PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: Inspection of the physical facility noted:
-1 bedroom had wall board that was lifted and warped
-Living room curtain rods are bent and coming out of the wall
-Stand up shower has mold and mildew along the bottom of the shower, caulking is peeling off and transition strip is lifting
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair
Date to be Corrected: Jan 19, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Inspection of the physical facility noted that there were cleaning supplies kept in the bathroom and kitchen cupboards unsecured
Corrective Action(s): ensure all cleaning supplies are kept in safe storage areas
Date to be Corrected: January 12, 2022
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: Inspection of care plans noted :
2 of 4 Anticipatory health care plans were last reviewed in the MAR binder in 2018
3 of 4 PRN protocols have not been reviewed in the MAR binder since 2020
Corrective Action(s): Ensure all care plans are reviewed at least once per year
Date to be Corrected: January 19, 2022
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Inspection of the fridges, freezers, food storage, menus and policies noted:
- Fridge and freezer temperatures are not documented regularly, food items were not covered, labeled and dated in the kitchen fridge
- Freezer items were not stored in sealed labeled packages
Corrective Action(s): ensure all food is stored safely
Date to be Corrected: January 12, 2022
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