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: When entering the home is a living area with a ottoman in the middle surrounded by sofas. The ottoman is showing wear and tear around the top edges whereby the ottoman material has come off making it hard to clean as well. The writer problem solved with the Manager as to options to consider such as possibly purchasing a cover that is cleanable to cover the ottoman.
Corrective Action(s): Please ensure all rooms and common arears are maintained in a good state of repair throughout the entire home (inside and outside).
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: A review of a person in care's chart indicated the personal support plan was dated January 2020. The Manager confirmed this personal support plan needs to be reviewed.
In addition, a review of a person in care's chart indicated the following:
- Nutrition Care Plan Summary to be reviewed February 2021, but hasn't been reviewed.
- Nutrition Survey to be reviewed February 2021, but hasn't been reviewed.
- Screening form when to involve a Dietitian to be reviewed February 2021, but hasn't been reviewed.
- Food and Nutrition Information to be reviewed February 2021, but hasn't been reviewed.
Corrective Action(s): Please ensure care plans are reviewed at least once a year if there is no substantial change. as per section 81 (4)(b)(ii) of the Residential Care Regulation.
Date to be Corrected: Please provide a written response by the timeline noted in this report.
RECORDS AND REPORTING: 39090 - RCR s.77(2)(c) - Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify (c) a medical health officer, in the form and in the manner required by the medical health officer.
Observation: The Manager advised the writer at the time of the inspection there were positve cases involving persons in care back in January 2021. The Manager stated the funder was sent a report, but Community Care Facilities Licensing was not sent a incident report. The writer stated when there is one positive covid-19 case involving a person in care, then a reportable incident report for "Disease Outbreak" is to be submitted.
Corrective Action(s): Please submit the Disease Outbreak incident report to Community Care Facilties Licensing.
Date to be Corrected: Please provide a written response by the timeline noted in this report.
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