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 the inspection it was noted that:
- The paintwork on the outside of the house had chipped off in multiple areas.
- the outer chimney was black with moss and also had chipped paintwork.
The manager stated that conversations have begun regarding the completion of this but not firm date had been set yet.
Corrective Action(s): Please ensure that all common areas are maintained in a good state of repair
Date to be Corrected: June 30 2020
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: The medication administration procedures contained within the medication binder had not been reviewed within the last year.
Corrective Action(s): Please ensure that all policies and procedures are reviewed and revised if necessary at least once each year.
Date to be Corrected: February 29 2020
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: During the inspection it was noted that:
- 2/3 oral care plans checked had not been reviewed within the last year.
- 3/3 care plans had not been reviewed within the last year. One had not been completed in the agency required format.
- 3/3 residential information sheets had not been reviewed within the last year and contained expired information.
Corrective Action(s): Please ensure that each care plan is reviewed and updated as required at least once each year.
Date to be Corrected: February 29 2020
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