Action Group

1. September 16, 2025 · Inspection

   Non-compliant

   • Concerns and Complaints — Written processes for managing concerns and complaints

     Evidence required of communication of the written process to residents, their representatives, visit

     Issued September 16, 2025. Fix by December 18, 2025. Status: Rectified (September 16, 2025).

   • Menu Requirements — Resident consultation on meal times

     Evidence required that residents are consulted, every 6 months at minimum, regarding meal times and

     Issued September 16, 2025. Fix by October 28, 2025. Status: Rectified (September 16, 2025).

   • Maintenance Requirements — Accommodation is maintained

     Evidence required that the accommodation, equipment and furnishings are well maintained and in good

     Issued September 16, 2025. Fix by December 18, 2025. Status: Rectified (September 16, 2025).

   • Menu Requirements — Record of meals served

     Evidence required of meals served and substitutions made.

     Issued September 16, 2025. Fix by December 18, 2025. Status: Rectified (September 16, 2025).

2. October 3, 2023 · Inspection

   Non-compliant

   • Maintenance Requirements — Accommodation is maintained

     Evidence required that the accommodation, equipment and furnishings are well maintained and in good

     Issued October 3, 2023. Fix by November 15, 2023. Status: Rectified (November 15, 2023).

   • Act and Regulation Requirements — REG- Current and up-to-date insurance coverage

     Evidence required of current general liability and comprehensive crime insurance coverage.

     Issued October 3, 2023. Fix by October 10, 2023. Status: Rectified (October 6, 2023).

   • Continuation of Services — Practicability, communication and review of plans

     Evidence required that the continuation of services plan is communicated and made available to resid

     Issued October 3, 2023. Fix by November 15, 2023. Status: Rectified (October 20, 2023).

   • Cleaning Requirements — Clean and comfortable environment

     Evidence required of a clean and comfortable environment.

     Issued October 3, 2023. Fix by November 15, 2023. Status: Rectified (October 20, 2023).

3. September 1, 2022 · Inspection

   Non-compliant

   • Concerns and Complaints — Concerns and complaints resolution

     Evidence required of documented concerns received and the measures taken to resolve them.

     Issued September 1, 2022. Fix by October 3, 2022. Status: Rectified (October 13, 2022).

   • Continuation of Services — Practicability, communication and review of plans

     Evidence required that the continuation of services plan is communicated and made available to resid

     Issued September 1, 2022. Fix by October 3, 2022. Status: Rectified (October 13, 2022).

   • Maintenance Requirements — Preventative and corrective maintenance

     Evidence required of a scheduled preventative maintenance and repair program.

     Issued September 1, 2022. Fix by October 3, 2022. Status: Rectified (October 18, 2022).

   • Water Temperature — Safe water temperatures

     Evidence required that the hottest water temperature flowing out of the faucets in resident areas do

     Issued September 1, 2022. Fix by October 3, 2022. Status: Rectified (October 13, 2022).

   • Continuation of Services — Contingency plans

     Evidence required that the continuation of services plan includes provisions for loss of utilities,

     Issued September 1, 2022. Fix by October 3, 2022. Status: Rectified (October 13, 2022).

4. April 21, 2021 · CMOH Inspection

   Non-compliant

   • COVID-19 Chief Medical Officer of Health Orders Expectations Not Met — Shared Spaces

     Issued April 21, 2021. Fix by April 23, 2021. Status: Rectified (April 26, 2021).

5. April 1, 2020 · Consultation

   Not assessed (consultation)

6. September 23, 2019 · Inspection

   Non-compliant

   • Duties of an Operator — Provide Copies of Process to Address Requests and Concerns

     Provide evidence that copies of the written process established under clause 5(f) are_x000D_ provided to

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

   • Duties of an Operator — Establish a Written Process for Addressing Concerns

     Provide evidence that a written process is established for addressing requests and_x000D_ concerns of th

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

   • Duties of an Operator — Provide Inspection Results

     Provide evidence that information on inspection results have been provided to_x000D_ residents and their

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

7. September 23, 2019 · Inspection

   Non-compliant

   • Risk Management — Review of managed risk agreements

     Evidence required that the managed risk agreement(s) have been reviewed and, if necessary, amended.

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

   • Water Temperature — Safe water temperatures

     Evidence required that the hottest water temperature flowing out of the faucets in resident areas do

     Issued September 23, 2019. Fix by January 31, 2020. Status: Rectified (December 4, 2019).

   • Information Respecting the Supportive Living Accommodation — Accommodation information provision

     Evidence required that the information is made available regarding:

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

   • Trust Accounts — Trust account records

     Evidence required that trust account records are made available to residents/their representatives.

     Issued September 23, 2019. Fix by November 30, 2019. Status: Rectified (October 31, 2019).

   • Menu Requirements — Menu substitutions communicated and made from same food group

     Evidence required of the menu substitutions showing that the substitutions are from within the same

     Issued September 23, 2019. Fix by November 30, 2019. Status: Rectified (October 31, 2019).

   • Residents Personal Affairs — Communication of processes

     Evidence required that the policies on involvement in residents' personal affairs have been communic

     Issued September 23, 2019. Fix by October 31, 2019. Status: Rectified (October 10, 2019).

   • Cleaning Requirements — Regularly scheduled cleaning of all areas

     Evidence required that the accommodation is cleaned on a regularly scheduled basis.

     Issued September 23, 2019. Fix by November 30, 2019. Status: Rectified (October 31, 2019).

8. April 3, 2019 · Inspection

   Non-compliant

   • Information Respecting the Supportive Living Accommodation — Terms of residential services agreement

     Evidence required that residential service agreements include the services provided, rates charged,

     Issued April 3, 2019. Fix by May 31, 2019. Status: Rectified (May 16, 2019).

   • Continuation of Services — Contingency plans

     Evidence required that the continuation of services plan includes provisions for loss of utilities,

     Issued April 3, 2019. Fix by May 31, 2019. Status: Rectified (May 16, 2019).

   • Residents Personal Affairs — Communication of processes

     Evidence required that the policies on involvement in residents' personal affairs have been communic

     Issued April 3, 2019. Fix by May 31, 2019. Status: Rectified (May 16, 2019).

   • Residents Personal Affairs — Requirements for written processes

     Evidence required of written policies that address the accepting of gifts and the involvement of emp

     Issued April 3, 2019. Fix by May 31, 2019. Status: Rectified (May 16, 2019).

   • Information Respecting the Supportive Living Accommodation — Accommodation information provision

     Evidence required that the information is made available regarding:

     Issued April 3, 2019. Fix by May 31, 2019. Status: Rectified (May 16, 2019).

• How does the home meet: Concerns and Complaints — Written processes for managing concerns and complaints?
• How does the home meet: Menu Requirements — Resident consultation on meal times?
• How does the home meet: Maintenance Requirements — Accommodation is maintained?
• How does the home meet: Menu Requirements — Record of meals served?
• How does the home meet: Act and Regulation Requirements — REG- Current and up-to-date insurance coverage?
• How does the home meet: Continuation of Services — Practicability, communication and review of plans?

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