LICENSING: 30050 - RCR s.8(3)(a) - If the manager of a community care facility resigns, or is or expects to be absent for at least 30 consecutive days, the licensee must (a) notify a medical health officer.
Observation: At the routine inspection the LO was informed that the Manager on CCFL record retired over 6 months ago. CCFL had not been notified of a change in manager.
Corrective Action(s): Ensure that the CCFL is notified
Date to be Corrected: 06 March 2020
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: Review of the Medication Administration Record (MAR) found that none of the 08:00 medications on February 27, 2020 had not been signed as having been administered. Of concern is the review occurred at 11:00 am and the missing signatures were for all persons in care with 08:00 medications. This is a repeat contravention from 2019.
Corrective Action(s): Ensure that the medication administration policy is implemented by all employees.
Date to be Corrected: 05 Mar 2020
CARE AND/OR SUPERVISION: 34430 - RCR s.73(1)(c) - A licensee must ensure that a restraint is not used unless (c) the safety and physical and emotional dignity of the person in care is monitored throughout the use of the restraint, and assessed after the use of the restraint.
Observation: Review of a care plan, of a PIC whom uses a restraint, determined that the care plan did not indicate how the restraint is to be monitored throughout the use of the restraint.
Corrective Action(s): Ensure the safety and physical and emotional dignity of the PIC is monitored throughout the use of a restraint.
Date to be Corrected: 02 March 2020
|