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Talarico Place

709 10 St Castlegar BC V1N 2H7 · Residential Care - Licensing

8 inspections

  1. Routine Inspection

    2 infractions

    • R9.1 - Are medications stored, handled, and administered appropriately?
      • Observation(s): R9.1C - In review of person in care Treatment Administration Records (TAR) multiple records included handwritten orders for prescribed medicated creams. The current system to ensure a pharmacist records all medications on the person in care's record is inconsistent and ineffective. Handwriting medication or treatment orders on treatment administration records, rather than ensuring they are transcribed and verified by a pharmacist may result in incomplete or inaccurate treatment records, increasing the risk of medication errors and impacting the facilities ability to provide safe, consistent, and accountable care. Submit by August 10, 2026, a written plan outlining how the contravention related to ensuring a system to ensure all medications are recorded by a pharmacist has been addressed. The plan must also describe the system and processes that will be implemented to support the ongoing monitoring of Section 69(1)(b) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R9.1C - Ensure a pharmacist packages all medications and records all medications on the person in care's medication administration record; 69( 1 )(a)(b)
    • R10.2 - Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): R10.2V - In review of person in cares charts it is identified that ongoing tray service is captured on care plans. There is no documented evidence available at the time of the inspection to indicate that persons in care receiving ongoing tray service are reassessed at least every 30 days by either the medical practitioner, nurse practitioner, or Dietician. Failure to regularly reassess tray service may result in care practices no longer reflecting a person in care's current needs, abilities, and preferences. Submit by August 10, 2026, a written plan outlining how the contravention related to ongoing tray service reassessments at least every 30 days has been addressed. The plan must also describe the system and processes that will be implemented to support the ongoing monitoring of Section 63(3)(c)(iv) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R10.2V - Provide ongoing room tray service if necessary because of the physical or mental circumstances of the person in care, if indicated in the care plan, approved, and reassessed at least once every 30 days by the person in care's medical practitioner, nurse practitioner, or Dietitian; 63( 3 )(c)(i)(ii)(iii)(iv) (Show More)
  2. 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 for ensuring medications are safely and securely stored is ineffective. A medicated ointment was not securely stored in a person in care's bathroom. Access to prescription medications poses several risks to persons in care. The immediate risk was addressed during the inspection by ensuring the medication was securely stored. Submit by June 26, 2025, a written plan outlining how you will ensure all medicated creams and ointments are safely and securely stored. The plan must include the system you will implement to support ongoing monitoring to ensure sustained compliance.
      • R7.1AR - Ensure all medications are safely and securely stored; 69( 3 )(a)
    • 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): In review of oral care plans some outlined whether persons in care have dentures, their own teeth or no teeth and included the level of assistance required and what type of assistance was needed. Other oral care plans did not include the level of support or type of assistance required. The absence of clear direction for oral care leads to increase risk of poor oral health. Submit by June 26, 2025, a written plan outlining how you will ensure that all persons in care will have an oral care plan outlining the level of support and the type of assistance needed. The plan must include the system you will implement to support ongoing monitoring to ensure sustained compliance.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
  3. 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 in place to ensure policies are implemented by employees appeared to be ineffective. Licensing noted that the Aggressive Alert Application procedure was not being followed in two instances.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): The current system in place to ensure that each person in care is weighed monthly appeared to be ineffective. In a random audit of resident records, Licensing noted that weights have inconsistently been recorded for numerous residents.
      • R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
    • 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): In a random audit of resident rooms, Licensing noted that there were two care plans in one room for a resident and both care plans contained differing information. In a random audit of resident care plans, Licensing noted in one instance that the instructions in a resident's care plan were not being followed.
      • 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)
      • R10.3M - Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person's care plan; 82
  4. Routine Inspection

    4 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): PRN effects not consistently documented.
      • R4.2E - Keep records of compliance with section 70 (administration of medication); 89( 2 )(d)
    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): A window in one Person in Care (PIC) bedroom was observed to be open enough to pose a risk.
      • R7.2C - Windows must be secured to prevent falls from, or exiting through, the window; 15 ( 1 )
    • 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): Diet preference sheets in dining room had not been updated. Process regarding updating sheets was not followed. This was corrected during the inspection.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R4.6 - Are facility records current and complete?
      • Observation(s): No evidence of monitoring food services.
      • R4.6D - Retain the results of monitoring of food services and nutrition care; 87(c)
  5. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The wooden hand railings in the corridors of the facility were noted to be worn and deteriorated. Please notify licensing on or before March 27th what the plan will be to address this infraction.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  6. Monitoring

    2 infractions

    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The system for ensuring that all food is safely stored was noted to be ineffective. LO noted that there is a person in care with a peanut allergy and saw a jar of peanut butter in a refrigerator which is accessible to all persons in care.. This was corrected during the inspection.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 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 for ensuring that all care plans are reviewed/revised at minimum annually appeared to be ineffective. -LO noted that in one resident's room, there was a copy of a care plan which had a date indicating it was last reviewed in 2016. -LO noted that in one resident's room, there was a care plan which did not have a date and therefore Lo could not ascertain if the care plan had been reviewed/revised within the past year. -LO noted that medication care plans were inconsistently reviewed. Some medication care plans had dates indicating that they had recently been reviewed and updated. Some medication care plans had dates indicating that they had been reviewed within the past year. And some did not have dates at all, therefore LO could not ascertain if the care plans had been reviewed/revised within the past year.
      • 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)
  7. Monitoring

    4 infractions

    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): Upon review of person in care's care plan/charts, the Licensing Officer was unable to locate the immunization status for two persons in care. One person in care's temporary care plan was not dated.
      • Keep for each person in care a record showing the name, sex, date of birth, medical insurance plan number and immunization status; 78( 1 )(a) Director of Licensing Standards of Practice: Immunization records
      • Ensure a short term care plan developed on admission includes anything that must be recorded in a care plan; 80 ( 2 )
    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): A jar of opened olives was observed on the bedside table in one person in care's room. The Manager had it removed at the time of inspection.
      • 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): It was noted that outside one of the person in care's rooms the rubber moulding was torn and coming away from the wall at the corners. The Licensing Officer observed food debris, crumbs, etc throughout the kitchen area used by the activities department.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
    • 10.2 Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): Upon review of person in care's care plans, it was noted that the pain assessment tools that were done upon admission were not dated nor could a review date be located.
      • Monitor the health and safety of each person in care regularly to determine if their needs continue to be met; 50 ( 1 )
  8. Monitoring

    4 infractions

    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): The effectiveness of PRN medications are not being consistently recorded.
      • Keep a medication administration record showing all medications administered to the person in care; 78(2)(a)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The walls in the resident's "quiet room" were noted to be scuffed and marked. The door to the medication room was noted to be scuffed and marked. The medication fridge had not had a temperature recorded since February.
      • Maintain all rooms and common areas in a good state of repair; 22(1)(b)
      • Ensure all medications are safely and securely stored; 69(3)(a)
    • 9.1 Are medications stored, handled, and administered appropriately?
      • Observation(s): The medication room has not been inspected since 2013.
      • Appoint a supervising pharmacist to serve on the medication safety and advisory committee and inspect medication storage areas; 68(2)(a)(b)
    • 10.3 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 medication care plans reviewed did not have dates and therefore LO was unable to ascertain if they had been reviewed. Upon a random audit of oral care plans, frequency of care and a description of what type of assistance needed was noted to be missing.
      • Care plans must includes an oral health care plan; 81(3)(b)
      • 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)