STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Three of 6 medication rooms have a medication that has no date written when it was opened, this medication can be stored outside the fridge for 28 days.
Corrective Action(s): A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: February 22, 2024
POLICIES AND PROCEDURES: 33170 - RCR s.74(1)(b)(i) - Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care.
Observation (CORRECTED DURING INSPECTION): One of 16 persons in care files has no signed restraint consent from the representative or family of the person in care.
Corrective Action(s): Please ensure that there is an agreement to the use of a restraint given in writing by the representative of the person on care or the relative who is closest to and actively involved in the life of the person in care.
Date to be Corrected: February 22, 2024
CARE AND/OR SUPERVISION: 34750 - RCR s.81(4)(b)(i) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care.
Observation: One of 16 persons in care has no wound care plan.
Corrective Action(s): Please ensure that each care plan is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care.
Date to be Corrected: February 22, 2024
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Five of 16 persons in care has no evidence of compliance to Province's immunization and tuberculosis control programs on file.
Corrective Action(s): A licensee must require all person admitted to community care facility to comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: March 8, 2024
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