Noric House
1400 Mission Rd Vernon BC V1T 9C3 · Residential Care - Licensing
10 inspections
- Routine Inspection
3 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): The system to ensure that medication administration records are completed is ineffective. A review of Medication Administrative Record's and Treatment Administration Records identified missing signatures for the administration of medication, Failure to chart or administer medication as prescribed can potentially affect the health and safety of persons in care. This is a re-occurring contravention from the May 2024 and June 2025 inspections. Submit by July 10, 2026, the plan that will be implemented to come into compliance with Section 78(2)(b) of the Residential Care Regulation. The plan must also include a system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): The system to ensure persons in care maintaining their hygiene is ineffective. A review of the bathing schedule identified missed baths. The bathing checklist identified sporadically missed signatures and records do not contain any additional documentation to indicate any reason for the missed baths (e.g. refusal, absence, equipment issues, or clinical rationale). Inconsistent or incomplete bathing increases the risk that significant changes in a person in care's health status may go unrecognized or unmanaged. Submit by July 10, 2026, the plan that will be implemented to come into compliance with Section 54(1) of the Residential Care Regulation. The plan must also include a system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
- R6.3A - Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The system for maintaining the physical environment is ineffective as noted by unclear windows. Windows were noted to be dirty, and several had noticeable pigeon feces on them making it unappealing to look out. The facility has a scheduled annual window cleaning, but this is not until August, there is no system in place to clean the exterior windows on an ongoing basis as required. Not maintaining the physical environment poses a risk to the mental, emotional well-being of persons in care. Submit by July 10, 2026, the plan that will be implemented to come into compliance with Section 22(1)(c) of the Residential Care Regulation. The plan must also include a system for ongoing monitoring to ensure sustained compliance with the legislative requirements. The system for ensuring medications are safely and securely stored is ineffective. During the tour of the facility, two medication charts were found to be left unlocked. Accessible medication charts create risk that persons in care could gain unauthorized access to medications. Submit by July 10, 2026, the plan that will be implemented to come into compliance with Section 69(3)(a) of the Residential Care Regulation. The plan must also include a system for ongoing monitoring to ensure sustained compliance with the legislative requirements.
- R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
- R7.1AR - Ensure all medications are safely and securely stored; 69( 3 )(a)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
6 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): The system to ensure that medication administration records are completed is ineffective. A review of Medication Administrative Record's (MAR) and Treatment Administration Records (TAR) identified missing signatures for the administration of medication. This was also a contravention on the last Routine Inspection. Failure to chart or administer medication as prescribed can potentially affect the health and safety of persons in care. Submit by July 11, 2025, the plan that will be implemented to ensure ongoing compliance with Section 78(2)(b) of the Residential Care Regulation.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R10.4 - Are restraint and fall prevention plans appropriate?
- Observation(s): The system to ensure that staff are following the instructions in the care plan respecting the monitoring requirements is ineffective. It was observed that restraint monitoring checklists identified checks that were not consistent with the requirements in the care plan, checks every two hours, while in use, were missed or beyond the two hour requirement. The use of a restraint without consistent monitoring increases the risk to the person in care's physical safety and emotional dignity. Submit by July 11, 2025, the plan that will be implemented to ensure ongoing compliance with Section 73(2)(b)(ii) of the Residential Care Regulation.
- R10.4F - Employees administering a restraint must follow any instructions in the care plan of the person in care respecting the use of restraints; 73( 2 )(b)(ii)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): The system to ensure compliance with policy and procedures of the medication safety and advisory committee is ineffective. A review of the Treatment Administration Records (TAR) identified that PRN effectiveness was not charted as per policy. Failure to chart the effectiveness of PRN medication potentially affects staff not having accurate guidance to provide safe and effective care. Submit by July 11, 2025, the plan that will be implemented to ensure ongoing compliance with Section 68(4) of the Residential Care Regulation.
- R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The system to ensure that all rooms and common areas are maintained in a safe condition is ineffective. A check on a shed door containing gardening equipment was found to be unlocked. Access to gardening tools poses a potential safety risk to persons in care. This contravention was corrected during the inspection.
- R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
- R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
- Observation(s): The system to respect the personal privacy of each person in care is ineffective. It was observed that next to the entrance to bedrooms there is a posted a picture and name of the person in care. There was no system in place to obtain consent. Without consent, the use of a picture and name potentially compromises the privacy of each person in care. Submit by July 11, 2025, the plan that will be implemented to ensure ongoing compliance with Section 53(1) of the Residential Care Regulation.
- R10.2F - Ensure respect for personal privacy of each person in care, including privacy of each person’s bedroom, belongings and storage area; 53
- R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
- Observation(s): The system to review / revise care plans is ineffective. Care plans identified Long Term Care Mobility Assessments to be reviewed / revised when there is a change in condition and minimum every 6 months. The Care plan identified the last date that the assessment was completed which did not correspond to the actual date of the latest assessment. Failure to monitor, review and update care plans on a regular basis may compromise staff's ability to meet persons in care's current and individual needs. Submit by July 11, 2025, the plan that will be implemented to ensure ongoing compliance with Section 81(4)(b)(i)(ii) of the Residential Care Regulation.
- R10.3K - Review and, if necessary, modify each care plan if there is a substantial change in the circumstances of the person in care, or at least once a year, to ensure it continues to meet the needs, preferences, and is compatible with the abilities of the person in care; 81( 4 )(b)(i)(ii)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
5 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): The system to ensure that medication administration records are completed is ineffective. A review of medication administration records identified missing signatures and PRN effectiveness not completed.
- R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
- Observation(s): The system to ensure that all policies and procedures are followed is ineffective. Sanitizing checklists were reviewed and observed as not completed daily as required.
- R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): The system to ensure that employees responsible for handling and serving food is ineffective. Employees who handle and serve meals to persons in care do not have any food safe training.
- R3.1T - Ensure employees responsible for the preparation and delivery of food have the necessary experience, competence and training to ensure that food is safely prepared and handled, and meets the nutrition needs of persons in care; 44 ( 1 )(a)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The system to ensure that water accessible to persons in care is not heated to more that 49 degrees Celsius is ineffective. Temperature checks in two bathrooms was noted to be over 49 degrees Celsius. The system for maintaining the physical environment is ineffective as noted by the observed deficiencies; Wall damage in the dinning rooms, hallways and doorways Paint peeling off walls Ceiling tiles were in a state of disrepair Newly installed handrails in hallway still noted with jagged sharp edges posing a safety risk. Second floor patio observed to have uneven flooring tiles as well as spaces between tiles posing a potential tripping hazard. Outdoor handrail overlooking a drop off is too low and poses a serious risk for injury. The system to inspect and maintain emergency equipment is ineffective as evident by Fire extinguishers past due their inspection dates.
- R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R7.1L - Inspect and maintain on a regular basis all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices; 22 ( 3 )
- R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
- Observation(s): The system to ensure that care plans are monitored on a regular basis to ensure proper implementation is ineffective. A care plan was not consistent with the corresponding restraint agreement. Care plan was noted for q 30 min monitoring while restraint agreement was noted as the minimum standard. Monitoring was noted to be completed every two hours.
- R10.3J - Each care plan must be monitored on a regular basis to ensure proper implementation; 81( 4 )(a)
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Routine Inspection
3 infractions
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): The system to monitor fridge temperatures is ineffective. It was noted on several fridges, there were missed days of recorded temperatures.
- R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Ceiling tiles noted in the hallway and in a resident bathroom were not securely in place and in a state of disrepair. It was observed that installation of new hallway handrails was incomplete. Old rail corners were noted to be still in place with jagged sharp edges posing a safety risk. The system to monitor secure doors was ineffective. It was noted during the inspection that several doors marked to keep locked were unlocked, rooms contained chemical products and other hazardous materials.
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
- R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
- R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
- Observation(s): Oral Care Plans do not contain documented evidence to indicate persons in care were encouraged to be examined by a dental health care professional in the past year, or any evidence of a pending appointment.
- R10.2H - Encourage persons in care to be examined by a dental health care professional at least once every year; 54( 3 )(a)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Routine Inspection
7 infractions
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): Medication Administration Records were observed during this inspection; PRN effectiveness was noted to be sporadically charted.
- R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
- R10.4 - Are restraint and fall prevention plans appropriate?
- Observation(s): Restraint check charting at times is completed at the end of the shift and not closer to the time the check was completed. Restraint charting flow sheet incomplete and not completed q2hrs as per care plan.
- R10.4F - Employees administering a restraint must follow any instructions in the care plan of the person in care respecting the use of restraints; 73( 2 )(b)(ii)
- R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
- Observation(s): During the routine inspection, several items noted indicate an ineffective system for self-monitoring. {including physical facility, food services, restraint monitoring, prn records, PIC records}
- R1.1W - Regularly monitor the physical environment and the care and services provided; 61
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): Height or weight was missing on 3/5 Kardex records reviewed in a unit.
- R4.1A - Record the height and weight of each person in care on admission; 49 ( 2 )
- R4.6 - Are facility records current and complete?
- Observation(s): Food services manager (FSM) not aware of food service auditing requirements and no recent food service monitoring records (including food satisfaction surveys) available.
- R4.6D - Retain the results of monitoring of food services and nutrition care; 87(c)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The following deficiencies to the physical facility were observed: *cracks and uneven pavement in all patio areas which pose a tripping and falls risk. *Upper patio area has a recessed drain which is tripping and falls risk. *Upper patio area had hanging electrical cords from drain heaters which posed a potential hazard to PICs (corrected during inspection). *Downspout on South side of building is crushed and would not disperse water properly potentially causing a slipping hazard on the walkway from water pooling/ice. *One outdoor shed was open and accessible to PICs and contained hazardous items including a rusty hammer. *Wooden planter in rear patio area is deteriorating and posed a hazard to PICs. *Facility wooden handrails are worn and deteriorating and pose a risk of slivers or instability. *Some bedrooms had loose and deteriorating vinyl molding. - The facility has a JOSH committee which includes a review physical facility however this does not appear to be addressing the many issues with the physical facility observed. - There was evidence that staff smoke on the premises of the facility; cigarette butts. Manager advised that PICS do not have access to this area. - CCTV in place however no signage displayed advising same.
- R7.1G - Display a notice in a prominent place if electronic surveillance is being used to transmit or record images of persons in care or members of the public; 19 ( 13 )
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
- R7.1M - Ensure that no one other than a person in care engages in a restricted activity while on the premises of the facility; 23(2)(a).
- R9.1 - Are medications stored, handled, and administered appropriately?
- Observation(s): S. 69 (3) (a) Ensure that all medications in the community care facility are safely and securely stored. - A tube of prescribed ointment was in an unlocked cabinet in a PIC washroom that was accessible.
- R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Substantiated complaint
4 infractions
- R4.5 - Are incidents and notifications reported and records retained as required?
- Observation(s): As a result of the complaint investigation, Licensing notes a service delivery problem incident occurred which was not reported to Licensing. This contravention is subsequent to the complaint allegations. The reportable incident was submitted to Licensing prior to completion of this report.
- R4.5D - Immediately notify licensing in the form and manner required, if a person in care is involved in a reportable incident; 77( 2 )(c)
- R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
- Observation(s): The complainant alleges non-compliance with dispute resolution. In discussions with the Manager and a policy review, Licensing notes there is a system in place to respond to all complaints, concerns and disputes promptly, however, implementation was ineffective and was not monitored to ensure resolution with the complainant was complete. Licensing determines this complaint to be SUBSTANTIATED.
- R2.1L - Respond to all complaints, concerns, disputes promptly. 60(c)
- R4.6 - Are facility records current and complete?
- Observation(s): As a result of the complaint investigation, Licensing notes menu substitutions occurred, however, there is no system in place to maintain a record of the substitutions provided. This contravention is subsequent to the complaint allegations. As a result of the complaint investigation, Licensing notes there is a system in place for dispute resolution, however, a record of this complaint and the responses to it were not retained. This contravention is subsequent to the complaint allegations.
- R4.6C - Retain food services records of menus and menu substitutions; 87(b)
- R4.6F - Retain a record of complaints made and concerns expressed under section 60 (dispute resolution) and the responses to them; 89 ( 1 )
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): The complainant alleges non-compliance with menu planning, specifically, a lack of consideration of person in care's food preferences. Licensing reviewed menu planning and diet sheets which are used for reference in menu planning, preparation and serving. Licensing notes food preferences are documented on the diet sheets which are monitored by serving staff and the Dietician. Licensing determines this complaint to be UNSUBSTANTIATED. As a result of the complaint investigation. Licensing reviewed the four week menu plan and notes snacks do not always contain 2 food groups and breakfasts do not always contain 3 food groups. These contraventions are subsequent to the complaint allegations.
- R5.1C - Provide for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups described in Canada's Food Guide; 62( 2 )(a)
- R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
- R5.1F - Provide a variety of foods in consideration of each person in care's food preferences and cultural background; 62( 2 )(c)(ii)
- R4.5 - Are incidents and notifications reported and records retained as required?
- Routine Inspection
0 infractions
- Monitoring
4 infractions
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): Currently employee performance evaluations are 25% completed, inform Licensing on what plans are in place to ensure performance evaluations are completed according to facility policy.
- R3.1K - Ensure that the performance of each employee is reviewed regularly to ensure that they continue to meet the requirements of this regulation, and demonstrate the competence required for the duties to which they are assigned; 40( 1 )(a)(b)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): The refrigerator in the recreation servery area is currently accessible to persons other than staff, due to potential food safe issues or PIC's accessing food that may not meet their nutritional needs, ensure the contents of the refrigerator are kept inaccessible to PIC's. Include in your response what systems and audits will be put in place to ensure on-going compliance.
- R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): A shed in the outdoor courtyard was open at the time of this inspection, propane and gasoline tanks visible in the shed, the door was closed and locked at the time of inspection. Inform Licensing on what systems and audits are in place to ensure potentially hazardous materials are kept inaccessible to PIC's.
- R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
- R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
- Observation(s): Ensure PIC's who are able to leave the building independently have documentation (name, facility name, emergency contact information) in their possession when they leave, also ensure their care plans are specific to the leave procedures in place including timeframes for return, and actions for staff to take if PIC does not return at the specified time.
- R10.2L - Ensure there is written documentation (name, facility name, emergency contact information) in possession of persons who temporarily leave the facility (Does not apply to Child and Youth Residential who are capable of self identification); 56( 1 ) ( 2 )
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Monitoring
2 infractions
- R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
- Observation(s): January 11, 2017 -It was noted that the facility's system for ensuring that staff implement an infection prevention/control procedure was ineffective as the supply of masks at the front door was noted to be depleted during inspection, and staff indicated that they were unaware of maintaining this supply. -It was noted that the facility's system for ensuring compliance with staff orientation to the Residential Care Regulations was ineffective. THIS WAS CORRECTED DURING INSPECTION; the Manager added the Regulations and Schedule D definitions to the staff orientation package.
- R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
- R2.1T - Ensure there are written policies and procedures for orientation of new managers and employees, including all policies and procedures of the facility, the regulations and the Act; 85( 2 )(b)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): January 11, 2017 -It was noted that the weekly menu was not posted and that the facility did not have a system in place to ensure that the weekly menu was being posted.
- R7.1AQ - Display the weekly menu in a prominent place in each dining area; (Applies only to Long Term Care) 62 ( 4 )
- R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
- Monitoring
7 infractions
- 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
- Observation(s): Several missed signatures noted on the Treatment Administration record for regularly scheduled treatments.
- Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
- 6.1 Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
- Observation(s): There is no spreadsheet available for staff hired prior to last year to indicate compliance.
- Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
- 10.4 Are restraint and fall prevention plans appropriate?
- Observation(s): A sampling of restraint monitoring logs were reviewed and it was noted that the restraints were not always being monitored or the log was filled out incorrectly. Several logs did not indicate when the restraint was removed and restraints being used at night were not signed off. A sampling of person in care records on restraints were reviewed and it was noted that restraint agreements have been signed, but there is no indication on the care plan as to the monitoring frequency or when the restraint is to be reassessed.
- Monitor the safety and physical and emotional dignity of the person in care throughout the use of the restraint and assessed after the use of the restraint, 73( 1 )(c)
- Provide in the care plan a plan to address, if there is agreement to the use of restraints, the type or nature of restraint and the frequency of reassessment; 81( 3 )(a)(iii)
- 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): The manager has a spreadsheet available for the staff hired in the past year but it is incomplete on the staff previously hired to indicate the obtaining of criminal record checks, character references, work history or copies/evidence of training or skills. A few employees were noted to be overdue on performance evaluations. The manager stated that there is a evaluation schedule set up on the computer.
- Ensure criminal record checks are obtained for all employed persons; 37( 1 )(a)
- Obtain character references for all employed persons; 37( 1 )(b)
- Obtain a record of work history for all employed persons; 37( 1 )(c)
- Obtain copies of diplomas, certificates or other evidence of training and skills for all employed persons; 37( 1 )(d)
- Ensure that the performance of each employee is reviewed regularly to ensure that they continue to meet the requirements of this regulation, and demonstrate the competence required for the duties to which they are assigned; 40( 1 )(a)(b)
- 4.1 Are person in care records current, complete and kept confidential?
- Observation(s): In the sampling of person in care records reviewed, two records were missing a photograph and several records were missing hair and/or eye color.
- Keep for each person a record showing information by which the person in care may be described or identified in an emergency, including a photograph; 78( 1 )(d)
- 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): There were several contiainers of unlabeled food noted in the recreation kitchen fridge.
- Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): Damage noted the walls in several persons in care bedrooms throughout the facility. Wall damage also noted in one of the dining rooms on the second floor. Wall damage to persons in care rooms remains outstanding from the past inspection report. Cupboard underneath sink found to be unlocked in one of the kitchen areas with cleaning supplies accessible to persons in care. This remains outstanding from the past inspection report. Bathing room doors found to be unlocked with cleaning supplies accessible to persons in care. The bathing room doors were locked during the inspection - (CDI) corrected during inspection. Prescription mouthwash found in an unlocked bathroom cupboard in one of the person in cares bedroom. Missed signatures noted on several medication fridge temperature logs.
- Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
- Ensure all medications are safely and securely stored; 69( 3 )(a)
- 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?