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: During a review of the physical facility, the following was noted:
- The garden had lots of weeds growing throughout.
- Disused items were stored throughout the garden, some rusting and rotting.
- The garden shed was rotting and leaning to one side.
- The basketball net at the front of the house was ripped and torn.
Corrective Action(s): Please ensure the common areas of the facility are kept in a good state of repair and that there is a system in place for maintaining this.
Date to be Corrected: September 30 2017
CARE AND/OR SUPERVISION: 34790 - RCR s.83(1)(a) - A licensee of a community care facility with 24 or fewer persons in care must (a) develop a nutrition plan for each person in care.
Observation (CORRECTED DURING INSPECTION): A review of 3 PIC's care plans found 1 PIC did not have a nutritional care plan on file. The facility manager was able to create one during the inspection using the following information:
- Satisfaction Survey.
- Food and Nutrition Information and Screening form.
This information was sufficient in determining that no dietician referral was necessary at this time and no issues regarding nutrition were identified.
Corrective Action(s): Please ensure that a nutrition plan is developed for all PIC's.
Date to be Corrected:
CARE AND/OR SUPERVISION: 34810 - RCR s.83(1)(b)(ii) - A licensee of a community care facility with 24 or fewer persons in care must (b) if a nutrition plan is developed without the assistance of a dietitian, ensure that reasonable steps are taken to assess the specific nutritional needs of the person in care who is the subject of the nutrition plan, including considering whether the person in care is at risk of being inadequately nourished because of (ii) a history of issues that affect eating by the person in care.
Observation: During a review of 3 PIC's care plans, the following was noted:
- 1 PIC had no food and nutrition information and dietician screening form on file.
- 1 PIC had no dietician screening form on file.
Corrective Action(s): Please ensure that reasonable steps are taken to assess the nutritional needs of each PIC during the development of the nutritional care plans.
Date to be Corrected: September 30 2017
PROGRAM: 38010 - RCR s.55(1)(a)(i) - A licensee, other than a licensee who provides a type of care described as Hospice, must (a) provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities (i) suitable to the needs of the persons in care.
Observation: One PIC has no record of preferred activities or a plan of activities on file.
Corrective Action(s): Please ensure that there is an ongoing planned program of recreational activities suitable to the needs of the PIC's on file.
Date to be Corrected: September 30 2017
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