Houston Health Centre - Inspection Report
Inspection Information
Facility typeResidential Care - 100
Service type103 Long Term Care
Inspection typeRoutine
Inspection dateMay 04, 2020
Follow up requiredYes
Contraventions: A summary of the contraventions found during the inspection are listed below.
Code Category/Description
RCR Section 35(1)(c)Physical Facility, Equipment and Furnishings: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Hazardous materials not secured.
Corrective action: The licensee to submit a compliance plan by indicated date.
RCR Section 81(1)Records and Reporting: If a person in care is admitted to the community care facility for a period of more than 30 days, a licensee must ensure that a care plan for the person in care is made in accordance with this section within 30 days of admission.
Observation: Insufficient records.
Corrective action: The licensee to submit a compliance plan by indicated date.
Outstanding contraventions that have been corrected.
Code RCR Section 11(1)(b) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Licensing: A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility the most recent routine inspection record made under section 9 (1) (d) of the Act. (Routine inspection not posted.)

Code RCR Section 22(2) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Physical Facility, Equipment and Furnishings: A licensee must ensure that emergency exits are not obstructed or secured in a manner that may hinder exit in an emergency. (Emergency exit obstructed.)

Code RCR Section 33(a) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Physical Facility, Equipment and Furnishings: A licensee must provide dining areas with seating for each person in care. (Insufficient dining area.)

Code RCR Section 33(b) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Physical Facility, Equipment and Furnishings: A licensee must provide dining areas with at least 2 m2 of usable floor space for each person in care. (Insufficient dining area.)

Code RCR Section 35(1)(b) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Physical Facility, Equipment and Furnishings: A licensee must provide the following appropriately furnished and equipped areas: safe and secure locations for medications and the records of persons in care. (Insufficient designated work areas.)
The following were still in contravention as of May 04, 2020
Code RCR Section 35(1)(c) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Physical Facility, Equipment and Furnishings: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials. (Insufficient designated work areas.)
CORRECTED LATER: 31-Aug-2020

Code RCR Section 49(2) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Records and Reporting: A licensee must record the height and weight of each person in care on admission. (Admission requirements not met.)
CORRECTED LATER: 31-Aug-2020

Code RCR Section 77(2)(c) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Records and Reporting: Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify a medical health officer, in the form and in the manner required by the medical health officer. (Insufficient notification following reportable incident.)
CORRECTED LATER: 31-Aug-2020

Code RCR Section 78(2)(b) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Records and Reporting: A licensee must keep, for each person in care, a medication administration record showing the date, amount and time at which the medication was administered. (Insufficient records.)
CORRECTED LATER: 31-Aug-2020

Code RCR Section 80(2) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Records and Reporting: Anything that must be recorded in a care plan under this regulation must be recorded in the short term care plan until a care plan is developed. (Insufficient care plan.)
CORRECTED LATER: 31-Aug-2020

Code RCR Section 81(1) noted on Routine inspection # THUL-BFUUEH of Aug-02-2019 Records and Reporting: If a person in care is admitted to the community care facility for a period of more than 30 days, a licensee must ensure that a care plan for the person in care is made in accordance with this section within 30 days of admission. (Insufficient records.)
CORRECTED LATER: 31-Aug-2020
Actions Required by Licensee/Operator
- Corrective action plan to be developed and submitted.
Action Required by Licensing Officer or Medical Health Officer
- Review and monitor corrective action plan > Follow up inspection required.