HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: There were items in the freezer removed from the original packaging, without a date noted on the new packaging.
Corrective Action(s): Ensure all food is safely prepared, stored, served and handled.
Date to be Corrected: December 13, 2021
MEDICATION: 36050 - RCR s.68(2)(b) - A licensee must appoint a supervising pharmacist to (b) inspect the areas of the facility where medications will be stored.
Observation: Discussion with the manager determined that the last time the Medication room was inspected by the pharmacist, and the last MSAC meeting took place at the home July 2020. The site was able to provide evidence of trying to book the pharmacist to come on site.
Corrective Action(s): Ensure the pharmacist inspects the area where the medications are stored, as well as conduct an MSAC meeting annually.
Date to be Corrected: January 4, 2022
RECORDS AND REPORTING: 39470 - RCR s.87(c) - A licensee must keep a record of the following matters respecting food services: (c) the results of monitoring, by the licensee, of food services and nutrition care.
Observation: On review of 4 weeks of fall winter menu, there are no corresponding menu audits to ensure persons in care are receiving adequate nutrition to meet their needs.
Corrective Action(s): Ensure there are menu audits to correspond to each of the menus, 4 weeks of fall/winter, and 4 weeks of spring summer.
Date to be Corrected: January 10, 2022
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