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: Inspection of the facility found the following:
Main Bathroom:
-no light covers over two ceiling bulbs
-transfer pole is rusted at the base and on the lower pole area
-there is a large rust stain on the floor next to the toilet, measuring 30cm x 30cm
-the lower wall next to the toilet is peeling and scratched off
Second Bathroom:
-found that there was no roll to hold the toilet paper and the toilet paper was sitting on a shelf.
Kitchen:
-the cabinet door under the sink is missing
-the fan and controls are missing from the oven hood
Corrective Action(s): Ensure that rooms and common areas are maintained in a good state of repair.
Date to be Corrected: January 8, 2018.
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation: The medication room door was found closed but it was not locked.
Corrective Action(s): Ensure that all medications in the facility are securely stored.
Date to be Corrected: CORRECTED AT TIME OF INSPECTION.
MEDICATION: 36070 - RCR s.69(1)(a) - A licensee must ensure that a pharmacist (a) packages all medications.
Observation: Review of the medication room found that two medications had no pharmacy label.
Corrective Action(s): Ensure that a pharmacist packages all medications.
Date to be Corrected: January 8, 2018
MEDICATION: 36100 - RCR s.70(1) - A licensee must ensure that only medications that have been prescribed or ordered by a medical practitioner or nurse practitioner are administered to a person in care.
Observation: Review of the medication room found a bottle of medication with no pharmacy label and boxes of a physician's sample medication with no pharmacy label.
Corrective Action(s): Ensure that only medications that have been prescribed or ordered by a medical/nurse practitioner are administered to a person in care.
Date to be Corrected: January 8, 2018.
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: Review of the medication room found the following medications had expired:
-1 topical expired November 28, 2012.
-1 roll of PRN medications expired August 2017.
-6 individual boxes expired June 2017.
Corrective Action(s): Ensure that medications are regularly reviewed to ensure that they are not expired.
Date to be Corrected: CORRECTED AT TIME OF INSPECTION.
NUTRITION AND FOOD SERVICES: 37120 - RCR s.64(1)(a) - A licensee, other than a licensee who provides a type of care described as Child and Youth Residential, must ensure that (a) a morning meal is available between 7:00 a.m. and 9:00 a.m.
Observation: It was observed that one person in care (PIC) was eating breakfast at 10:14 AM. It was noted by staff that this PIC will sometimes get up late and not want to wake up for breakfast.
Corrective Action(s): Ensure that breakfast is served between 7:00 AM and 9:00 AM, as per outlined in the regulations.
Date to be Corrected: January 8, 2018.
|