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: One vacant bedroom has a hole in the drywall, and a missing piece of rubber baseboard trim, this room will be used to accommodate another person in care.
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair. Staff explained that the home, and the described bedroom are being repaired in anticipation of a new admission.
Date to be Corrected: November 4, 2021
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: In one bathroom, there was a shaving razor and personal hygiene products left out on the counter, as well as a toilet brush stored in the closet near a shelf with clean towels. Of concern is the safety risk of the unattended razor, and the potential for cross contamination or splashing on to clean supplies.
Corrective Action(s): Ensure secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Date to be Corrected: November 4, 2021
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: The site was unable to provide evidence of any recent or annual examination by a dental health care professional.
Corrective Action(s): Ensure records are kept encouraging annual examination by a dental health professional.
Date to be Corrected:
RECORDS AND REPORTING: 39090 - RCR s.77(2)(c) - Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify (c) a medical health officer, in the form and in the manner required by the medical health officer.
Observation: Upon review of one person in care's record, there was an incident that occurred, that meets the definition of reportable, however the incident was not reported to licensing, as per the facilities reportable incident policy. It was also not documented on an internal incident report.
Corrective Action(s): Ensure if a person in care is involved in a reportable incident, that the medical health officer is notified in the form and manner required. Please submit this incident as a reportable incident, by November 4, 2021.
Date to be Corrected: November 4, 2021
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (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: 2 of 2 person in care files reviewed were missing weights for 2 of the 9 months reviewed. There was no reason documented as to why the facility was unable to obtain the monthly weights.
Corrective Action(s): Ensure each person in care is weighed at least once each month.
Date to be Corrected:
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