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: Noted during inspection:
a) The large shower room section of the wall(approximately 75cm x 100cm in size) has been repaired, it appears to have been filled and sanded, but is missing paint.
b) A number of common area doors and trim are missing paint and the wood is showing through.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: October 18, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: Noted during inspection:
a) the exhaust fan in the small shower room has visible dirt and dust(2-3cm thick) over the exterior of the fan.
b) The hood vent above the stove, tiled area behind the stove and where the two meet have a visible build up of grease.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a safe and clean condition.
Date to be Corrected: October 18, 2022.
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: During document review there was no emergency or fire drill completed in August of 2022. The sites fire safety/emegency policy requires that drills are completed monthly
Corrective Action(s): Please ensure that policies are implemented by employees.
Date to be Corrected: October 18, 2022
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: Review of 3 PICs charts determined that 1 PIC is missing documentation to show compliance with immunization and tuberculosis control programs.
Corrective Action(s): Please ensure that all persons admittd to a community care facility comply with the Province's immunization and TB control programs.
Date to be Corrected: October 18, 2022
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: Review of weights for 3 persons in care(PICs) determined that 1 PICs weight is missing for one month.
Corrective Action(s): Please ensure that each person in care is weighed at least once each month.
Date to be Corrected: October 18, 2022
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