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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
JMEA-CEGMHS
FACILITY NAME
The Madison		SERVICE TYPES
401 Long Term Care (Hospital Act)
FACILITY LICENSE #
LBAA-95YUG4
FACILITY ADDRESS
1399 Foster Av		FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Annie Kinamore
INSPECTION DATE
May 16, 2022		ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
0.5
ARRIVAL
09:30 AM		DEPARTURE
10:00 AM		ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up		# OBSERVED IN CARE
Introduction

Follow-Up Inspection Report

Follow-up to Routine Inspection #JMEA-CE4TPR

A follow-up inspection was conducted to assess compliance with the Community Care and Assisted Living Act (C.C.A.L.A.), the Residential Care Regulation (R.C.R.), and the relevant Director of Licensing Standards of Practice (D.L.S.P.). Evidence for this report was based on the licensing officer's observations, review of the facility records, and information provided by the facility staff at the time of inspection.

The purpose of this inspection is to complete a follow-up to the routine inspection dated May 4, 2022.

Please provide a response by June 16, 2022 as to how the contravention identified on this report will be addressed.
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: 32270 - RCR s.44(2) - A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is (a) a nutrition manager with membership in the Canadian Society of Nutrition Management, (b) a person who is eligible to be a member of the Canadian Society of Nutrition Management, or (c) a dietitian.
Observation: Review of a staffing file indicated the staff supervising the preparation and delivery of food does not have membership with the Canadian Society of Nutrition Management.
Corrective Action(s): Ensure the staff who is supervising the preparation and delivery of food has a membership with the Canadian Society of Nutrition Management.
Date to be Corrected: June 16, 2022
Comments

Due to infection control practices in place related to COVID-19 prevention, this report was written off-site and is therefore unsigned. A copy of the report was email to the manager. If there are further questions related to this routine inspection, please contact your Licensing Officer.
Action Required by Licensee/ManagerAction Required by Licensing Staff
Provide a written response to LicensingNo action required
Due Date
Jun 16, 2022
Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.