POLICIES AND PROCEDURES: 33140 - RCR s.68(3)(b)(i) - The medication safety and advisory committee must establish and review as required (b) policies and procedures in respect of (i) the safe and effective storage, handling and administration of the person in care's medications, in compliance with the Pharmacy Operations and Drug Scheduling Act.
Observation: 1 PIC who receives crushed medications did not have procedure of crushing medications available to the staff person assisting with the inspection. A mortar and pestle was stored in the medication cabinet for crushing the medications.
Corrective Action(s): Please ensure that MSAC provides clear procedures in respect to handling and administration of the PIC's medications.
Date to be Corrected: March 17, 2022
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: 1/4 PICs' care plan did not include information to guide/instruct staff to redirect PIC as appropriate concerning an on-going behavior. Staff are aware about prompting PIC but the care plan did not have this information.
Corrective Action(s): Please ensure that the care plan is reviewed and modified to meet the needs and preferences, and is compatible with the abilities, of the PIC who is the subject of the care plan.
Date to be Corrected: March 17, 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: 1/4 PICs receive 2-3 monthly supplies of prepared meals at one time and the staff heat and serve these meals at the PIC's request. There is no date of preparing/packaging indicated on these food items that the PIC is served.
Corrective Action(s): Please ensure that all food is safely stored, handled and served.
Date to be Corrected: March 17, 2022
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