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: Noted during inspection, 3 labelled medicated creams were stored in one PICs bathroom cabinet.
Corrective Action(s): Please ensure that all medications are safely and securely stored.
Date to be Corrected: Feb 16, 2023
STAFFING: 32010 - RCR s.37(1)(a) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: (a) a criminal record check for the person.
Observation: During review of 6 staff files, it was determined that 1 of 6 employees does not have evidence of a current Criminal Record Check.
Corrective Action(s): Please ensure that a criminal record check has been obtained for all employees.
Date to be Corrected: Feb 16, 2023
STAFFING: 32020 - RCR s.37(1)(b) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: (b) character references in respect of the person.
Observation: Noted during review of employee files, 1 of 6 employees does not have evidence of character references completed..
Corrective Action(s): Please ensure that character references are obtained for all employees.
Date to be Corrected: Feb 16, 2023
STAFFING: 32040 - RCR s.37(1)(d) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: Review of 6 employee files, 1 of 6 has an expired Food Safe certificate on file, which is a requirement of their position.
Corrective Action(s): Please ensure that copies of any diplomas, certificates or evidence of training/ skills is obtained from employees.
Date to be Corrected: Feb 16, 2023
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: Noted during review of 6 PICs charts, 3 of 6 did not have evidence of historical immunizations.
Corrective Action(s): Please ensure that all persons admitted to the facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: Feb 16, 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: Noted during inspection, review of 6 Persons in Care (PICs) charts determined that 2 PICs were missing evidence of 1 monthly weight over the last year and 1 PIC was missing evidence of 5 monthly weights in the last year.
Corrective Action(s): Ensure that each PIC is weighed at least once each month.
Date to be Corrected: February 16, 2023.
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