Complaint Investigation
Inspection Information:
Facility TypeResidential Care - 400
Received Date:February 03, 2020
Subject:

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code Category/Description
3070 - RCR 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: Through the investigation process, Licensing determined that the care and supervision of a person in care was not consistent with the terms and conditions of the person in care's care plan. Specifically, regarding toileting.
Corrective action: 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. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On April 28, 2020, Licensee submitted a corrective action plan to Licensing specific to the contravention. This corrective action plan included: a staff member and all nurses would review the care plan policy, and the manger would conduct audits of documentation and checklists from May 15, 2020 to June 30, 2020 to ensure compliance. This corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. Follow Up Inspection required. On May 29 and June 4, 2020 Licensee submitted a copy of staff review on care planning policy and a copy of the audits of documentation. Follow Up Inspection required. On June 24, 2020 Licensee submitted a copy of the confirmation of staff review of policies. No further action required; this contravention has been addressed.
To be corrected by: 01-Jul-2020