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): Prescribed medication obsverved in a Person in Cares(PICs)medicine cabinet, staff confirmed once medication is applied it is returned to secured medication cart. Management moved the medication to the secured cart during inspection and confirms this will be reviewed with staff at next meeting
Corrective Action(s): Ensure that all medications are safely secured and stored.
Date to be Corrected:
STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: Review of 5 staff files determined that 1 of 5 files did not have a current performance review completed, which was confirmed by management.
Corrective Action(s): Ensure that the performance of each employee is reviewed regularly, per facility policy. Management has a plan to complete this by corrective date.
Date to be Corrected: December 31, 2023
RECORDS AND REPORTING: 39580 - RCR s.91(1)(a) - A licensee must ensure that all records referred to in this regulation (a) are current.
Observation (CORRECTED DURING INSPECTION): Review of nursing units, 1 nursing unit retained paper copies of PIC charts, which are not current. Of concern, staff access to outdated information for PICs. Management confirmed it is expected that staff use point click care to ensure they are accessing the most current information. Binders were removed from the unit during inspection.
Corrective Action(s): Ensure that all records pertaining to this regulation are current.
Date to be Corrected:
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