| Waverly Seniors Village - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | May 10, 2022 |
| Reason for Investigation | - Policies and procedures - Care and supervision |
| Report of Findings |
|---|
| Licensing received a complaint on March 30th, 2022, alleging concerns regarding Care and supervision, and staffing. The following concerns were raised related to a fall, resulting in injury to a person in care: -implementation of care plans -implementation of policies and procedures -competence of staff to carry out duties assigned All areas of the complaint were fully investigated. Evidence was collected through on-site inspection, reportable incident form, and review of documentation. Licensing determined the following contraventions: -Residential Care Regulation (RCR) s 40(3) -RCR s. 82 -RCR s. 85(1)(d) |
| 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 |
|---|---|
| 32120 - RCR s.40(3) | A licensee must not permit an employee to carry out any duties for which the employee does not have the necessary training and experience or demonstrate the necessary competence. Observation: Licensing determined employees did not demonstrate the necessary competence to carry out the required duties. Corrective action: Corrective action required. |
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Staff did not follow the facility's lift and transfer policy. Corrective action: Ensure all policies and procedures are implemented by employees. |
| 34780 - RCR s.82 | A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Observation: Licensing determined a PIC's care plan was not implemented or followed. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - No further action required. All contraventions have been addressed. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on July 19, 2022. |
