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: The water temperature in the main washroom was 55.0 degrees Celsius.
Corrective Action(s): Please ensure that the water accessible to a person in care, from any source, is not heated to more than 49 degrees Celsius.
Date to be Corrected: December 9, 2022
STAFFING: 32210 - RCR s.43(1)(a) - A licensee must ensure that persons in care have at all times immediate access to an employee who (a) holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirements of Schedule C.
Observation: The licensee's policy and procedure requires staff to have a valid first aid and CPR certificate. One of 5 staff has no first aid certificate on file
Corrective Action(s): Please ensure that persons in care have at all times immediate access to an employee who holds a valid first aid and CPR certificate, provided on completion of a course that meets the requirement of Schedule C.
Date to be Corrected: December 9, 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: Four PRN medication result were not recorded for the month of November 2022. Ten witness signature were missing in the narcotic count sheet for November 2022.
Corrective Action(s): Please ensure that staff implement the Licensee’s medication policies and procedures of the medication safety and advisory committee.
Date to be Corrected: December 9, 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: Emergency canned food supplies stored in the recreation room passed its before dates.
Corrective Action(s): Please ensure that all food is safely stored.
Date to be Corrected: December 9, 2022
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation (CORRECTED DURING INSPECTION): One person in care's medication (standing order) stored in the medication box is expired.
Corrective Action(s): Please ensure that a PIC's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Date to be Corrected: November 25, 2022
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