PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: The bathtub jets do not work and there is paint chipping around the outside of the tub. The manager stated that BC Housing has approved a new tub and should get a new one soon. This is a REPEAT contravention.
Corrective Action(s): Please ensure that the bathtub is in good working order.
Date to be Corrected: September 30, 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: Review of the physical facility found the following:
-The baseboards have scratches and paint chips from the wheelchairs scrapping them.
-The walls in the laundry room and hallways have paint chips.
Corrective Action(s): Please ensure that the physical facility is maintained in a good state of repair.
Date to be Corrected: September 30, 2016
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Review of the medication administration record (MAR) and blister packs found that at least 2 medications had been given, but not initialed for in the MAR. Also, at least 3 medications had been given from the blister packs, but the staff did not initial the blister pack after dispensing them.
Corrective Action(s): Please ensure that staff comply with the medication safety and advisory committee policies and procedures.
Date to be Corrected: September 9, 2016
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: Two Person in Cares (PIC) had oral care plans that had not been reviewed since 2014 and 2015. There was documentation showing that they have been to the dentist and the manager stated that there had been no change to their care plan.
Corrective Action(s): Please ensure that each PIC has their oral care plan reviewed and if necessary modified each year.
Date to be Corrected: September 30, 2016
RECORDS AND REPORTING: 39010 - RCR s.49(2) - A licensee must record the height and weight of each person in care on admission.
Observation: Review of 3 PICs files found that admission height and weight have not been recorded.
Corrective Action(s): Please ensure that each PIC has their admission height and weight recorded.
Date to be Corrected: September 30, 2016
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