1 | Foundational Document – Agreed Statement of Facts
Appendix A to the Agreed Statement of Fact – Handwritten Confession
Appendix C to the Agreed Statement of Fact – Transcript of Elizabeth Wettlaufer's Police Statement
Appendix D to the Agreed Statement of Fact – Centre for Addiction and Mental Health (CAMH) - Discharge Data | June 5, 2018 |
2 | Foundational Document – Reasons for Sentence | June 5, 2018 |
3 | Foundational Document – Timeline of Major Events | June 5, 2018 |
4 | Foundational Document – Legislation Brief | June 5, 2018 |
5 | Transcript of Interview with Elizabeth Wettlaufer
Appendix to Transcript | June 5, 2018 |
6 | Overview Report – The Facilities and Agencies
Facilities Overview Report – Report Source DocumentsPlease Note: this file is approx. 2gb and download speed will be dependant on your internet connection. | June 5, 2018 |
6A | Supplementary Overview Report of the Facilities and Agencies
Supplementary Overview Report of the Facilities and Agencies – Report Source DocumentsPlease Note: this file is approx. 66Mb and download speed will be dependant on your internet connection. | August 8, 2018 |
7 | Overview Report – The Office of the Chief Coroner and the Ontario Forensic Pathology Service
Overview Report – Office of the Chief Coroner and OFPS - Report Source Documents | June 5, 2018 |
8 | Overview Report – The College of Nurses
Overview Report – The College of Nurses - Report Source DocumentsPlease Note: this file is approx. 400Mb and download speed will be dependant on your internet connection. | June 5, 2018 |
8A | Addendum to the Overview Report of the College of Nurses of Ontario, single page | July 24, 2018 |
8B | Second Addendum to the Overview Report of the College of Nurses, including document LTCI00037056 (Summary of Telephone Call) | August 8, 2018 |
9 | Overview Report – The Ministry of Health and Long-Term Care
Overview Report - Ministry of Health and Long-Term Care - Report Source DocumentsPlease Note: this file is approx. 21Gb and download speed will be dependant on your internet connection. | July 25, 2018 |
9A | Addendum to the Overview Report of the Minsitry of Health and Long-Term Care | July 30, 2018 |
9B | Second Addendum to the Overview Report of the Ministry of Health and Long-Term Care
Second Addendum to the Overview Report of the Ministry of Health and Long-Term Care - Report Source Documents | September 14, 2018 |
10 | Affadivit of Brenda Van Quaethem | June 6, 2018 |
11 | Witness Documents for Brenda Van Quaethem | June 7, 2018 |
12 | Full Collective Agreement, expiring June 30, 2014 | June 7, 2018 |
13 | Guidelines for Eligible Expenditures | June 7, 2018 |
14 | Table of Contents – Standards: Resident Care | June 7, 2018 |
15 | Policy and Procedure Document, Caressant Care, effective February, 2017 | June 7, 2018 |
16 | Affidavit of Helen Crombez, dated June 7, 2018 | June 7, 2018 |
17 | Interview summary by telephone, dated July 30, 2014 | June 8, 2018 |
18 | Registered Staff Meeting Minutes, dated July 29, 2010 | June 11, 2018 |
19 | Medication Management System Program Evaluation, dated September 2013 | June 11, 2018 |
20 | Witness documents for Helen Crombez | June 11, 2018 |
21 | Death Records re: Maurice Granat | June 11, 2018 |
22 | Caressant Care Policy and Procedure on Death of a Resident | June 11, 2018 |
23 | Registered Staff Meeting Minutes, dated March 25, 2014 | June 11, 2018 |
24 | Resident Death or Transfer Record | June 11, 2018 |
25 | Mandatory Reporting: a process guide for employers, facility operators and nurses, created by the College of Nurses of Ontario | June 11, 2018 |
26 | Registered Staff Contingency Plan for Working Short Staffed – August 19, 2013 | June 12, 2018 |
27 | Overtime Memo – April 19, 2013 | June 12, 2018 |
28 | Professional Responsibility Workload Report Form – December 20, 2010 | June 12, 2018 |
29 | Professional Responsibility Workload Report Form – April 1, 2011 | June 12, 2018 |
30 | Professional Responsibility Workload Report Form – June 16, 2013 | June 12, 2018 |
31 | Practice Guideline - RN and RPN Practice: The Client, the Nurse and the Environment - 2014 | June 12, 2018 |
32 | Inspection Report under the Long-Term Care Homes Act, 2007 | June 12, 2018 |
33 | Affidavit of Karen Routledge, dated June 12, 2018 | June 12, 2018 |
34 | Excerpt of Progress Notes re Maureen Pickering, dated September 9, 2013 | June 13, 2018 |
35 | Medical and Death Records of Maureen Pickering | June 13, 2018 |
36 | Collective Agreement dated June 30, 2011 | June 13, 2018 |
37 | Affidavit of Wendy MacKnott, dated June 13, 2018 | June 13, 2018 |
38 | Affidavit of Heidi Wilmot-Smith, dated June 13, 2018 | June 13, 2018 |
39 | Lifeguard Homecare Service Contract and Agreement for Payment, dated July 24, 2015 | June 14, 2018 |
40 | Affidavit of Agatha Krawczyk, dated June 14, 2018 | June 14, 2018 |
41 | Affidavit of Brenda Black, dated June 14, 2018 | June 14, 2018 |
42 | Affidavit of Laura Long, dated June 18, 2018 | June 18, 2018 |
43 | Affidavit of Heather Nicholas, dated June 19, 2018 | June 19, 2018 |
44 | Time card for Elizabeth Wettlaufer at Meadow Park (Apr 30- May 3 2014) | June 19, 2018 |
45 | Employee File Checklist – Jarlette Health Services (March 18, 2014 and March 19, 2014) | June 19, 2018 |
46 | London Police Service Case Summary (Oct 4, 2017) | June 19, 2018 |
47 | Witness Documents for Heather Nicholas | June 19, 2018 |
48 | Affidavit of Melanie Smith, dated June 18, 2018 | June 20, 2018 |
49 | Jarlette Health Services Education Days - May 2014 | June 20, 2018 |
50 | Jarlette Health Services Education Days | June 20, 2018 |
51 | Affidavit of Wanda Sanginesi, dated June 15, 2018 | June 20, 2018 |
52 | Residents' Council Meeting Minutes, December 18, 2013 | June 20, 2018 |
53 | Residents' Council Meeting Minutes, May 28 2014 | June 20, 2018 |
54 | Policy and Procedure - Job Description - Administrator - May 2013 | June 21, 2018 |
55 | Report Form for Facility Operators and Employers, March 31, 2014 | June 21, 2018 |
56 | Inspection Report under the Long-Term Care Homes Act | June 21, 2018 |
57 | Practice Standard - Medication, Revised 2008 | June 21, 2018 |
58 | Affidavit of Jill Allingham, dated June 18, 2018 | June 21, 2018 |
59 | ONA Grievance Fact Sheet | June 21, 2018 |
60 | Affidavit of Robert Vanderheyden, dated June 18, 2018 | June 22, 2018 |
61 | Administrator Orientation Checklist | June 22, 2018 |
62 | Inspection Report under the Long-Term Care Homes Act | June 22, 2018 |
63 | Medication - Inspection No 2014_229213_0072 | June 22, 2018 |
64 | Inspection Report under the Long-Term Care Homes Act | June 22, 2018 |
65 | Affidavit of John McDonald, dated June 22, 2018 | June 22, 2018 |
66 | Ad Hoc Notes | June 22, 2018 |
67 | Affidavit of Richard Reddick, dated June 22, 2018 | June 22, 2018 |
68 | Affidavit of Joanne Polkiewicz, dated June 21, 2018 | June 22, 2018 |
69 | Affidavit of Vasilki (Lia) McInnes, dated June 18, 2018 | June 22, 2018 |
70 | Affidavit of Felina Cabrera, dated June 20, 2018 | June 22, 2018 |
71 | Affidavit of Cassidy Pizarro, dated June 18, 2018 | June 22, 2018 |
72 | Affidavit of Robyn Laycock, dated June 25, 2018 | June 25, 2018 |
73 | Affidavit of Jonathan Lu, dated June 25, 2018 | June 25, 2018 |
74 | OPA Best Practice Guidelines for Long-Term Care - Inspections of the Medication Management System | June 25, 2018 |
75 | Inspection Report under the Long-Term Care Homes Act | June 25, 2018 |
76 | Affidavit of Dianne Beauregard, dated June 25, 2018 | June 25, 2018 |
77 | Affidavit of Tracy Raney, dated June 25, 2018 | June 25, 2018 |
78 | Affidavit of Tanya Adams, dated June 24, 2018 | June 25, 2018 |
79 | Handwritten Notes (Sept-Oct 2014) | June 25, 2018 |
80 | Standards for Pharmacists Providing Services to Licensed Long-Term Care Facilities, effective January 1, 2007 | June 26, 2018 |
81 | Affidavit of Dian Shannon, dated June 26, 2018 | June 26, 2018 |
82 | Ministry of Health and Long-Term Care Inspection Report, dated May 24, 2017 | June 26, 2018 |
83 | Ministry of Health and Long-Term Care, Order(s) of the Inspector, dated Mar 8, 2016 | June 26, 2018 |
84 | Affidavit of Sherri Toleff, dated June 26, 2018 | June 26, 2018 |
85 | Affidavit of Michelle Cornelissen, dated June 26, 2018 | June 26, 2018 |
86 | Affidavit of Carol Hepting, dated June 25, 2018 | June 27, 2018 |
87 | Order of the Director | June 27, 2018 |
88 | Suspension of Admissions to Caressant Care Woodstock Nursing Home | June 27, 2018 |
89 | Suspension of Admissions to Caressant Care Woodstock (Lifted) | June 27, 2018 |
90 | Affidavit of Tamara Condy, dated June 27, 2018 | June 27, 2018 |
91 | Resume of Elizabeth Wettlaufer | June 27, 2018 |
92 | Resume of Elizabeth Wettlaufer | June 27, 2018 |
93 | Feedback Report | June 27, 2018 |
94 | Affidavit of Patricia Malone, dated June 27, 2018 | June 28, 2018 |
95 | Supplementary Affidavit of Helen Crombez, dated June 28, 2018 | June 28, 2018 |
96 | Affidavit of Laura Jackson, dated June 27, 2018 | June 28, 2018 |
97 | Affidavit of Noelle Kelly, dated June 13, 2018 | July 16, 2018 |
98 | Affidavit of Dr. Dirk Huyer, dated July 3, 2018 | July 16, 2018 |
99 | Death Investigation Oversight Council Document | July 16, 2018 |
100 | Case Selection Data Form | July 16, 2018 |
101 | Chapter 3 Investigations - General | July 16, 2018 |
102 | Chapter 4 Guidelines for Death Investigations | July 16, 2018 |
103 | Chapter 5 Apparently Natural Deaths | July 17, 2018 |
104 | Affidavit of Dr. G. Richard Mann | July 17, 2018 |
105 | Performance Evaluation for Investigating Coroners | July 17, 2018 |
106 | Summary of Dr. William George’s Resume | July 18, 2018 |
107 | Resident Death or Transfer Record for Caressant Care Woodstock | July 18, 2018 |
108 | Coroner Investigation Worksheet | July 18, 2018 |
109 | Preliminary Report - History & Physical | July 18, 2018 |
110 | Caressant Care Resident Information Form for Mr. Silcox, pages 3-4 | July 18, 2018 |
111 | Curriculum Vitae of Dr. Elizabeth Urbantke | July 19, 2018 |
112 | Handwritten Notes, page 3, January 24th | July 19, 2018 |
113 | Coroner's Investigation Statement (Form 3) dated 2013 | July 19, 2018 |
114 | Form 3 Coroner’s Investigation Statement, by Dr. Urbantke | July 19, 2018 |
115 | Affidavit of Dianne Crawford, dated July 22, 2018 | July 23, 2018 |
116 | Affidavit of Dr. Michael Pollanen, dated July 6, 2018 | July 23, 2018 |
117 | Diagnostic Imaging Consultation Report, page 102 | July 23, 2018 |
118 | The Forensic Pathology of Secret Homicides: A Retrospective Review | July 23, 2018 |
119 | The Forensic Pathology of Secret Homicides: A Retrospective Review-PowerPoint | July 23, 2018 |
120 | Strengths of Ontario Investigation Systems, Draft for Discussion Purposes Only, pages 59-61 | July 24, 2018 |
121 | Affidavit of Anne Coghlan, dated July 3, 2018 | July 24, 2018 |
121A | College of Nurses Document Brief, Tabs 1-50 | August 8, 2018 |
122 | 2017 Annual Report of the College of Nurses: Leading in Change | July 24, 2018 |
123 | CNO Organizational Structure | July 24, 2018 |
124 | Prevalence and Nature of Medication Administration Errors in Health Care Settings | July 24, 2018 |
125 | Recidivism of Nurses Subject to a Report from an Employer | July 25, 2018 |
126 | Bill 87, Protecting Patients Act, 2017 | July 26, 2018 |
127 | OMA Mission/Objectives to the PHP Program | July 26, 2018 |
128 | Identifying Risks: Learnings from the literature on health care serial killers | July 26, 2018 |
129 | Affidavit of Karen Simpson, dated July 25, 2018Please Note: this file is approx. 158Mb and download speed will be dependant on your internet connection. | July 30, 2018 |
130 | Evidence of Philip Moorman: Long-Term Care Homes Quality Inspection Program Performance Assessment (LPA) | July 30, 2018 |
131 | LTCHomes.net Memo to the Sector: Annual Provincial Data for 2017 RQI | July 31, 2018 |
132 | Two documents:
Letter dated February 7, 2017 to Karen Simpson from Caressant Care
Several-page attachment to the letter | July 31, 2018 |
133 | Letter to Long-Term Care home Licensees, dated January 11, 2017 | July 31, 2018 |
134 | Affidavit of Rhonda Kukoly, dated July 24, 2018 | August 1, 2018 |
135 | Report on the inquest into the deaths of Ezzeldine El Roubi and Pedro Lopez | August 1, 2018 |
136 | Inspection Report dated June 29, 2017 | August 1, 2018 |
137 | Caressant Care Registered Staff Interview of Karen Routledge, dated December 13, 2016 | August 2, 2018 |
138 | Medication Management System Program Evaluation | August 2, 2018 |
139 | Medication Management System Program Evaluation | August 2, 2018 |
140 | Medication Management System Program Evaluation | August 2, 2018 |
141 | Interview of Sandra Fluttert | August 2, 2018 |
142 | Affidavit of Natalie Moroney, dated July 24, 2018 | August 2, 2018 |
143 | Staff Inventory List for Meadow Park London, date of Inspection October 28, 2016 | August 3, 2018 |
144 | Affidavit of Lisa Vink | August 3, 2018 |
145 | Staff Inventory List, dated October 5, 2016 (2 pages) | August 3, 2018 |
146 | Ministry of Health and Long-Term Care Resident Quality Inspection, dated August 3, 2017 | August 3, 2018 |
147 | Affidavit of Aislinn McNally, dated July 26, 2018 | August 7, 2018 |
148 | Affidavit of Phillip Moorman, dated July 27, 2018 | August 7, 2018 |
149 | Letter dated October 13, 2016 from Meadow Park London | August 7, 2018 |
150 | Overall Results for Jarlette Health Services- Meadow Park London Long Term Care | August 7, 2018 |
151 | Abaqis Customer Satisfaction Report, Resident Satisfaction, Meadow Park London | August 7, 2018 |
152 | Abaqis Customer Satisfaction Report, Family Satisfaction, Meadow Park London | August 7, 2018 |
153 | Extract from Ontario website: Find long-term care homes in Ontario | August 7, 2018 |
154 | Affidavit of Karen Fairchild, dated July 31, 2018 | August 7, 2018 |
155 | Former Exhibit "A" Transcript of an interview by Rhonda Kukoly of Laura Long | August 8, 2018 |
156 | Long-Term Care Homes Quality Inspection Program for Ontario Presentation to OARC Board of Directors, dated November 2, 2010 | August 8, 2018 |
157 | Long-Term Care Homes Quality Inspection Program for Ontario Presentation to Ontario Nurses Association, dated December 7, 2010 | August 8, 2018 |
158 | Price Waterhouse Coopers: Report of a Study to Review Levels of Service and Responses to Need in a sample of Ontario Long Term Care Facilities and Selected Comparators, dated January 11, 2001 | August 8, 2018 |
159 | Affidavit of Karen Mitchell, dated July 19, 2018 | August 8, 2018 |
160 | Affidavit of Donna Ladouceur, dated July 27, 2018 | August 8, 2018 |
161 | Affidavit of Steven Carswell, dated July 31, 2018 | August 9, 2018 |
162 | CCAC Audit Chart | August 9, 2018 |
163 | Expert Report of Professor Beatrice Crofts Yorker | September 12, 2018 |
164 | Killer practitioners: What can you do to stop them? | September 12, 2018 |
165 | Progress and Precision: The NCSBN 2018 Environmental Scan | September 12, 2018 |
166 | Expert Report of Ms. Julie Greenall | September 13, 2018 |
167 | Witness Statement of John McDonald | September 14, 2018 |
168 | Affidavit of Dr. Michael Hillmer, dated August 29, 2018 | September 14, 2018 |
169 | Long-Term Care in Ontario - Sector overview | September 14, 2018 |
170 | Detecting LTC Homes with Excessive Rate of Mortality | September 14, 2018 |
171 | Shipman's statistical legacy | September 14, 2018 |