STAFFING: 32083 - RCR s.37(3)(c) - Despite this section, a licensee may employ a person as a volunteer who does not provide care to persons or supervise persons if the licensee or manager has first met with the person and obtained all of the following: (c) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Review of 2 volunteer files determined that 2/2 did not have evidence of compliance with the Province's immunization and tuberculosis control programs.
Corrective Action(s): Ensure that all volunteers have complied with the Province's immunization and tuberculosis control programs.
Date to be Corrected: 21 Feb, 2020
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: Upon review of 3 person in care records, it was determined that 2/3 were missing evidence of compliance with the tuberculosis control program. Discussion with the facility manager finds that they are aware of the legislative requirement but have encountered challenges when trying to access TB testing services in the community. This LO suggested connecting with the local Public health Unit.
Corrective Action(s): Ensure that all PICs have complied with the TB program within 30 days of admission as per the most recent TB Testing Guideline.
Date to be Corrected: 28 Feb 2020
RECORDS AND REPORTING: 39470 - RCR s.87(c) - A licensee must keep a record of the following matters respecting food services: (c) the results of monitoring, by the licensee, of food services and nutrition care.
Observation: Upon review of the nutrition monitoring systems it was determined that there was not a menu checklist in place to document that the menu in use is meeting the dietary requirements of the Canada Food guide.
Corrective Action(s): Ensure that a menu checklist is completed for each menu.
Date to be Corrected: 21 Mar 2020
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