PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation (CORRECTED DURING INSPECTION): Two medications for persons in care were found on the desk located at the nursing station not properly stored or secured.
Corrective Action(s): Ensure that all medications in the facility are safely stored and secured.
Date to be Corrected: June 4, 2022
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: A review of the medication room found the following:
- A review of the narcotic drug count sheets had inconsistencies whereby, the second nurse signature/initials was not documented. A review of their narcotic drug count policy confirmed that two signatures/initials are required on the record.
- An unopened blister pack containing medications was dated May 4, 2022 for a person in care and was found in the medication cart. However, a review of the EMAR system indicated that the medications in this blister pack had been administered to the PIC and confirmed sign off by the nurse.
Corrective Action(s): Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: June 4, 2022
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: A review of the servery refrigerator found that the temperature monitoring sheets had inconsistencies as temperatures were not taken twice daily as required.
Corrective Action(s): Ensure that all food is safely prepare, stored, served and handled.
Date to be Corrected: June 4, 2022
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