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Community Care Facilities Licensing FACILITY INSPECTION REPORT HEALTH & SAFETY

KPRK-CD6TN7

FACILITY NAME Belvedere Care Centre		SERVICE TYPES 401 Long Term Care (Hospital Act)	FACILITY LICENSE # SENG-8YCRSW
FACILITY ADDRESS 739 Alderson Ave			FACILITY PHONE ()
CITY	POSTAL CODE		MANAGER Annamae Clarke

INSPECTION DATE March 31, 2022	ADDITIONAL INSP. DATE (multi-day)		ADDITIONAL INSP. DATE (multi-day)		TIME SPENT (HRS.) 1.5
ARRIVAL 10:45 AM	DEPARTURE 12:15 PM	ARRIVAL	DEPARTURE	ARRIVAL	DEPARTURE
INSPECTION TYPE Follow-up					# OBSERVED IN CARE

Introduction

An unscheduled follow up inspection to Routine Inspection # KPRK-CBHM8E, dated January 19, 2022 was completed to assess compliance with the Community Care and Assisted Living Act (CCALA) and the Residential Care Regulations (RCR) and the relevant Director of Licensing Standards of Practice (DLSP).

Contraventions

Previous Inspection -

Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations

CARE AND/OR SUPERVISION: 34780 - RCR s.82 - A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Observation (CORRECTED DURING INSPECTION): For two Persons in Care it could not be determined if their care plans were being followed. Inconsistent information was in the PICs’ care plans (This is a repeat contravention documented in Routine Inspection # KPRK-CBHM8E, dated January 19, 2022). Corrective Action(s): Ensure the terms and conditions of the care plan are implemented. Date to be Corrected:

Comments

All concerns from Routine Inspection # KPRK-CBHM8E were reviewed during this inspection. Management has implemented an auditing program to ensure consistent information is provided in the care plan and the terms of the care plans are followed. The Licensing Officer would like to thank the staff for their assistance in completing this inspection. (Please note: this inspection report was written off-site and later reviewed and forwarded to the Licensee. Therefore no signature was obtained.)

Action Required by Licensee/Manager	Action Required by Licensing Staff
No action required	No action required

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