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: A review of the physical plant indicated the back door to the backyard has several scuff/black marks and the Manager explained this is due to wheelchairs, etc.
Corrective Action(s): Please ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: A random review of one person in care's chart/records indicated no tuberculosis screening was documented. Please refer to the Tuberculosis and Immunization Guideline for persons in care that the Licensing Officer previously sent.
Corrective Action(s): Please ensure all persons in care have tuberculosis screening completed.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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: A random review of one person in care's chart/records indicated there was one weight not documented for. Specifics were provided during the inspection.
Corrective Action(s): Please ensure all persons in care are weighed on a monthly basis and that this is documented. If for example the weight scale is not functioning, a person in care refuses to be weighed, etc, please ensure this is documented accordingly.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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: A review of the audits indicated for example the menu audit for week 5 (winter) as noted on the computer program "Sharevision" that the initial audit was completed in November 2017 and clicking on the actual audit it refers to a modified date of January 2019. The Manager stated a modified date is put in after reviewing the initial audit that was completed. Please ensure audits are completed on a regular basis and given the previous audit was modified in early January 2019, it now has been over 1 year since the last review.
Corrective Action(s): Please ensure all applicable nutrition audits are being completed for the home and are being completed on a regular basis please.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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