| Deducted | Remarks |
| 3 | 4.2.8 Provide a supply of soap and single-use towels in the bathrooms at all times./ Soap and paper towels are not provided in the bathrooms. |
| 2 | 4.13 Post emergency telephone numbers, including contact numbers for the health department, in a conspicous place and in a manner that is easily readable./ Contact numbers for the health department, which were missing from the list of emergency numbers, were filled-in during the inspection after the omission was identified to the person-in-charge.. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests./ Live bed bugs observed on the beds on the right-hand side of the women's rooming unit. |
| 3 | 2.9.4 Provide a current, signed Resident Agreement for verification of documentation. The record shall be provided to the resident upon admission and kept on file at the Communal Living Facility as part of the resident's file and updated throughout the resident's period of residence./ Several resident agreements were not dated and/or signed by the resident; at least one agreement from 2006 that includes no update over the period of residence. |
| 2 | 8.2.1 (f) Record, date and post daily menus. Maintain daily menus on file./ Last menu posted and retained on file is from September 2024.
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; intervals between other meals shall be not less that 4 hours and not more than 6 hours./ Posted meal schedule: B - 6AM; L - 11 AM; D - 6PM. |