| Heritage Village - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Residential Care (Hospital Act) - 400 |
| Investigation Completed | November 28, 2023 |
| Reason for Investigation | - Care and supervision |
| Report of Findings |
|---|
| Community Care Facilities Licensing (CCFL) received a complaint on September 8, 2023 regarding Care & Supervision, Records & Reporting, and Staffing. Evidence was obtained and reviewed through on-site inspections, and a review of documentation. Licensing confirmed the following: - Staff had not received training in responding to the emergency of a missing person in care. - While a person in care (PIC) was at risk for wandering, their care plan did not include a plan to locate them if they left the facility without notification. Therefore, the operator failed to meet the requirements of section 51(3), Emergency preparations, and section 81(3), Care plan needed if more than 30 day stay, of the Residential Care Regulation. |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 32310 - RCR s.51(3) | A licensee must ensure that each employee is trained in the implementation of the plans described in subsection (1), including in the use of any equipment noted in the plan. Observation: Facility leadership confirmed staff had not received training in responding to the emergency of a missing person in care. Corrective action: Please ensure staff are trained in the implementation of emergency procedures. To be corrected by: Corrected prior to conclusion of investigation |
| 34710 - RCR s.81(3)(f)(ii) | A care plan must include all of the following: (f) if a person in care has been determined to be at risk of leaving a community care facility without notification of an employee, a plan (ii) if the person in care leaves without notification, to locate the person in care. Observation: While a person in care (PIC) was at risk for wandering, their care plan did not include a plan to locate them if they left the facility without notification. Corrective action: Please ensure a PICs care plan includes a plan to locate them should they leave the facility without notifying staff. To be corrected by: Corrected prior to conclusion of investigation |
| Actions Required by Licensee/Operator | |
|---|---|
| - No further action required. All contraventions have been addressed. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - No further action required. All contraventions have been addressed. - Resources provided. |
