complaint·October 25, 2023

CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff locked resident in their room , the following has been concluded: Based on observation made in the physical plant, records reviewed and interviews conducted, LPA could not sufficiently evidence that any of the facility's door were equipped with a lock or a locking latch at the time of the allegations. Staff, witnesses and residents interviewed denied any knowledge of a resident ever being locked in their room. The allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. Regarding the allegation that Staff administered medication that was not prescribed to resident , the following has been concluded: Based on evidence gathered, medication reviewed, records reviewed and interviews conducted, it could not be sufficiently evidenced that medication belonging to another resident was at any point administered to another resident for the purpose of managing their behavior. All medication observed during the three site visits were prescribed to a resident currently admitted and verified as such. However, in the presence of a photograph of medication on which the label had been marked off with a marker, the Department could not sufficiently ascertain that the allegation did not occur either. As a result, the allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. A Technical Assistance Advisory Note is however issued to remind licensee that per Title 22 Regulations " No persons other than the dispensing pharmacist shall alter a prescription label ". An exit interview was conducted and a copy of this report was provided to a facility representative.