Follow-up on corrections·April 14, 2025

Licensing Program Analyst (LPA) Huma Rahimi, met with the front desk receptionist Henny Saftchick, and later with the Administrator Lori Mckay. LPA explained the reason for the case management visit. The purpose of the case management visit is to address deficiencies observed during the course of complaint #31-AS-20250409171120, by the LPA. The deficiencies were not alleged but related to the complaint. During the visit, LPA was informed that R1 had burnt his/her feet on or about 03/07/2025. Additionally, during the course of investigation there were other incidents related to other residents in care where 9-1-1 was called and the residents were taken to the hospital; however, no incident reports were submitted to the Community Care Licensing Department (CCLD) in a timely manner. LPA reviewed all incident reports on a system and did not observe any incident reports regarding R1 or any other residents. In addition, the Administrator admitted that no incident reports were submitted to the Regional Office (RO). Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed the Administrator that all staff members are mandated reporters and they are all responsible for reporting. LPA informed the Administrator to submit all incident reports and the incident report relating to R1 which occurred on or about: 03/07/2025. Moreover, LPA was informed that R1 refuses medical and mental health treatments and R1's reappraisal was not updated accordingly to meet R1's needs in a timely manner. Deficiencies are issued and noted on LIC 809D. Appeal rights explained and copy of this report signed and delivered.