PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31270 - RCR s.21(d) - A licensee must ensure that all furniture and equipment for use by persons in care (d) are maintained in a safe and clean condition.
Observation: During review of the facility it was noted that the ottoman in the living-room was missing part of its fabric cover, this has the potential to make it difficult to keep clean and sanitary.
Corrective Action(s): Please ensure that all equipment and furnishings are maintained in a safe and clean condition.
Date to be Corrected: January 6, 2020
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: Review of the physical facility revealed gouges on the corner of the wall leading into the kitchen and along the wall behind the kitchen table which left dry-wall exposed. Staff report it is related to mobility equipment belonging to persons in care (PIC). The shower-room flooring is also in need of repair as the non-slip flooring is beginning to lift in the corner close to the sink. There was also a black substance noted under the silicon caulking which staff indicated was used to previously patch it.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: January 6, 2020
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: Review of 4 bedrooms found that all 4 rooms had packages of incontinence products being stored on the floor of the closets. 1 room also had clothing and blankets resting directly on the floor behind the incontinence products. Of concern is the ability to properly clean and sanitize the floor of the closets. The Sliding door tracks in the laundry/hallway area contain water of an unknown source and in some parts of the track there is a black build-up.
Corrective Action(s): Please ensure that rooms and common areas are maintained in safe and clean conditions.
Date to be Corrected: January 6, 2020
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Review of the kitchen revealed a package of muffin mix stored in the pantry which expired in April of 2019. The pantry also contained 2 large plastic bins used to store flour. Staff report that current process is to dump packaged flour into the plastic bins. The two bins did not have expiration dated noted on them, nor date for when bin was last filled. Staff member was unclear if there was a process to clean and sanitize bins between packages of flour.
Corrective Action(s): Please ensure that food is safely prepared, stored, served and handled.
Date to be Corrected: January 6, 2020
NUTRITION AND FOOD SERVICES: 37190 - RCR s.66(1) - A licensee must ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan.
Observation: Review of the weekly menu audits completed by the facility revealed that they are not meeting the minimum requirement of servings for the week reviewed.
Corrective Action(s): Please ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan.
Date to be Corrected: January 6, 2020
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