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: Hot waster was measured at 51.5 degrees Celsius
Corrective Action(s): Please provide a plan that will ensure that water accessible to PIC's does not exceed 49 degrees Celsius
Date to be Corrected: October 17, 2016
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: Corner bead of doorways was crushed exposing strips of metal corner bead. This is a repeat contravention from the previous routine inspection.
Corrective Action(s): Please ensure that there is a plan to maintain and prevent damage to the surfaces of the walls and corners.
Date to be Corrected: October 17, 2016
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation: Medication cupboard was observed to be unlocked at inspection.
Corrective Action(s): Please ensure that the medications are secured at all times.
Date to be Corrected: Oct. 17, 2016
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: One of the mandatory policies (Access to PIC's) was observed to have been last reviewed/revised in 2011. The remainder of the mandatory policies were not reviewed.
Corrective Action(s): Please ensure that evidence of yearly review of at least the mandatory policies is available to licensing for inspection.
Date to be Corrected: Oct. 17, 2016
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: The Tb status for one PIC could not be found in the PIC records. This is a repeat contravention from previous Routine inspection.
Corrective Action(s): Please ensure that records for all PIC's contain required documentation for Provincial Immunization and Tb programs.
Date to be Corrected: Oct. 17, 2016
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