CARE AND/OR SUPERVISION: 34750 - RCR s.81(4)(b)(i) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care.
Observation (CORRECTED DURING INSPECTION): One PIC had a change in transfer status, that had not been updated in the care plan. This was corrected by day 2 of the inspection.
Corrective Action(s): Ensure that each care plan is reviewed and if necessary, modified if there is a substantial change in circumstance of the person in care.
Date to be Corrected: Corrected during inspection.
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: It was observed on 2 menus that at least twice, only one food group was offered during a snack (ie) fruit salad.
Corrective Action(s): Ensure that for each day at least 2 nutritious snacks are offered, with each snack containing at least 2 food groups.
Date to be Corrected: September 1, 2023
NUTRITION AND FOOD SERVICES: 37190 - RCR s.66(1) - A licensee must ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan.
Observation: Review of the facility's menus and corresponding menu audits, found that the minimum number of servings of fruit/ vegetables, and grain, did not meet the minimum requirements for at least one person in care.
Corrective Action(s): Ensure that the minimum number of servings is met for each person in care, based on their age and gender.
Date to be Corrected: September 2, 2023
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: For one person in care, it was described by staff that they are unable to weigh the PIC, and the person is not being weighed each month.
Corrective Action(s): Please ensure there is a plan to ensure a PIC is being weighed at least once each month.
Date to be Corrected: September 1, 2023
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