| The Terraces at Evergreen - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | December 09, 2020 |
| Reason for Investigation | - Care and supervision |
| Report of Findings |
|---|
| On October 26, 2020, Licensing received a complaint alleging concerns related to care and supervision. The allegation included the following details: - Management was not addressing complaints regarding staff All areas of the complaint were thoroughly investigated. Evidence was received and reviewed from interviews, and correspondence with the facility. The following contraventions were determined: - Residential Care Regulation (RCR) Section 40 (3) – Continuing monitoring of employees, - RCR Section 82 – Implementation of care plans, and - RCR Section 85 (1)(d) – Policies and Procedures |
| 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 |
|---|---|
| 32120 - RCR s.40(3) | A licensee must not permit an employee to carry out any duties for which the employee does not have the necessary training and experience or demonstrate the necessary competence. Observation: Licensing determined that care was not being provided using a gentle approach. 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: Licensing determined staff did not follow a facility policy on lifts. Corrective action: Corrective action required. |
| 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: Licensing determined that staff did not follow the care plan for persons in care. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - No further action required. All contraventions have been addressed. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - No further action required. All contraventions have been addressed. |
