| Deducted | Remarks |
| 5 | 4.7 Provide at least 2, safe, unobstructed means of egress from each floor that meets the local building, fire and life/safety codes. The bottom gate was locked with a chain and padlock. No ability to exit or enter the gate in the case of an emergency. |
| 5 | 6.9.1 Maintain all smoke detectors, fire extinguishers and fire safety equipment in good working condition and in compliance with current and applicable fire and safety codes. / Fire detection system has not been repaired as required under previous notice. |
| 4 | 7.3.1 Ensure that residents are free from any form of abuse (physical, sexual, emotional, verbal), financial exploitation, neglect, confinement to a room, withholding of food, and free of interference or coercion, discrimination and reprisal from owner. / Residents do not feel that they are receiving their mail. The mailbox is locked and the manager turns it over to the owner directly instead of the residents as addressed. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file.
2.9.4 Provide a current, signed Resident Agreement for verificaton of documentation. The record shall provided to the resident upon admission and kept on file at the Communal Living Facility as part of the Resident's File. |
| 3 | 7.7.1 (a) Store medications in separate containers and in a centralized, safe, secure and organized manner. / Medications stored in an open area under the microwave. |
| 4 | 8.2.4 (g) Provide an appropriate and accurate food thermometer for measuring the internal temperature of foods. / Food thermometer unavailable. |
| 2 | 8.2.1 (c) Post a time schedule of meals.
8.2.1 (f) Record, date and post daily menus. Maintain daily menus on file. / Menu and schedule not available. |
| 2 | 8.2.1 (d) Allow no more than 14 hours to elapse between the beginning of an evening meal and the beginning of the following morning meal. / Dinner is scheduled for 3pm and breakfast is 8am. Discussed the requirements with the house manager, Ms. Jackie. |