POLICIES AND PROCEDURES: 33070 - RCR s.51(1)(b) - A licensee must have (b) a plan that sets out how persons in care will continue to be cared for in the event of an emergency.
Observation (CORRECTED DURING INSPECTION): Review of the site's emergency supplies found one case of ensure with an expiration date of July 13, 2022.
Corrective Action(s): Ensure that items in the emergency kit are checked regularly for expirations dates.
Date to be Corrected: August 21, 2022
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: Review of 1 of 4 PIC's health care plans found no evidence of immunization records and tuberculosis screening.
Corrective Action(s): Ensure all persons admitted to community care facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: August 21, 2022
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: Inspection of the medication cabinet found one PRN medication with an expiry date of June 30, 2022.
Corrective Action(s): Ensure that a person in care's medication is returned to the dispensing pharmacy once the expiry date on the medication has passed.
Date to be Corrected: August 21, 2022
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of 1 of 4 PIC's weight charts in 2022 determined that weights were not captured in the months of March to May and there was no documentation provided to explain why the weight was missing.
Corrective Action(s): Ensure that each person in care is weighed at least once a month or provide a reason as to why the weight could not be obtained.
Date to be Corrected: August 21, 2022
|