure that all complaints, concerns and disputes are responded to promptly. Observation: The social worker did not follow up with the complainant until 7 days after the identified incident. Corrective action: Corrective action required. |
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: The facility did not have a detailed Code White Policy. Corrective action: Corrective action required. |
| 39290 - RCR s.80(1) | On admitting a person in care to a community care facility, a licensee must ensure that a short term care plan is developed that will guide caregivers in protecting and promoting the health and safety of the person in care. Observation: A short term behaviour care plan was not created for PIC (B) to guide staff in protecting and promoting the health and safety of persons in care. Corrective action: Corrective action required. |
| 39520 - RCR s.89(1) | A licensee must keep a record respecting complaints made and concerns expressed to the licensee under section 60 [dispute resolution], and the responses to them. Observation: The licensee did not retain a copy of the concerns and their response to mitigate the concern. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Correction plan to be reviewed |
