PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: Water temperatures were sampled throughout the building and temperatures ranged from 50-52 degrees. Discussion with maintenance determined that the facility has been actively working to keep water temperatures below 49 degrees, and there is a system in place to monitor water temperatures.
Corrective Action(s): Ensure that water assessable to persons in care, is not heated to more than 49 degrees Celsius.
Date to be Corrected:
CARE AND/OR SUPERVISION: 34180 - RCR s.54(3)(a) - A licensee must (a) encourage persons in care to be examined by a dental health care professional at least once every year.
Observation: 2 persons in care who have consented to receive dental hygiene services through the facility, did not have evidence of being encouraged/ or having a dental health exam since 2019. Discussion with the DOC determined that there has been challenges with receiving dental services due to the pandemic/ outbreaks.
Corrective Action(s): Ensure persons in care are encouraged to be examined by a dental health care professional at least once every year.
Date to be Corrected:
CARE AND/OR SUPERVISION: 34900 - RCR s.83(5)(a) - If a person in care refuses or is unable to be weighed, the licensee must (a) record in the nutrition plan of the person in care the reason why the person in care was not weighed.
Observation: 2 persons in care out of 5 reviewed did not have monthly weights documented for 3/12 months reviewed, and 1/12 months reviewed. There was not reasons recorded, as to why the person in care was not weighed.
Corrective Action(s): Ensure that if a person in care refuses, or is unable to be weighed, the reason why the person was not weighed is documented.
Date to be Corrected:
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Upon inspection of Kitchenette fridges, it was found that in at least 3 kitchenette fridges there was food that had been removed from its original packaging, that was not labeled (including what appeared to be leftovers). In the Main kitchen there was an open package of dry goods, that was removed from its original packaging and not labeled.
Corrective Action(s): Ensure that all food is safely prepared, stored, served and handled.
Date to be Corrected: February 25, 2022
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