LICENSING: 30030 - RCR s.8(2)(a)(ii) - A licensee must not make any structural change to a community care facility unless the licensee first (a) submits to a medical health officer (ii) a description of how the licensee intends to ensure the health and safety of persons in care while the change is being made.
Observation: An external inspection of the front of the facility found two large panels of the fence that were removed, construction workers were observed to be digging a hole into the ground using a jackhammer. No Health and Safety plan was submitted to Licensing prior to commencing this work.
Corrective Action(s): The Licensee is responsible to develop and submit a Health and Safety plan to Licensing prior to commencing work for acceptance as to ensure the health and safety of the persons in care and to ensure the plan is implemented, maintained, and monitored for effectiveness.
Date to be Corrected: February 6, 2023
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 following were noted upon inspection of the physical facility:
- The heater located in the vestibule at the front entrance of the facility was observed to have a panel detached from the unit.
- The baseboard located on the third floor (east) measuring approximately a foot in length was missing from the wall.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: February 6, 2023
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 (CORRECTED DURING INSPECTION): Review of 2 of 10 admission records found incomplete records of immunization for persons in care.
Corrective Action(s): A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: February 6, 2023
HYGIENE AND COMMUNICABLE DISEASE: 35030 - RCR s.54(1) - A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene.
Observation (CORRECTED DURING INSPECTION): Inspection of the third floor shower room (east hallway) found two shampoos and body wash without any labels or identifiers.
Corrective Action(s): Ensure items are labelled or placed in individual containers for PIC.
Date to be Corrected: February 6, 2023
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