STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Review of the MAR indicates two days where the PRN effectiveness was not recorded.
Corrective Action(s): Please ensure all records are completed
Date to be Corrected: ongoing
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: Review of 9 care plans indicates there are 5 PICs that are missing one or both of the TB and Immunization compliance information.
Corrective Action(s): Please ensure records are complete. A copy of the updated Immunization record form was provided during the inspection
Date to be Corrected: March 31, 2023
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): In one of the refrigerator's fruit/vegetable bin, contained lettuce wrapped in foil and plastic bag, tomatoes in bag, wrapped up cheese bun, jar of oil and spice and two mini containers with cheese slivers and dressing. The items were not labelled.
Corrective Action(s): During the second day of the inspection, licensing was made aware the food belonged to a PIC and should have been placed in the PIC's own fridge. Please ensure food is safely stored and handled.
Date to be Corrected: ongoing
NUTRITION AND FOOD SERVICES: 37030 - RCR s.62(2)(a) - A licensee must ensure that each menu provides (a) for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups as described in Canada's Food Guide.
Observation: Review of menu indicates that are times, 1-2 times a week either the lunch or dinner menu only contains 2 food groups.
Corrective Action(s): Please ensure all meals contain at least 3 food groups as described in Canada's Food Guide.
Date to be Corrected: March 31, 2023
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