complaint·November 22, 2025

Staff do not ensure food of adequate quantity is provided to residents in care. On the allegation that staff do not ensure residents in care receive an adequate amount of food, it is the concern of the reporting party (RP) that the licensee asked staff to feed the residents small portions of food, because food is being wasted. To investigate the allegation, LPA Mixson conducted interviews with staff, residents, licensee and two witnesses, on 09/20/2023 and on 02/23/2024. Six out of six (6) staff interviews revealed that the staff always ensure that residents receive sufficient food, and plenty of water and drinks. Three out of three (3) residents interviews revealed that they receive plenty of food, and there was never a time when there was not enough food or that they missed any meals. Witnesses’ interviews revealed that when they visit the residents at the facility, they have observed sufficient food being served as part of the residents’ meals; they have not heard concerns from the residents about meals and food portions. The interview with the licensee revealed that the licensee had a meeting with staff, in which the licensee stated that there was a concern about the food, however the concern had to do with the excessive amount of food which was being wasted and being thrown out. The licensee stated that the management team is simply saying “serve smaller portions and if the residents consume all the meal and request more, offer/serve more”. Furthermore, LPA Mixson conducted a tour of the kitchen area, and the food supply was adequate as per CCL Regulations. The LPA observed residents eating their meals. LPA Mixson was able to observe that residents with special diets were provided with special meals. Based on the information obtained through observation, and interviews, the facility staff is providing residents with adequate amounts of food. Therefore, this allegation is deemed Unsubstantiated at this time. Continues on LIC 9099C... pg.3 pg.3 Staff did not ensure emergency disaster plan was followed for residents in care. On the allegation that staff did not ensure they followed the facility’s emergency disaster plan, it is the concern of the reporting party (RP) that the facility lost electricity on a weekend for five hours and the facility did not have a backup generator to assist residents who require use of oxygen. To investigate the allegation, on 09/20/2023 and on 02/23/2024, LPA Mixson conducted interviews with staff, residents, licensee and two witnesses. Witnesses’ interviews revealed that they visit the facility at least once a week and have been doing so since 2020 and have not witnessed any emergencies, nor has anyone mention to them of any disasters, and they were not aware of the electricity shut off. Residents interviewed stated that they have not experienced facility emergencies or concerns of electricity or water at the facility being shut off. Staff interviews revealed that they are aware of the emergency disaster plan, location where it is posted, and that they receive training when they get hired. One staff stated that “emergency” was not actually an emergency but a scheduled and planned power outage by the city. The staff shared that the facility management team was aware of the outage and were prepared for a downed power line. The facility knew the power would be scheduled to be off for several hours and the staff planned accordingly. The meals went forth, there were no missed meals, the activities went forth as scheduled. There was plenty of water and if any of the residents were on oxygen at the time of the power outage there were portable tanks that were battery operated. There was no need for a generator at the time of the outage at all. The licensee’s interview revealed that if any of the residents were on oxygen at time of the electricity shut off, there were portable battery-operated oxygen tanks and there was no need for a backup generator, however, there is one available. LPA Mixson conducted a physical plant tour of the facility and observed numerous regulation postings throughout the facility and the required emergency numbers posted for the fire department, and for the ambulance service, as well as the local pharmacies. Smoke detectors were observed; the fire extinguishers were operable and serviced. There were no observable issues or concerns noted during this site visit.Based on the information obtained through observation, and interviews, the facility staff does follow the emergency disaster plan for residents in care. Therefore, this allegation is deemed Unsubstantiated at this time. Licensee was away from the facility and the designated facility staff signed off on the report. No citations were issued. Exit interview was conducted, and a copy of the report was issued.