PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: A light switch in DB's room was observed to be damaged.
Corrective Action(s): Please ensure that all equipment is maintained in a good state of repair.
Date to be Corrected: Feb. 12, 2019
STAFFING: 32310 - RCR s.51(3) - A licensee must ensure that each employee is trained in the implementation of the plans described in subsection (1), including in the use of any equipment noted in the plan.
Observation: Fire Drills were observed to be missing for November and December. The house has been undergoing renovations but residents were still in place.
Corrective Action(s): Please provide a plan that will ensure that staff training for emergencies continues regularly.
Date to be Corrected: Feb. 12, 2019
POLICIES AND PROCEDURES: 33320 - RCR s.85(2)(b) - Without limiting subsection (1)(a), a licensee must have written policies and procedures in respect of all of the following: (b) the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act.
Observation: A reference to orientation to the regulations and the Act was not found in the orientation policy at inspection.
Corrective Action(s): Please ensure there are policies to guide staff regarding orientation to the legislation.
Date to be Corrected: Feb. 12, 2019
RECORDS AND REPORTING: 39230 - RCR s.79(1)(a) - A licensee must keep a record in respect of each person in care showing the following information: (a) all money, valuables and other things held by the licensee in trust or safekeeping for persons in care.
Observation: Three financial records for residents were observed. Reconciliation information was missing for each person's record for 2-3 months.
Corrective Action(s): Please provide a plan that will ensure that correct records using generally accepted accounting principles (GAAP) are kept at all times
Date to be Corrected: Feb. 12, 2019
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