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 (CORRECTED DURING INSPECTION): The water temperature reading was taken in 3 different locations; the water measured in a shared washroom upstairs was 59°C, the water measured in a PIC's ensuite upstairs was 59.9°C and 60.9°C in the washroom located on the basement level.
Corrective Action(s): Ensure water accessible to a person in care, from any source, is not heated to more than 49°C.
Date to be Corrected: October 22, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: Large white scuff mark measuring approximately a foot in length were noted to the wall in the kitchen near the dining table.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: November 19, 2022
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Review of 2 of 3 PIC's health care records found no evidence of immunization records and/or tuberculosis screening.
Corrective Action(s): Ensure all persons admitted to a community care facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: November 19, 2022
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of 3 of 3 PIC's weight charts found inconsistencies, whereby the weight was not captured for the month's of January, April, May and July 2022 and there was no documentation provided to explain why the weight was missing. This is a repeat contravention.
Corrective Action(s): Ensure that each person in care is weighed at least once a month or provide a reason as to why the weight could not be obtained.
Date to be Corrected: November 19, 2022
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