| Waverly Seniors Village - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | September 23, 2019 |
| Reason for Investigation | - Physical facility, equipment & furnishings - Policies and procedures - Care and supervision - Outside Licensing Mandate - Records and reporting |
| Report of Findings |
|---|
| Licensing received a complaint on July 9th, 2019, regarding care and supervision, policies & procedures, physical facility, and records & reporting. The allegations included the following details: - The complainant was not notified of an incident - Care needs of the person in care (PIC) were not met - Equipment and furnishings were not maintained in a safe and/or clean condition All areas of the complaint were fully investigated. Evidence was obtained through person in care’s records, facility policies, correspondence, inspection and photographs. The following contraventions were determined: · Residential Care Regulation Section 85 (1)(d) - Policies and procedures · Residential Care Regulation Section 21 (d) - Equipment and furnishings · Residential Care Regulation Section 77 (2)(c) - Reportable Incidents |
| 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 |
|---|---|
| 31270 - RCR s.21(d) | A licensee must ensure that all furniture and equipment for use by persons in care (d) are maintained in a safe and clean condition. Observation: Multiple areas of the facility were found to be inadequately maintained and presented as unclean or in need of repair. Corrective action: Corrective action plan required. |
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Staff did not transfer the PIC as per facility policy. Corrective action: Corrective action plan required. |
| 39090 - RCR s.77(2)(c) | Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify (c) a medical health officer, in the form and in the manner required by the medical health officer. Observation: The facility staff failed to notify a medical health officer that a person in care was involved in a reportable incident. Corrective action: Corrective action plan required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |
