PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: A random review of the hot water temperature indicated the sink temperature in the shower room was 51.6 degrees Celsius. The Manager contacted BC Housing who will send a Technician on January 14, 2019 to address this and install a regulator to ensure the hot water temperature is maintained at 49 degrees Celsius.
Corrective Action(s): Please ensure water accessible to a person in care from any source is not heated to more than 49 degrees Celsius.
Date to be Corrected: Please provide a written response to this item by January 14, 2019 as to when this is addressed.
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: There are black scuff marks and blue paint starting to chip and white material starting to show for example on the wall where the medication cabinet is located. The Manager stated a list has been compiled for BC Housing to paint the interior of the house; replace all the carpeting where required; wall protectors are in-place, but this has been sent to BC Housing to reassess; more cement is proposed to be added to the backyard to ensure there is more patio space and also cement to be added to the front of the house. In addition, the Manager stated that the backyard fence in some areas was patched due to the recent windstorm and eventually the entire fence will need to be replaced as it is rotting in areas. Please provide a health and safety plan to the writer for approval prior to starting any work.
Corrective Action(s): Please ensuer all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: Please keep the writer updated on the progress of addressing the items noted above.
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: Fire drills are to be completed on a monthly basis. The April and June 2018 fire drills are not documented.
In random review of care plans there was a document not current for a person in care which is to be reviewed every 6 months (specifics provided to the Manager). An older version of this document is in-place. The Manager stated they will ensure this is up to date and current.
Corrective Action(s): Please ensure all the staff implement the policies and procedures.
Date to be Corrected: Please provide a written response to these items by the timeline noted in this report.
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