| Peace Portal Seniors Village - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | July 24, 2019 |
| Reason for Investigation | - Care and supervision - Outside Licensing Mandate - Medication |
| Report of Findings |
|---|
| On June 13, 2019, Licensing received a complaint alleging concerns related to medication, and care and supervision. The allegations included the following details: - Medication was not administered as needed. - An injury prevention strategy was not implemented. All areas of the complaint were thoroughly investigated. Evidence was received and reviewed from interviews, person in care records, facility policies and procedures, and inspection. The following contraventions were determined: - RCR - Section 61 Self monitoring of community care facility - RCR - Section 68 (4) Medication safety and advisory committee - RCR - Section 81 (4)(b)(i) Care plan needed if more than 30 day stay - RCR - Section 89 (1) Record of complaints and compliance The Licensee is required to submit a corrective action plan. Licensing will review the corrective action plan and ensure the contraventions are addressed. |
| 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 |
|---|---|
| 32320 - RCR s.68(4) | A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee. Observation: It was determined that not all the policies of the medication safety and advisory committee were followed. Corrective action: (no corrective action) |
| 34750 - RCR s.81(4)(b)(i) | A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care. Observation: A care plan was not updated. Corrective action: (no corrective action) |
| Actions Required by Licensee/Operator | |
|---|---|
| - Licensee has addressed some contraventions. Corrective action plan required to be submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - The corrective action plan will be reviewed to ensure it addresses the contraventions. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on July 30, 2019. |
