Residential Care Facilities

Residential care facilities provide accommodation, meals and care and supervision based on the persons needs. There are a wide variety of settings where residential care is provided such as small home-like facilities for persons with physical or developmental disabilities, to large-scale facilities primarily for frail elderly seniors. Facilities that provide residential care to three or more persons must have a licence, whether they receive funding (subsidized) from a health authority or another agency, or whether a person pays privately.

Licensed residential care facilities include:

  • Acquired Injury
  • Child and Youth Residential
  • Community Living
  • Hospice Care 
  • Long Term Care
  • Mental Health
  • Substance Use

Legislation & Standards of Practice

All types of licensed residential care must follow the Residential Care Regulation and Standards of Practice which have details about building requirements, staffing and management, recreation activities, record keeping, health and hygiene, nutrition and medication management.

Seniors’ residential care facilities, including those that are private pay, are licensed under the Community Care and Assisted Living Act, or are licensed or designated under the Hospital Act, and have regular inspections.

Health Authority Community Care Facility Licensing programs issue licences and conduct inspections to make sure facilities are following the rules and are providing safe care to the persons who live there. They are also required under the Community Care and Assisted Living Act to investigate any complaints of unlicensed care and concerns about a facility.

Legislation Changes

May 2018

The Community Care and Assisted Living Amendment Act, 2018 (Bill 5) amends the CCALA to require the posting of information online about community care facilities and assisted living residences, including persons operating illegally without a licence or registration.

Bill 5 - CCALA Amendment Act 2018

Bill 5 - Letter to Operators July 2018

 Q & A 

July 2016

Regulation changes have been made to address minor housekeeping issues, to align with strategic priorities of Government, to keep current with issues in the care field, and to reduce regulatory burden, so long as health and safety of persons in care are not negatively impacted.

OIC no. 526