Osprey Court
6201 Osprey Rd Vernon BC V1H 1M7 · Residential Care - Licensing
4 inspections
- Substantiated complaint
3 infractions
- R4.6 - Are facility records current and complete?
- Observation(s): Allegation: Concerns regarding the quality of food. A licensee must keep a record of the following matters respecting food services: (c) the results of monitoring, by the licensee, of food services and nutrition care. In discussions with site management it was acknowledged that the facility had only completed a food survey by means of the family council meeting, there was no documented ‘Satisfaction with Nutrition and Food Services Questionnaires’ completed. Findings: substantiated. Submit a correction action plan by November 07, 2025, indicating what systems are in place to ensure that food monitoring documentation is recorded to be in compliance with RCR, section 87(c). Allegation: Complaints to facility management were not taken seriously. A licensee must ensure that all complaints, concerns and disputes are responded to promptly. A licensee must keep a record respecting complaints made and concerns expressed to the licensee under section 60 [dispute resolution], and the responses to them. In reviewing with site management it was acknowledged that the facility had not maintained complaint documentation as required. Findings: substantiated. Submit a correction action plan by November 07, 2025, indicating what systems are in place to ensure that complaint documentation is recorded to be in compliance with RCR, section 89(1).
- R4.6D - Retain the results of monitoring of food services and nutrition care; 87(c)
- 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): Allegation: Individual nutritional needs not been met. A licensee must ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan. A review of a care plan and care conferences notes identified specific nutritional requirements. There was no documented evidence to suggest this was followed. Findings: substantiated Submit a correction action plan by November 07, 2025, indicating what systems are in place to ensure that the nutritional needs are met to be in compliance with RCR, section 66(1).
- R5.1S - Provide adequate food to meet the personal nutritional needs based on Canada's Food Guide, and the person in care's nutrition plan; 66 ( 1 )
- R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
- Observation(s): Allegation: Call bell response times were not done in a timely manner and that safety checks were not done at night. A licensee must regularly monitor the health and safety of each person in care to determine whether the needs of the person in care continue to be met. A review of the call bell response times identified lengthy responses, and an acknowledgement by site management that they had not maintained any documentation to support completion of safety checks. Findings: substantiated Submit a correction action plan by November 07, 2025, indicating what systems are in place to ensure that persons in care are regularly monitored to be in compliance with RCR, section 50(1).
- R10.2A - Monitor the health and safety of each person in care regularly to determine if their needs continue to be met; 50 ( 1 )
- R4.6 - Are facility records current and complete?
- Routine Inspection
2 infractions
- 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. Water temperature checks in several locations were in excess of 49 degrees. Water temperatures exceeding 49 degrees Celsius presents risk for immersion burn. Submit by August 08, 2025, the plan that will be implemented to ensure ongoing compliance with Section 17 of the Residential Care Regulation. The system for maintaining the physical environment in a good state of repair is ineffective as noted by damage to walls in several locations. Regular maintenance is important to ensure the ongoing health, safety and dignity of persons in care. Submit by August 08, 2025, the plan that will be implemented to ensure ongoing compliance with Section 22(1)(b) of the Residential Care Regulation. The system to ensure that all rooms and common areas are maintained in a safe and clean condition is ineffective. it was observed that balcony’s were in need of cleaning as noted by large cobwebs and unclean windows. It was also observed that an outdoor shed containing gardening tools was unlocked, posing a safety risk. Not maintaining a clean and safe environment poses a risk to the mental, emotional and physical well-being of persons in care. Submit by August 08, 2025, the plan that will be implemented to ensure ongoing compliance with Section 22(1)(c) of the Residential Care Regulation.
- 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)
- R7.1J - 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 the full name of the person in care is posted. There is 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 August 08, 2025, the plan that will be implemented to ensure ongoing compliance with Section 53(1) of the Residential Care Regulation. The system to ensure that persons in care that may leave a facility unannounced have the required information identifying the person in care and emergency contact information is ineffective. The absence of identifying information potentially poses a risk to the safety and well-being of the person in care. Submit by August 08, 2025, the plan that will be implemented to ensure ongoing compliance with Section 56(3) 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
- R10.2M - Ensure that persons in care who may leave the facility without notifying an employee and may not be capable of identify themselves be fitted with a bracelet or other means that cannot be easily removed, indicating the person's name, facility, and emergency contact information; 56( 3 )(a)(b) (Show More)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Substantiated complaint
4 infractions
- R4.5 - Are incidents and notifications reported and records retained as required?
- Observation(s): During this investigation, it was observed that a reportable incident had occurred which was not reported to Licensing at the time of the incident. It is acknowledged that the Licensee has since submitted an Incident report to Licensing.
- 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): Concerns alleged that staff did not communicate or respond promptly to concerns brought forward to the facility. Upon review of the progress notes, it was identified that staff member had not documented interactions with the complainant, there was no evidence to suggest that a response was provided to the complainant or given in a timely manner. Concerns alleged that the complainant was not notified regarding incidents that involved the person in care. A review of the progress notes identified two such incidents for which the complainant had only been notified on the one occasion. Furthermore, it was also identified during this investigation that a staff member had not charted their interactions with the complainant as per policy.
- R2.1L - Respond to all complaints, concerns, disputes promptly. 60(c)
- 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): Concerns alleged that staff were not following infection control practices when managing soiled linen and incontinent pads. The Licensee acknowledges that best practices had not been followed regarding infection control practices of staff managing soiled linen and incontinent pads as noted within their internal investigation report. It is acknowledged that the Licensee has since submitted an action plan to address this contravention.
- R3.1O - Ensure employees have the necessary training and experience or demonstrate the necessary competence to carry out duties; 40 ( 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): Concerns alleged that care plans were not revised or provided sufficient directions to staff. Review of care plans identified that the care plan was not revised to reflect the complainants requested for a diet change. A review of care plans also identified that the care plans were not revised in providing sufficient direction with bathing.
- R10.3J - Each care plan must be monitored on a regular basis to ensure proper implementation; 81( 4 )(a)
- R4.5 - Are incidents and notifications reported and records retained as required?
- Routine Inspection
3 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): The system to ensure that all policies and procedures are followed is ineffective. A review of the HCA daily cleaning checklist identified missing daily checks. Spar room checklists were also sporadically missing checks, one spar room had two checklists for the same period.
- R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
- 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): The system to ensure all medications are safely and securely stored is ineffective. Medicated cream was located in a person in care’s bathroom, as well as a bedside table during this inspection.
- R7.1AR - Ensure all medications are safely and securely stored; 69( 3 )(a)
- 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?