Community Care Facilities

This page provides information on routine and follow up inspections for residential care and child care facilities licensed under the Community Care and Assisted Living Act. If during a routine inspection of a licensed residential care or child care facility, a Licensing Officer finds that regulatory requirements are not met, the facility will be cited as in contravention of the legislative requirements, a follow up inspection will be conducted, which will also appear on the web page. If the facility has corrected the contravention, then the follow up inspection will appear blank. If the facility has not corrected the contravention, the same section of the legislation will appear on the follow up inspection. If additional requirements are not met during the follow up inspection, they will also appear.

RCR refers to the Residential Care Regulations which can be found in its entirety at And CCLR refers to Child Care Licensing Regulation.

Contraventions are divided into the following categories:
  • Physical facility, equipment and furnishings: Licensees are required to maintain the facility, all equipment and furnishings in sanitary and working condition. Licensing Officers observe and assess to ensure the facility and equipment is safe, free from hazards, in good repair, and has adequate space to accommodate residents.
  • Staffing: Licensees are required to ensure a facility has enough staff, who possess adequate training and experience, to meet the care, supervision and activity needs of the persons in care. Licensing Officers ensure employees meet basic health and competency standards and are able to carry out their duties effectively.
  • Policies and procedures: Licensees are required to have written policies and procedures to guide all matters regarding care of residents. Licensing Officers inspect to ensure that the facility has policies in place and that they are adequately communicated and implemented by staff.
  • Care and/or supervision: Licensees are required to ensure adequate care and/or supervision of the persons in care. They are also are required to maintain and follow individual plans of care for every resident that include oral care, therapeutic instructions, medication administration and storage instructions and activity planning. Licensing Officers audit care plans to ensure they adequately guide care providers in their duties to keep persons in care safe and meet their care needs.
  • Nutrition and food services: Licensees are required to store, prepare and deliver foods and fluids safely and ensure that the nutritional content of meals is based on Canada Food Guide and the needs of the persons in care. Licensing Officers, Licensing Nutritionists and Environmental Health Officers all have roles in inspecting facility nutrition and food services to ensure requirements are met. Environmental Health Officers may also be involved in larger facilities.
  • Medication: Licensees are required to store, administer and record the medications of the persons in care according to specific requirements prescribed by the regulations, and established by the medication safety and advisory committee which includes the pharmacist (physician is not part of this committee) Licensing Officers examine/inspect medication administration records, policies, and storage practices to ensure legislated requirements are met.
  • Hygiene and communicable disease control: Licensees are required to ensure facilities maintain acceptable levels of hygiene. Licensing Officers inspect for appropriate communicable disease control practices and other practices that would compromise the health or safety of persons in care.
  • Records and reporting: Licensees are required to keep records on facility matters and monitoring as well as report incidents where a person in care was harmed or put at risk. Licensing Officers inspect record keeping and reporting practices in a variety of area (medication, nutrition, patient care, financial practices etc) to ensure they are compliant with common and legal standards.
  • Licensing: Licensees have a continuing duty to inform the Medical Health Officer of any significant changes to the structure or operation of the community care facility. This category contains a number of administrative requirements that Licensing Officers assess for compliance.
  • Program: Licensees must ensure residents are provided with indoor and outdoor recreation areas that are easily accessible and safe. Residents must be offered, without charge, an ongoing program of physical, social and recreation activities. Licensing Officers look for a planned program that is designed to meet the needs of person in care.