PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31090 - RCR s.16(3) - A licensee must ensure that the lighting, both natural and artificial, and temperature of a room intended for the private use of a person in care meets the needs and preferences of that person.
Observation: The lighting in the living room is very dim. There is little natural light entering the room. The manager states the major source of lighting, missing 50% of lights, is broken and she is unable to safely replace the light bulbs in the fixture. The light level makes activities other than TV watching difficult, especially in winter months..
Corrective Action(s): Please provide a plan that will ensure the appropriate levels of lighting are available in the living room for PIC use.
Date to be Corrected: Jan. 26, 2018
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: The flooring beneath 2 of the dining room chairs have been worn significantly to the substrate below the finished surface of the tiles. There are 7 tiles involved under chairs and 2 damaged tiles around the heat register. Various methods of improving the floor appearance were discussed.
Corrective Action(s): Please provide a plan that will ensure that flooring is maintained in good repair.
Date to be Corrected: Jan 26, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31320 - RCR s.22(3) - A licensee must ensure that all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices are inspected and maintained on a regular basis.
Observation: Emergency preparation supplies were reviewed for outdated items in the outside storage area. The bottom of the container was flooded by approximately 2-3 inches from a side-lying water container.
Corrective Action(s): Please provide a plan that will confirm that appropriate measures are in place to ensure the integrity of the emergency supplies as well as the currency of expiry dates.
Date to be Corrected: Jan. 26, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31580 - RCR s.30(a) - A licensee must ensure that all bathrooms have (a) a door, equipped with a lock that can be opened from the outside in the case of an emergency.
Observation: The lock on a sliding pocket door appears disabled.
Corrective Action(s): Please provide a plan that will ensure that the bathroom doors can lock as well as be unlocked from the outside in the case of an emergency.
Date to be Corrected: Jan 26, 2018
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: Two outdated medications were found in the PRN container of one resident.
Corrective Action(s): Please provide a plan that will ensure that medications are reviewed on a regular basis to ensure that outdated medications are returned to the pharmacy.
Date to be Corrected: Jan 16, 2018
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (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: Only one care plan was reviewed. It was observed to be missing 2 monthly weights, with no reason written for the absence of record.
Corrective Action(s): Please ensure that weight monitoring is done monthly, or that a reason is documented for missing the recording of weight.
Date to be Corrected: Jan. 26, 2018
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