LICENSING: 30160 - RCR s.11(1)(b) - A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility (b) the most recent routine inspection record made under section 9 (1)(d) of the Act.
Observation (CORRECTED DURING INSPECTION): Most recent Routine Inspection was not on display. This is a repeat contravention.
Corrective Action(s): A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility (b) the most recent routine inspection record made under section 9 (1)(d) of the Act.
Date to be Corrected:
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: Observed standing water on the floor of first floor bathroom..
Corrective Action(s): A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Date to be Corrected: 28-Sept-2023
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation (CORRECTED DURING INSPECTION): A container of bleach was found in a Person in Cares bedroom. Conversation with staff acknowledged that the chemicals should have been identified during room inspection and removed.
Corrective Action(s): A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Date to be Corrected:
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: Please ensure that staff implement the facilities medication administration process.
Corrective Action(s): In review of medication administration and in discussion with staff, it was confirmed that the effectiveness of PRN medication administered were not consistently documented as per facility policy. This is a repeat contravention
Date to be Corrected: 28-Sept-2023
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