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: The following observations were noted:
- Inspection of the tub room located on the west side of the home had approximately 7 chipped tiles located above the bathtub exposing sharp edges.
- The pony door located in the kitchen had large amounts of paint chips measuring approximately 1-3 inches in length along the edges of the door and towards the bottom half of the door.
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: February 11, 2022
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: During the medication review it was noted that 5 medications had expired between October - December of 2021. Further discussion with the manager confirmed there is an auditing system in place to prevent further occurrences.
Corrective Action(s): Ensure that a person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Date to be Corrected: January 18, 2022
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(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 4 out of 4 persons in care determined that in the month of December 2021 the weights were not taken and no documentation provided to explain why the weight was missing.
Corrective Action(s): Ensure that all person in cares weight is documented at least once each month or provide a reason as to why the weight could not be obtained.
Date to be Corrected: February 11, 2022
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