REPORT FROM THE BOARD

The regular meeting of the Board of Directors was held on 02 December 2025.

CORRESPONDENCE

Thank You Card from Lynn Heatley.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: The Strategic Plan for the three-year period 2025-28, Hospital Parking Directive, SJCCC Evacuation Exercise and Ministry of Long-Term Care Report, Memorial Service and Good News Item (Wellness classes such as pilates and yoga are offered to SJCCC staff) and Census Data. Also discussed:

Strategic Plan 2025-2028 – The Board approved the Strategic Plan for 2025-2028.

Hospital Parking Directive – The Board of Directors accepted the Hospital Attestation of Compliance with Hospital Parking Directive re 01 September 2024 – 31 August 2025 as presented.

QUALITY IMPROVEMENT / SAFETY COMMITTEE

Policy to Review/Revise – The Board of Directors approved the Board of Directors policy #2-a-20 re. Quality Improvement / Safety Committee.

Patient/Resident-to-staff appreciation program – The Board approved the launch of a new recognition initiative designed to allow patients and residents to formally acknowledge staff members for excellence in care.

Quality Improvement and Safety Committee Workplan – A few additional changes were made to the Quality Improvement and Safety Committee workplan and approved by the Board of Directors. 

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Period Ending October 2025 as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statement for October 2025.

Policy to Review – The Board of Directors approved the Board of Directors policy 2-a-10 re. Comprehensive Planning, Finance and Personnel Relations Committee as revised.

CPFPRC and Audit Committee Workplans – The Board has approved the updated workplans for the CPFPRC and the Audit Committee workplans. 

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Automated Dispensing Medication Cabinets  – The Centre has received new Automated Dispensing Medication Cabinets (ADMCs). The system will enhance medication security, improve narcotic accountability, and mitigate organizational risk through detailed tracking.

PUBLIC RELATIONS AND BRANDING COMMITTEE

Equity Statement -The Board approved an official Equity Statement affirming the organization’s commitment to fairness, respect, and inclusion. This statement serves as a framework for guiding workplace culture and professional behavior.

OTHER BUSINESS

Standing Item: Annual Workplan: The workplan for the month of December was reviewed.

Standing Item – Equity, Diversity and Inclusion (EDI) 

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed The next regular Board of Directors meeting is scheduled for Tuesday, 06 January 2026 at 1200 hours via videoconference.            

REPORT FROM THE BOARD

The regular meeting of the Board of Directors was held on 04 November 2025.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: Campus of Care Expansion – Strategic Partners Providing Community Housing, Expanding Remote Care Monitoring Horizons, Ministry of Long-Term Care Report, Strategic Plan 2025-2028, Strategic Priorities 2025-2026 Goals, Management Goals update – Q2 and Good News Item (The senior team, managers and supervisors participated in an Emotional Intelligence workshop) and Census Data. Also discussed:

Strategic Plan 2025-2028 – Draft – The Board reviewed the 2025–2028 Strategic Plan draft and proposed several amendments. The revised document will be presented for final approval at the next meeting.

Strategic Priorities 2025-2026 Goals – The goals for the Fiscal Year 2025-2026 were presented and approved by the Board.

Policy Approval – The Board of Directors approved  Corporate policy #3-a-25 re. Resuscitative Intervention for Care at End of Life as revised.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Period Ending October 2025 as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statement for October 2025.

NEW BUSINESS

Educational Opportunities: AdvantAge Ontario LTC Board Governance Renewal – The Board approved the renewal of the AdvantAge Ontario LTC Board Governance and Leadership program at a reduced rate of $1,500. 

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of November was reviewed.

Standing Item: Policies to be Reviewed by the Board of Directors – Board of Directors policy #2-a-5 re. Board Membership will be deleted from the manual, as the Board’s Annual composition review makes a formal policy necessary. 

The next regular Board of Directors meeting is scheduled for Tuesday, 02 December 2025 at 1200 hours via hybrid.      

REPORT FROM THE BOARD

The regular meeting of the Board of Directors was held on 07 October 2025.

BUSINESS ARISING FROM THE MINUTES 

Strategic Planning Session – The Strategic planning session was held on 03 October 2025. Discussions generated good ideas, with productive input from both the Board and the Leadership team.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: Expanding Senior Housing & Integrated Campus of Care – Canadian Mortgage and Housing Corporation (CMHC) Application, Ministry of Long-Term Care Report and Good News Item (The Annual Service Awards ceremony was held September 17, 2025 and honoured 18 staff members and 5 retirees) and Census Data. Also discussed:

Policy Approval  – The Board of Directors approved the following Corporate policies.

-Corporate Policy #3-a-66 re Privacy Breach Management

-Corporate Policy #3-a-67 re Privacy Logging and Auditing

-Corporate Policy #3-a-68 re Privacy and Security Training 

-Corporate Policy #3-a-69 re Privacy Inquiries and Complaints

-Corporate Policy #3-a-70 re Privacy Policy

-Corporate Policy #3-a-71 re Lock Box Policy

-Corporate Policy #3-a-75 re Resident/Patient Record: Access to and Release of

QUALITY IMPROVEMENT / SAFETY COMMITTEE

Annual workplan updated  – The annual workplan was revised to include the Critical Incident Analysis on a quarterly basis. 

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Period Ending August 2025 as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statement for August 2025.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Ontario College of Pharmacists Inspection  – The Ontario College of Pharmacists conducted an on-site audit at Hotel Dieu Hospital on October 2, 2025. The audit was successful, with no findings identified.

GOVERNANCE COMMITTEE 

Change to Board Committees – The Board of Directors have appointed Rayanne Gazdar to the Comprehensive Planning, Finance and Personnel Relations Committee and will no longer serve on the Quality Improvement / Safety Committee.

NEW BUSINESS

Advocacy Letter – A letter will be sent to Mr. Nolan Quinn, Member of Provincial Parliament of Stormont, Dundas and South Glengarry in regards to specific sections of Bill 14.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of October was reviewed.

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 04 November 2025 at 1200 hours via videoconference.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 02 September 2025.

BUSINESS ARISING FROM THE MINUTES

Memorandum Response re. Annual Meeting Recommendations – APPROVED (written)

Strategic Planning Session update – The Strategic planning session will be held at Dev Hotel and Conference Centre in Cornwall on 03 October 2025. More details to follow in the upcoming weeks.

ADMINISTRATION REPORT
Ms. Lafrance’s report included: Advantage Ontario raises concerns – Bill 14, Hospital Sector Stabilization Plan (HSSP) to be discussed In Camera, Management Goals Year 2025-2026 (Q1), Ministry of Long-Term Care Report and Good News Item (The Cornwall and Area Chamber of Commerce announced SJCCC for the Large Business of the Year Award at this year’s Business Excellence Awards) and Census Data. Also discussed:

Policy Approval
The Board of Directors approved Corporate Policy #3-a-10 re. Complementary Services Offered by Regulated Health Professionals (RHPs) Not Employed by St. Joseph’s Continuing Care Centre as revised.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)
Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending 31 July 2025 as presented.

Capital Budget – The Capital Budget for 2025-26 was presented to the Board and is recommended to the Members of the Corporation for approval.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for April, May, June and July 2025.

NEW BUSINESS

Policies to Review – The Board of Directors approved the following policies as revised:
-Board of Directors policy 2-a-2 re Board of Directors
-Board of Directors policy 2-a-3 re Directors’ / Board Committee Members’ Code of Conduct

OTHER BUSINESS
Standing Item: Annual Workplan – The workplan for the month of September was revised. – Reviewed

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 07 October 2025 at 1200 hours via hybrid.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 09 July 2025.

BUSINESS ARISING FROM THE MINUTES

Membership Response re. Administrative Bylaws – APPROVED (written)

Strategic Planning Session date – The Strategic planning session will be held at the Dev Hotel and Conference Centre in Cornwall on 03 October 2025.

Policy approval to reflect the changes in the new Bylaws – The Board of Directors approved the following policies are revised:

– Board of Directors policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure

– Board of Directors policy #2-a-8 re. Executive Committee

– Board of Directors policy #2-a-15 re. Ethics and Mission Committee 

– Corporate policy #3-a-100 re. Succession Planning – Executive Director

Annual Workplans – The Executive and the Ethics and Mission committee annual workplans have been amended to reflect the changes in the new Bylaws.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: HSAA Article 8 – Form of Compliance Declaration, Ministry of Long-Term Care Report and Good News Item (SJCCC welcomed new inductees into our annual 90’s and 100’s Club) and Census Data. Also discussed:

Policy Approval

The Board of Directors approved the following policies as revised

– Corporate Policy #3-a-50 re. French Language Services

– Administrative Policy #4-a-164i re. Job Description – Executive Director (St. Joseph’s Villa)

– Administrative Policy #4-a-164ii re. Job Description – Executive Director (Hotel Dieu Hospital) 

EXECUTIVE COMMITTEE

HSAA Article 8 – Form of Compliance Declaration – HSAA Article 8 – Declaration of Compliance form is an annual requirement under the HSAA, an agreement with the Ministry.

The Board of Directors approved for signature the HSAA Article 8 – Declaration of Compliance form.

GOVERNANCE COMMITTEE

Board of Directors vacancy – Recruitment for a new member of Board of Directors will begin at the end of August and will be posted on the SJCCC website, Facebook and Church bulletins.

PUBLIC RELATIONS AND BRANDING COMMITTEE

Videos of the Centre – Videos of the Centre and the rehabilitation space can be viewed on the website.

Policy to revise and annual workplan – The Board of Directors approved policy #2-a-40 re. Public Relations and Branding Committee and the annual workplan for the Public Relations and Branding Committee with amended changes to reflect the new Bylaws.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of June was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) – Ms. Lafrance shared a poster featuring a special Indigenous-inspired menu at the Centre.

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 02 September 2025 at 1200 hours via video conference. 

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 22 May 2025.  The Annual Meeting of the Board was held prior to the regular meeting (see Governance Committee section).

CORRESPONDENCE 

Annual Report to the Sponsor 2025 – During the Regular Board meeting, the Board Members completed together the Annual Report to the Sponsor 2025. This report is a yearly requirement from Catholic Health International. The collective responses will be sent to Catholic Health International by Administration.

Thank you card from Karen Dewar – Noted

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Management Goals Year 2025-2026 (approved), Strategic Direction: Expanding Senior Housing & Integrated Campus of Care (a practical approach), Ministry of Long-Term Care Report, the Risk Management Review 2025-26 and Good News Item (Sister Rosalia Cobey Awards was held on 06 May 2025 with 7 nominations) and Census Data. Also discussed:

Policy Approval 

The Board of Directors approved Corporate Policy #3-a-30 re Health and Safety Policy as reviewed. 

The Board of Directors approved the Management Goals for 2025-2026.

ETHICS AND MISSION COMMITTEE

Mission Effectiveness Plan 2025 – The Board of Directors approved the Mission Effectiveness Plan 2025. 

Policies to Review – The Board of Directors approved the following policies as reviewed/revised:

-Corporate Policy #3-a-26 re Guidelines for Use of Advance Directives for Healthcare Decisions

-Corporate Policy #3-a-28 re Guidelines for Care at End of Life

-Corporate Policy #3-a-29 re Guidelines Regarding Sexual Intimacy

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for March 2025.

Statement of Administrative Responsibility – Noted. This document will be sent to the Members of the Corporation for information.

Draft Audited Financial Statements – The Audited Financial Statements for the Religious Hospitallers of St. Joseph of Cornwall, Ontario: St. Joseph’s Villa; Hotel Dieu Hospital; and the Consolidated Statements for the Year Ended 31 March 2025 were presented and are recommended to the Members of the Corporation for approval.

Audit Findings Report – This document was approved by the Board of Directors and referred to the Members of the Corporation for information.

PROFESSIONAL ADVISORY COMMITTEE 

Physician reapplication 2025 Dr. Patel – The Medical Staff reapplication of Dr. Patel has been reviewed by PAC and was recommended for approval. 

The Board of Directors approved the reappointment of Dr. Patel to the Medical Staff for 2025 with privileges previously held. 

GOVERNANCE COMMITTEE 

Board Member / Committee Member / Officers Appointment – In preparation for the Annual Meeting, the Committee made recommendations regarding appointment and reappointment of Directors including Officers (Mr. Paul Desnoyers, Chairperson, Mr. Mathieu Despatie, Vice-chairperson and Ms. Elizabeth MacLennan, Secretary-Treasurer), Ex-officio Members, as well as changes to some Board Committees. These recommendations were subsequently recommended at the Annual Meeting to the Members of the Corporation for approval.

Annual Reports – Annual reports from the Chairperson, Executive Director, Medical Director of Long-Term Care, Chairperson of the Ethics and Mission Committee, Chairperson of the Comprehensive Planning, Finance and Personnel Relations Committee and Chairperson of the Public Relations and Branding Committee were presented, approved and forwarded to the Members of the Corporation.

Policy to Review – The Board of Directors approved Board of Directors policy #2-a-25 re. Governance Committee as reviewed.

Workplan – The workplan was updated to reflect the changes with the new Administrative Bylaws. 

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of May was reviewed.

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed. 

The next regular Board of Directors meeting is scheduled for Wednesday, 09 July 2025 at 1200 hours by video conference.

Senior Mobile Dental Services is pleased to offer a free screening at St. Joseph’s Continuing Care Centre on Wednesday, May 28, 2025, at no cost to you. To enroll your loved one, please complete the attached “Request for Dental Care” form and email it to [email protected] or fax it to 613-907-3060. If you require assistance completing and submitting the form, please visit the nursing station on your loved one’s unit.

The screening will involve a quick assessment by their team to evaluate cooperation, the number of natural teeth, and the function of dentures. Based on their findings, they will follow up with a potential treatment plan and contact you by phone or email to schedule the next visit. 

They accept all insurance plans, including the Canadian Dental Care Plan, and handle direct billing, so you only pay the difference. 

Senior Mobile Dental Services are here to ensure your loved one’s oral health is managed with the utmost care and expertise.

Please see the attachments below for additional information.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 01 April 2025.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: Expanding Senior Housing & Integrated Campus of Care (a practical approach), Ministry of Long-Term Care Report and Good News Item (SJCCC celebrated the Feast of St. Joseph. An article of this day was featured in Seaway News by Leesa McNally, Director of Therapeutic Services) and Census Data. Also discussed:

Policies to Review

The Board of Directors approved the following policies:

–Corporate Policy #3-a-15 re Contracts – Affiliation Agreements

-Corporate Policy #3-a-18 re Contracts – Services and Projects

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE

Annual Workplan – A change was made to the Annual Workplan to reflect “ Reviews the annual Quality Improvement Plan (QIP)”. This will be reviewed every year during the month of March.

ETHICS AND MISSION COMMITTEE

Policies to Review/Revise

The Board of Directors approved the following policies:

-Corporate Policy #3-a-21 re Research Proposals

-Corporate Policy #3-a-22 re Guidelines for Medical-Moral Consultations

-Corporate Policy #3-a-24 re Death with Dignity

-Board of Directors Policy #2-a-15 re Ethics and Mission Committee has been deferred.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending February 2025 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for February 2025.

GOVERNANCE COMMITTEE

Board member resignation – The Board of Directors accepted the resignation of Dr. Sally Grant. She will continue to remain as an active member on the Ethics and Mission committee.

PUBLIC RELATIONS AND BRANDING COMMITTEE

Equity Diversity and Inclusion questions on surveys – Suggestions in regards to the wording in our surveys have been reviewed and updated.

NEW BUSINESS

Policy to Review – The Board of Directors approved Board of Directors policy #2-a-35 re Board of Directors Annual Evaluation.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of April was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) – A poster which featured a special menu for Eid-al-Fitr at the Centre. More cultural events and celebrations will be shared throughout the Centre.

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed .

The next regular Board of Directors meeting is scheduled for Thursday, 22 May 2025 at 1200 hours via hybrid.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 04 March 2025.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Ministry of Long-Term Care (MOLTC) Proactive Compliance Inspection (PCI), the Ministry of LTC Inspection Report, and Good News Item (St. Joseph’s Care Foundation raised $31,298 for their Lights of Hope Campaign) and Census Data. Service Accountability Agreements (SAAs) – Extension (LSAA and HSAA Extending Letters approved), Also discussed: 

Policy Approval 

The Board of Directors approved Policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure as revised. 

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending January 2025 as presented.

Request for Proposal (RFP) Auditing Services – Draft – The Board approved the request for Proposal Auditing Services.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for January 2025.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Physician reapplication 2025 –  Dr. D. Read’s Medical Staff reapplication has been reviewed by the PAC and was recommended to the Board for approval. The Board of Directors approved the reappointment of Dr. Read to the Medical Staff for 2025 with the privileges previously held.

GOVERNANCE COMMITTEE 

Administrative Bylaws of RHSJ 

The Board of Directors reviewed and sent a final revision for the approval of the Administrative Bylaws of the Religious Hospitallers of St. Joseph of Cornwall, Ontario.

FISCAL ADVISORY COMMITTEE 

Final Draft Budget – The Fiscal Advisory Committee met and reviewed the final budget for Hotel Dieu Hospital and was approved as presented. 

PUBLIC RELATIONS AND BRANDING COMMITTEE 

Policy Approval  – The Board of Directors approved Introduction and Organization policy #1-a-145 re. Cultural Competency: Equity, Diversity and Inclusivity Workplan  as revised. 

Reaffirmation of EDI Commitment – SJCCC continues to stand by and reaffirms the commitment to EDI.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of March was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) 

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 01 April 2025  at 1200 hours via videoconference.            

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 04 February 2025.

BUSINESS ARISING FROM THE MINUTES – Board of Directors Policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure – DEFERRED.

CORRESPONDENCE  Letter from family – Noted

Thank you Card – Noted

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: Ministry of Long-Term Care Inspection Report, Management Goals – Q3 Update, Provincial Pre-Budget Preparations and Good News Item (a breakfast & tour at Hotel Dieu Hospital is scheduled for February 7th, 2025 along with 7 plaques honouring our Sisters on each unit) and Census Data. Also discussed:

Ministry of Long-Term Care Inspection Report– An Order was issued regarding SJCCC’s Infection, Prevention and Control program. The Public copy was received and shared. Actions that were taken in response to the order included internal audits, checklists and in the moment education.

Policy Approval 

The Board of Directors approved the following policies as reviewed/revised:

– Board of Directors Policy #2-a-6 re Orientation Programme for Board Members and Members of Board Committees

– Corporate Policy #3-a-20 re Disagreement with a Physician’s / Nurse Practitioner’s Orders

– Corporate Policy #3-a-91 re Corporate Procurement Policy

– Corporate Policy #3-a-92 re Procurement Code of Ethics

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending 30 November 2024 and 31 December 2024 as presented.

Mortgage Renewal – The Board approved to move forward with the mortgage renewal of a 3 year term at 5.18%. 

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for November and December 2024.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Policy to Review  – The Board of Directors approved Board of Directors policy #2-a-26 re Professional Advisory Committee as revised.

GOVERNANCE COMMITTEE 

Appointment of Board Members to Committees

The Board of Directors have appointed Steph Sanborn be appointed to the Quality Improvement and Safety Committee and that Mrs. Chantal Tessier be appointed to the CPFPRC. 

NEW BUSINESS

Policy to Review – Board of Directors policy #2-a-30 re. Directors’/Policy on Open Board Meetings has been approved as reviewed.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of February was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) 

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 04 March 2025 at 1200 hours via videoconference.