PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: On inspection the LO noted that one of the PIC's had a dresser and side table with scrapes on the surface
Corrective Action(s): Ensure the furniture and equipment for use by PIC's are maintained in a good state of repair
Date to be Corrected: September 15, 2017
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: During inspection the LO noted:
- carpet in the PIC is still stained from previous inspection but new flooring was seen on site and a renovation plan was submitted to CCFL. Maintenance will be in to install it by the end of July 2017
- the second bathroom has some brown spots on the caulking by the sink, build up or staining in some of the grout by the tub, paint peeling/chipping on the edge of the wall by the tub area
- tape on the door of a PIC room as it doesn't stay shut (maintenance to fix this week)
- brown and black marks on the surface of the oven by the burners and the oven door
- the gravel/dirt that meets the concrete patio surface is lower than the patio surface which could be a tripping hazard for PIC's (it is noted that PIC's do not access outside independently)
- the surface of the siding in the back of the house appears to have a layer of black dirt
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair
Date to be Corrected: October 15, 2017
STAFFING: 32110 - RCR s.40(1)(b) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Review of the staffing checklist found that only 1/8 staff at the facility had a recent performance evaluation. Supervisor turnover has made evaluations difficult
Corrective Action(s): Ensure that all staff have annual performance evaluations as per BACI policy
Date to be Corrected: December 31, 2017
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