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: For 2 of 6 staff files reviewed, the staff did not have first aid as required by the job description.
Corrective Action(s): Ensure that staff provide copies of diplomas, certificates or other evidence of the person's training and skills.
Date to be Corrected: May 26, 2023
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 room found that some items identified by the pharmacist during the least medication room inspection, have not been corrected. One medication that needs to have the date it was opened written on the medication, was not occurring for at least 2 persons in care receiving that type of medication.
Corrective Action(s): Ensure all employees comply with the policies and procedures of the MSAC.
Date to be Corrected: May 26, 2023
CARE AND/OR SUPERVISION: 34180 - RCR s.54(3)(a) - A licensee must (a) encourage persons in care to be examined by a dental health care professional at least once every year.
Observation: 2 of 5 PICs reviewed did not have documentation of the last time they were seen by a dental health professional.
Corrective Action(s): Ensure all persons in care are encouraged to be examined by a dental health professional at least once per year.
Date to be Corrected: May 26, 2023
CARE AND/OR SUPERVISION: 34590 - RCR s.81(2)(b) - A care plan must be developed, to the extent reasonably practical, (b) in a manner that takes into account the unique abilities, physical, social and emotional needs, and cultural and spiritual preferences of the person in care.
Observation: For 2 of 5 persons in care there was a gate installed in their doorway, however no information about the equipment was included in their care plan.
Corrective Action(s): Ensure care plans are created in a manner that take into account unique needs and abilities, physical, social, emotional needs and preferences.
Date to be Corrected: May 26, 2023
CARE AND/OR SUPERVISION: 34680 - RCR s.81(3)(e)(ii) - A care plan must include all of the following: (e) in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address (ii) a plan for preventing the person in care from falling.
Observation: 3 of 5 persons in care files reviewed did not have a fall care plan.
Corrective Action(s): Ensure all persons who reside in LTC have a fall prevention care plan, which must address a plan for prevention a person in care from falling, and a plan to follow up on any falls suffered by a PIC.
Date to be Corrected: May 26, 2023
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