PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: The water temperature in one washroom used by person in care was 54 degrees Celsius.
Corrective Action(s): Please ensure that the water accessible to a person in care, from any source, is not heated to more than 49 degrees Celsius.
Date to be Corrected: April 5, 2023
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: The insulin medication has no date when it was opened, this medication has a pharmacy label that can be stored outside the fridge for 28 days. Medication refrigerator temperature were not recorded 15 times in January and February 2023, temperature has to be monitored twice a day.
Corrective Action(s): A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: April 5, 2023
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation (CORRECTED DURING INSPECTION): Two cabinets containing recreation supplies like nail care products and scissors were left unlocked. These areas were accessible to persons in care. As per staff these cabinets should be locked at all times.
Corrective Action(s): A licensee must ensure that policies are implemented by employees.
Date to be Corrected: April 5, 2023
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Three unlabelled food in food containers were stored in first floor servery refrigerator.
Corrective Action(s): Please ensure that all food is safely stored.
Date to be Corrected: April 5, 2023
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: One person in care's medication stored in the medication cart was expired.
Corrective Action(s): Please ensure that person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Date to be Corrected: April 5, 2023
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