PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31270 - RCR s.21(d) - A licensee must ensure that all furniture and equipment for use by persons in care (d) are maintained in a safe and clean condition.
Observation: On inspection the LO noted one chair in the dining room had leather seat worn out and peeling off. Of concern is disinfecting the chair appropriately between use.
Corrective Action(s): Ensure all equipment and furnishings are maintained in a safe and clean condition.
Date to be Corrected:
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: 1). A common bathroom on the main floor was found to be very dirty and the staff person assisting with the inspection stated that one PIC was having loose bowel movement.
2). 1 PIC bedroom floor upstairs was observed to be dusty and in need of cleaning. A layer of dust was also found on the stairs leading to the bedroom upstairs. This was brought to the attention of staff person assisting with the inspection.
Corrective Action(s):
Please ensure that all PIC bedrooms and common areas are maintained in clean condition.
Date to be Corrected:
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Bleach and other cleaning supplies are kept in the closet that had the doors open.
Corrective Action(s): Ensure safe and secure storage of cleaning agents and chemical products.
Date to be Corrected:
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: 1). The fridge temperature was not documented daily as per the facility policy. The fridge temperature records for the PICs fridge was not recorded consistently for January and February, 2021.
2). The finance record for one person had missing second staff person signatures for one time in February, 2021. The facility policy is for 2 staff to sign for the PIC funds as per the leadership.
Corrective Action(s): Please ensure that policies are implemented by employees.
Date to be Corrected:
NUTRITION AND FOOD SERVICES: 37090 - RCR s.62(2)(d) - A licensee must ensure that each menu provides (d) for substitutions to be made that are from the same food group and have a similar nutritional value.
Observation: The substitution list does not appropriately identify the different food group items that were substituted. 3 days substitution list for January and February, 2021 noted only "pizza" as substituted items on the menu.
Corrective Action(s): Please ensure that each menu provides substitutions to be made from the same food group with similar nutritional value.
Date to be Corrected:
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