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 inspection it was noted that
*1 missing light cover in the hallway between the kitchen and bathroom
*Front door paint was peeling off and wood showing through
*Bathroom shelf is water damaged and paint peeling
*Bathroom wall has some holes and paint chipping
*Bathroom screen in the window has dust and dirt on it
*Under the sink in the laundry room the shelf is broken
*In 1 PIC's room the blinds were broke and falling off
Corrective Action(s): Ensure all rooms and common areas are maintained in a state of good repair
Date to be Corrected: Dec 12, 2018
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: It was noted that there were 8 missing PRN responses on 2 PIC's MARs
Corrective Action(s): Ensure all staff comply with the policies and procedures of the MSAC
Date to be Corrected: Nov 28, 2018
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: Upon review of 2 PIC's files it was noted that 1 PIC was missing the TB immunization forms
Corrective Action(s): Ensure all persons admitted to a community care facility comply with the Provinces immunization and TB control program
Date to be Corrected: Nov 28 2018
HYGIENE AND COMMUNICABLE DISEASE: 35030 - RCR s.54(1) - A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene.
Observation: Upon inspection of the bathrooms it was noted that the commodes for each person were unlabeled with PIC's names
Corrective Action(s): Ensure personal hygiene items are labeled with the PIC's names
Date to be Corrected: Corrected During Inspection
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: During review of the emergency supplies it was noted that the fruit bars were expired
Corrective Action(s): Ensure all stored food is not expired
Date to be Corrected: Corrected During Inspection
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