PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31330 - RCR s.23(a) - A licensee must ensure that (a) no one other than a person in care smokes or uses tobacco, holds lighted tobacco, uses an e-cigarette or holds an activated e-cigarette while on the premises of a community care facility,
Observation: During the first day of inspection, it was observed that staff were smoking at the corner of the parking lot which is still identifed as the facility premises.
Corrective Action(s): Ensure that smoking by staff is not on the premises of the facility
Date to be Corrected: March 20, 2020
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of the weight documentation for February found that two weights were documented for March 2020. Discussion with staff determined that the staff did not know that the weight was previously obtained.
Review of 5 care plans found that one care plan did not have a weight documented for October 2019 and there was no documentation as to why the weight was not obtained and the computer captured it as March.
Corrective Action(s): Ensure that each person in care is weighed at least once each month.
Date to be Corrected: March 20, 2020
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