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: Review of two person in care records, observed one PRN not documented on the back of the medication administration record (MAR) as per medication safety and advisory committee (MSAC) policies and procedures.
Corrective Action(s): Ensure all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: December 14, 2018
CARE AND/OR SUPERVISION: 34080 - RCR s.49(3) - A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.
Observation: For one person in care, the care plan, admission assessment and the cardex had inconsistent documentation on if the person in care is determined at risk to leave the facility without notification.
Corrective Action(s): Ensure appropriate documentation to ensure staff are guided appropriately to provide safe care.
Date to be Corrected: December 14, 2018
CARE AND/OR SUPERVISION: 34610 - RCR s.81(3)(a)(ii) - A care plan must include all of the following: (a) a plan to address (ii) behavioural intervention, if applicable.
Observation: During admission, it was identified that one person in care requires a behaviour intervention plan when in the community. A care plan was not developed to guide staff.
Corrective Action(s): Ensure a behaviour care plan is developed to address inverventions and guide staff on adequate and safe care.
Date to be Corrected: December 14, 2018
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