| The Terraces at Evergreen - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | November 07, 2019 |
| Reason for Investigation | - Care and supervision - Program |
| Report of Findings |
|---|
| On October 2nd, 2019, Licensing received a complaint alleging concerns related to care and supervision and program. The allegations included the following details: Care and Supervision: - Approach to care has been inconsistent. Program: - There is no specified recreation program to participate in. All areas of the complaint were thoroughly investigated. Evidence was received and reviewed from facility documents, person in care (PIC) documents, emails, and inspection. The following contraventions were determined: - Residential Care Regulation – Section 61 Self-monitoring of community care facility - RCR – Section 81 (3)(d) Care plan needed if more than 30 day stay |
| 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 |
|---|---|
| 30240 - RCR s.61 | A licensee must regularly monitor the physical environment of the community care facility, and the care and services provided by it, to ensure that the requirements of the Act and this regulation are being met. Observation: Recreation participation records show inconsistent documentation. Corrective action: (no corrective action) |
| 34660 - RCR s.81(3)(d) | A care plan must include all of the following: (d) a recreation and leisure plan. Observation: A recreation care plan was not in place. Corrective action: (no corrective action) |
| 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. |
