PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31780 - RCR s.35(2)(a) - A licensee must ensure that laundry facilities (a) if used by persons in care, have a slip resistant floor surface.
Observation: The laundry facility does not have a slip resistant floor surface. The laundry facility is used by all persons in care.
Corrective Action(s): Ensure laundry facilities have a slip resistant floor surface as it is used by persons in care.
Date to be Corrected: January 6, 2017
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: The medication policy states the pharmacist inspects the medication area at least four times a year. It was stated by the manager the medication area is inspected one time a year. Although this policy has been reviewed by the manager in a timely manner, it has not been revised to reflect current practice. The medication room inspection has been occurring yearly in review of the last three years.
Corrective Action(s): Ensure policy is revised accordingly
Date to be Corrected: January 6, 2017.
RECORDS AND REPORTING: 39010 - RCR s.49(2) - A licensee must record the height and weight of each person in care on admission.
Observation: The height of persons in care is not recorded upon admission.
Corrective Action(s): Ensure height of each person in care is recorded on admission.
Date to be Corrected: January 6, 2017
|