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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
SCLY-BJ9TNW

FACILITY NAME
Waverly Seniors Village
SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
LSEO-AG9ULX
FACILITY ADDRESS
8445 Young Rd
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Adele Fussi

INSPECTION DATE
November 25, 2019
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.15
ARRIVAL
01:00 PM
DEPARTURE
02:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# OBSERVED IN CARE

Introduction

A follow-up inspection was conducted to assess compliance from previous routine inspection CJOS-B5SR6X.

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: Discussion with the DOC and GM found that there are overdue employee appraisals. It is uncertain how many are overdue.
Corrective Action(s): Ensure that employee appraisals are current. Please submit a plan with a timeline as to when this will be brought into compliance.
Date to be Corrected: Dec 9, 2019

HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: TB records are current, but immunization records are still outstanding.
Corrective Action(s): Please submit a plan for when immunization status will be obtained for each person in care.
Date to be Corrected: Dec 9, 2019


Comments


Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into compliance, Provide a written response to LicensingNo action required
Due Date
Dec 09, 2019

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Click here for a description of each "Category" of violation displayed.