Carriage Care

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 fire extinguishers, which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. The maximum hot water temperature was 137.3 degrees Fahrenheit, which poses an immediate safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 places it was tested at 122.3 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 of the 5 staff files that contained no proof of staff completing the required training during the past 12 months which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in the Appraisal / Needs and Services and annual physical (Physician's Report) that was missing for 2 of the 5 residents, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. The storage room that contained cleaning solutions and poisonous substances had an unlocked door, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 2 aspects: caregiver unmasked and no signage posted at facility entrance with updates to visitor policy to notify of policies and procedures necessary to protect residents from infection during pandemic, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 3 out of 3 gates, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above because few signs were posted in the facility to mitigate Covid-19. Facility does not have a 30-day supply of PPE (e.g., facemasks, respirators, gowns, gloves, and eye protection such as face shield or goggles) and a list including items on hand or indicating where such items will be acquired (such as CCL Regional Office) and when which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in all of the residents by not completing the MAR for the past 3 days, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.