Kahkiyow Keykanow Elders Care Home

Infection Prevention and Control — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Staff Training — Documented compliance to training.

An operator must document compliance with the requirements in 9.1, 9.2, and 9.3.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Life Enrichment Services — Life Enrichment Services are provided as per Client's Care Plan.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Quality Improvement Reporting — Reporting reportable incidents.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Client Access to Information — Personal Directives, Power of Attorney, guardian/trusteeship or Advance Care Planning information.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Act and Regulation Requirements — Clinical Staff On Site

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Oral Care Assistance and Bathing Frequency in Continuing Care Homes — Policies and procedures to provide Clients the opportunity for bathing at a minimum of twice a week.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Medication Management — Policies and procedures in Medication Management are documented and implemented.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.

Issued May 26, 2026. Fix by August 18, 2026. Status: Issued (May 26, 2026).

Quality Improvement and Reporting — Policies and procedures for reportable incidents are documented and implemented.

An operator must establish, implement and maintain documented policies and procedures for the preven

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (September 18, 2024).

Health Care Providers — Policies and procedures regarding criminal record checks for Staff and volunteers.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Quality Improvement and Reporting — Reporting reportable incidents.

Reportable incidents must be reported in accordance with the process and guidelines set out by the M

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (September 18, 2024).

Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Oral Care Assistance and Bathing Frequency — Oral care assistance and bathing frequency policies and procedures are implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on reporting unsafe equipment not owned by Operator.

Where an operator uses assistive equipment that it does not own for the purpose of providing health

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Restraint Management — Policies and procedures regarding Restraint use are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Quality Improvement and Reporting — Policies and procedures for tracking incidents and near-misses are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Infection Prevention and Control (IPC) — Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2024).

Health Care Providers — Job descriptions and guidelines are provided for Health Care Providers.

An operator must provide the health care providers it employs with access to current information on

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Safe Bath and Shower Water Temperature — Policies and procedures regarding safe water temperatures are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Palliative and End-Of-Life Care — Documented policies and procedures for Palliative and End-of-Life Care.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Concerns Resolution on Health Care — Policy and procedure for responding to concerns about the Health Care provided.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Nutrition and Hydration Management — Nutrition and hydration interventions reviewed and documented in Care Plan.

An operator must ensure that the directions for nutrition and hydration interventions for a Client a

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Safe Bath and Shower Water Temperature — Policies and procedures for water supply system and temperature checks.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Assistive Equipment, Technology And Medical/Surgical Supplies — Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Continuity of Health Care — Emergency preparedness, pandemic, contingency plans mitigate risks, are reviewed and communicated.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Quality Improvement and Reporting — Quality improvement policies and programs are documented and implemented.

An operator must establish, implement, and maintain documented quality improvement policies and prog

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Medication Management — Policies and procedures in Medication Management are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Standardized Assessment and Person-Centred Care Planning — Client's Care Plan is reviewed.

Issued July 26, 2023. Fix by September 18, 2024. Status: Rectified (July 26, 2023).

Restraint Management — Policies and procedures for Secure Spaces are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

Staff Training — Policies and procedures for Staff training are documented and implemented.

Issued July 26, 2023. Fix by August 30, 2024. Status: Rectified (July 26, 2023).

CCHSS standard 1.7

Client's Care Plan is created and reviewed by an Interdisciplinary Team conference.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 1.8

Client's Care Plan is reviewed.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 5.1

Documented policies and procedures for Palliative and End-of-Life Care.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 6.3

Policies and procedures on maintaining equipment owned by Operator and reporting if unsafe.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 9.2

Policies and procedures for Staff training are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 9.3

Policies and procedures for Staff training are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 11.1

Infection Prevention and Control (IPC) policies and procedures are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 12.1

Policies and procedures in Medication Management are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 14.1

Oral care assistance and bathing frequency policies and procedures are implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 15.1

Policies and procedures regarding safe water temperatures are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 15.2

Policies and procedures for water supply system and temperature checks

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 16.1

Policies and procedures regarding Restraint use are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 16.4

Policies and procedures for Secure Spaces are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 18.1

Policy and procedure for responding to concerns about the Health Care provided.

Issued July 26, 2023. Status: Ongoing.

CCHSS standard 19.2

Policies and procedures for tracking incidents and near-misses are documented and implemented.

Issued July 26, 2023. Status: Ongoing.

standard not recorded in the file

Issued August 25, 2020. Status: Resolved (March 30, 2021).

standard not recorded in the file

Issued August 25, 2020. Status: Resolved (March 30, 2021).

standard not recorded in the file

Issued August 25, 2020. Status: Resolved (March 30, 2021).

Establishment of a Resident and Family Council — Meeting Every 6 Months to Inform Residents

Provide evidence that a meeting has been convened to inform residents, their families and persons of

Issued October 10, 2018. Fix by July 31, 2021. Status: Rectified (July 2, 2021).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued January 30, 2020. Fix by October 31, 2020. Status: Rectified (September 22, 2020).

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

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

Issued January 30, 2020. Fix by October 31, 2020. Status: Rectified (September 23, 2020).

Water Temperature — Training, maintenance and risk mitigation to ensure safe water temperatures

Evidence required that regularly scheduled checks are in place to ensure that safe water temperature

Issued January 30, 2020. Fix by October 31, 2020. Status: Rectified (September 22, 2020).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued January 30, 2020. Fix by October 31, 2020. Status: Rectified (September 23, 2020).

Maintenance Requirements — Preventative and corrective maintenance

Evidence required of a scheduled preventative maintenance and repair program.

Issued January 30, 2020. Fix by October 31, 2020. Status: Rectified (September 23, 2020).

Establishment of a Resident and Family Council — Meeting Every 6 Months to Inform Residents

Provide evidence that a meeting has been convened to inform residents, their families and persons of

Issued October 10, 2018. Fix by April 30, 2020. Status: Rectified (July 2, 2021).

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

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

Issued January 30, 2020. Fix by April 30, 2020. Status: Rectified (September 23, 2020).

Maintenance Requirements — Preventative and corrective maintenance

Evidence required of a scheduled preventative maintenance and repair program.

Issued January 30, 2020. Fix by April 30, 2020. Status: Rectified (September 23, 2020).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued January 30, 2020. Fix by April 30, 2020. Status: Rectified (September 23, 2020).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued January 30, 2020. Fix by April 30, 2020. Status: Rectified (September 22, 2020).

Water Temperature — Training, maintenance and risk mitigation to ensure safe water temperatures

Evidence required that regularly scheduled checks are in place to ensure that safe water temperature

Issued January 30, 2020. Fix by April 30, 2020. Status: Rectified (September 22, 2020).

Establishment of a Resident and Family Council — Meeting Every 6 Months to Inform Residents

Provide evidence that a meeting has been convened to inform residents, their families and persons of

Issued October 10, 2018. Fix by February 29, 2020. Status: Rectified (July 2, 2021).

Prevention of Abuse — Written processes regarding prevention and reporting of abuse

Evidence required of written processes regarding the prevention of abuse.

Issued October 10, 2018. Fix by February 29, 2020. Status: Rectified (February 4, 2020).

Privacy and Personal Information — Written processes, training and information provision

Evidence required to demonstrate that all employees and volunteers have received education regarding

Issued October 10, 2018. Fix by January 31, 2019. Status: Rectified (January 22, 2019).

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

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

Issued October 10, 2018. Fix by February 28, 2019. Status: Rectified (January 22, 2019).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued December 8, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued October 17, 2017. Fix by July 31, 2018. Status: Rectified (July 23, 2018).

Safety and Security — Employee access to policies and procedures

Evidence required that all employees are aware of and have access to the policies and procedures in

Issued December 8, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued October 17, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Residents Personal Affairs — Communication of processes

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

Issued October 17, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Residents Personal Affairs — Requirements for written processes

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

Issued October 17, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Safety and Security — Policies and procedures

Evidence required of the site specific policies and procedures in place regarding resident safety an

Issued December 8, 2017. Fix by August 31, 2018. Status: Rectified (August 15, 2018).

Residents Personal Affairs — Written process on involvement in resident personal affairs

Evidence required of written policies respecting involvement of employees/volunteers in the personal

Issued October 17, 2017. Fix by August 31, 2018. Status: Rectified (August 21, 2018).

Menu Requirements — Resident feedback into meals, fluids and snacks

Evidence required of obtaining residents' opinions and feedback regarding the meals, fluids and snac

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (April 18, 2018).

Safety and Security — Policies and procedures

Evidence required of the site specific policies and procedures in place regarding resident safety an

Issued December 8, 2017. Fix by April 30, 2018. Status: Rectified (August 15, 2018).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (July 23, 2018).

Information Respecting the Supportive Living Accommodation — Accommodation information provision

Evidence required that the information is made available regarding:

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (April 18, 2018).

Residents Personal Affairs — Requirements for written processes

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

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Safety and Security — Employee access to policies and procedures

Evidence required that all employees are aware of and have access to the policies and procedures in

Issued December 8, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Residents Personal Affairs — Written process on involvement in resident personal affairs

Evidence required of written policies respecting involvement of employees/volunteers in the personal

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued December 8, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued October 17, 2017. Fix by January 31, 2018. Status: Rectified (January 23, 2018).

Residents Personal Affairs — Communication of processes

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

Issued October 17, 2017. Fix by April 30, 2018. Status: Rectified (August 21, 2018).

Prevention of Abuse — Information provision on preventing and reporting abuse

Evidence required that information regarding the identification and reporting of suspected abuse and

Issued October 17, 2017. Fix by January 31, 2018. Status: Rectified (January 23, 2018).

Resident Safety and Security — Maintenance and inspection of security systems

Evidence required that the security system is maintained, inspected and tested.

Issued October 17, 2017. Fix by January 31, 2018. Status: Rectified (January 23, 2018).

Residents Personal Affairs — Requirements for written processes

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

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (August 21, 2018).

Prevention of Abuse — Information provision on preventing and reporting abuse

Evidence required that information regarding the identification and reporting of suspected abuse and

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (January 23, 2018).

Residents Personal Affairs — Communication of processes

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

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (August 21, 2018).

Menu Requirements — Resident feedback into meals, fluids and snacks

Evidence required of obtaining residents' opinions and feedback regarding the meals, fluids and snac

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (April 18, 2018).

Residents Personal Affairs — Written process on involvement in resident personal affairs

Evidence required of written policies respecting involvement of employees/volunteers in the personal

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (August 21, 2018).

Resident Safety and Security — Maintenance and inspection of security systems

Evidence required that the security system is maintained, inspected and tested.

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (January 23, 2018).

Information Respecting the Supportive Living Accommodation — Accommodation information provision

Evidence required that the information is made available regarding:

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (April 18, 2018).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (August 21, 2018).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (July 23, 2018).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued October 17, 2017. Fix by December 31, 2017. Status: Rectified (January 23, 2018).

Prevention of Abuse — Education on prevention, identification and reporting abuse

Evidence required that demonstrates that all employees have received appropriate education respectin

Issued October 5, 2016. Fix by August 31, 2017. Status: Rectified (July 14, 2017).

Cleaning Requirements — Regularly scheduled cleaning of all areas

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

Issued January 17, 2017. Fix by August 31, 2017. Status: Rectified (July 20, 2017).

Social or Leisure Activities — Communication of activities

Evidence required showing how information on social and leisure activities is communicated to reside

Issued October 5, 2016. Fix by July 31, 2017. Status: Rectified (July 10, 2017).

Social or Leisure Activities — Resident needs, feedback and opinions considered

Evidence required that residents' opinions have been considered in the planning of social or leisure

Issued October 5, 2016. Fix by June 30, 2017. Status: Rectified (May 26, 2017).

Water Temperature — Safe water temperatures

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

Issued January 17, 2017. Fix by June 30, 2017. Status: Rectified (May 26, 2017).

Criminal Record Checks — Completion of criminal record checks

<p>Evidence required that each employee, volunteer and service provider who provide services directl

Issued October 5, 2016. Fix by June 30, 2017. Status: Rectified (May 26, 2017).

Menu Requirements — Record of meals served

Evidence required of meals served and substitutions made.

Issued October 5, 2016. Fix by June 30, 2017. Status: Rectified (May 26, 2017).

Water Temperature — Therapeutic tub temperature checks

Evidence required of the testing of the temperature of the hottest flowing water from each therapeut

Issued January 17, 2017. Fix by June 30, 2017. Status: Rectified (May 26, 2017).

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 5, 2016. Fix by July 31, 2017. Status: Rectified (July 10, 2017).

Act and Regulation Requirements — REG- Current fire inspection report

Evidence required of the most recent fire inspection report.

Issued January 17, 2017. Fix by May 31, 2017. Status: Rectified (April 13, 2017).

Menu Requirements — Record of meals served

Evidence required of meals served and substitutions made.

Issued October 5, 2016. Fix by January 31, 2017. Status: Rectified (May 26, 2017).

Social or Leisure Activities — Communication of activities

Evidence required showing how information on social and leisure activities is communicated to reside

Issued October 5, 2016. Fix by January 31, 2017. Status: Rectified (July 10, 2017).

Prevention of Abuse — Education on prevention, identification and reporting abuse

Evidence required that demonstrates that all employees have received appropriate education respectin

Issued October 5, 2016. Fix by January 31, 2017. Status: Rectified (July 14, 2017).

Social or Leisure Activities — Resident needs, feedback and opinions considered

Evidence required that residents' opinions have been considered in the planning of social or leisure

Issued October 5, 2016. Fix by January 31, 2017. Status: Rectified (May 26, 2017).

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 5, 2016. Fix by January 31, 2017. Status: Rectified (July 10, 2017).

Criminal Record Checks — Completion of criminal record checks

<p>Evidence required that each employee, volunteer and service provider who provide services directl

Issued October 5, 2016. Fix by January 31, 2017. Status: Rectified (May 26, 2017).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (March 23, 2016).

Water Temperature — Safe water temperatures

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

Issued January 6, 2016. Fix by May 31, 2016. Status: Rectified (May 24, 2016).

Criminal Record Checks — Completion of criminal record checks

<p>Evidence required that each employee, volunteer and service provider who provide services directl

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (March 23, 2016).

Water Temperature — Therapeutic tub temperature checks

Evidence required of the testing of the temperature of the hottest flowing water from each therapeut

Issued January 6, 2016. Fix by May 31, 2016. Status: Rectified (April 13, 2016).

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 January 6, 2016. Fix by April 30, 2016. Status: Rectified (April 12, 2016).

Cleaning Requirements — Regularly scheduled cleaning of all areas

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

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (March 23, 2016).

Social or Leisure Activities — Resident needs, feedback and opinions considered

Evidence required that residents' opinions have been considered in the planning of social or leisure

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (March 23, 2016).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (April 12, 2016).

Information Respecting the Supportive Living Accommodation — Signed residential services agreement

Evidence required that residential service agreements have been signed by the resident/representativ

Issued January 6, 2016. Fix by May 31, 2016. Status: Rectified (April 13, 2016).

Privacy and Personal Information — Written processes, training and information provision

Evidence required to demonstrate that all employees and volunteers have received education regarding

Issued January 6, 2016. Fix by April 30, 2016. Status: Rectified (March 23, 2016).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued July 7, 2015. Fix by September 30, 2015. Status: Rectified (August 24, 2015).

Prevention of Abuse — Information provision on preventing and reporting abuse

Evidence required that information regarding the identification and reporting of suspected abuse and

Issued January 27, 2015. Fix by August 31, 2015. Status: Rectified (August 20, 2015).

Prevention of Abuse — Education on prevention, identification and reporting abuse

Evidence required that demonstrates that all employees have received appropriate education respectin

Issued July 7, 2015. Fix by September 30, 2015. Status: Rectified (August 27, 2015).

Water Temperature — Safe water temperatures

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

Issued July 7, 2015. Fix by August 31, 2015. Status: Rectified (August 20, 2015).

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 January 27, 2015. Fix by June 30, 2015. Status: Rectified (June 1, 2015).

Prevention of Abuse — Information provision on preventing and reporting abuse

Evidence required that information regarding the identification and reporting of suspected abuse and

Issued January 27, 2015. Fix by July 31, 2015. Status: Rectified (August 20, 2015).

Continuation of Services — Contingency plans

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

Issued January 27, 2015. Fix by March 31, 2015. Status: Rectified (March 24, 2015).

Medication Assistance or Reminders — Self administration, secure storage, training, and error reporting

Evidence required of written processes for medication assistance and medication reminders including

Issued January 27, 2015. Fix by May 31, 2015. Status: Rectified (April 23, 2015).

Criminal Record Checks — Completion of criminal record checks

<p>Evidence required that each employee, volunteer and service provider who provide services directl

Issued January 27, 2015. Fix by July 31, 2015. Status: Rectified (July 7, 2015).

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

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

Issued January 27, 2015. Fix by June 30, 2015. Status: Rectified (June 1, 2015).

Resident Safety and Security — Suitability, maintenance and inspection of communication/emergency call/communication system

Evidence required that the emergency call/communication system is maintained, inspected and tested.

Issued January 27, 2015. Fix by June 30, 2015. Status: Rectified (May 29, 2015).

Nutritional Requirements — Menu approved by qualified professional

Evidence required that the menu is reviewed and approved by a Registered Dietician or a Food &amp; N

Issued January 27, 2015. Fix by March 31, 2015. Status: Rectified (March 24, 2015).

Job Descriptions — Job descriptions for each employee

Evidence required of a written job description for each employee.

Issued January 27, 2015. Fix by March 31, 2015. Status: Rectified (March 24, 2015).

Residents Personal Affairs — Communication of processes

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

Issued January 27, 2015. Fix by July 31, 2015. Status: Rectified (July 7, 2015).

Privacy and Personal Information — Written processes, training and information provision

Evidence required to demonstrate that all employees and volunteers have received education regarding

Issued January 27, 2015. Fix by June 30, 2015. Status: Rectified (June 1, 2015).

Residents Personal Affairs — Requirements for written processes

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

Issued January 27, 2015. Fix by July 31, 2015. Status: Rectified (July 7, 2015).

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 January 27, 2015. Fix by May 31, 2015. Status: Rectified (April 23, 2015).

Maintenance Requirements — Preventative and corrective maintenance

Evidence required of a scheduled preventative maintenance and repair program.

Issued January 27, 2015. Fix by March 31, 2015. Status: Rectified (March 24, 2015).