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: 2 PRNs and 2 contingency medications were not signed on the back of the blister pack when administered.
Corrective Action(s): Ensure staff comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: September 15, 2017
POLICIES AND PROCEDURES: 33010 - RCR s.48(1)(a) - Before admitting a person to a community care facility, a licensee must advise the person, or the person's parent or representative, of (a) all charges, fees or other payments that the person in care may have to pay in return for accommodation and other services offered by the community care facility.
Observation: Their is no information/ form of documentation of persons in care being advised of all charges. Presently, a person in care is charged for staff's portion of expense during an outing. Policy relating to charges, the welcome package, discussion with the manager, and 3 persons in care financial records were reviewed to assess compliance. The manager was unable to produce documentation to confirm compliance with this regulation.
Corrective Action(s): Ensure persons in care, or their representatives are advised of all charges, fees and/or other payments that the person in care may have to pay in return for services offered by the community care facility.
Date to be Corrected: September 15, 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: Although the manager reviews policy on an ongoing basis, review of fire safety plan and policy relating to fire drills has not been revised to reflect practice with fire drills.
Corrective Action(s): Ensure policy is revised if necessary.
Date to be Corrected: September 15, 2017
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