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: 1 person in care's room, wall paper and wall require repairs.
Corrective Action(s): Ensure all rooms are maintained in a good state of repair
Date to be Corrected: November 9, 2017
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: A large stack of clean Towels were observed to be stored beside the main tub. Of concern is the potential for towels to be soiled by splash back during a person in care's bath.
Corrective Action(s): Ensure all rooms are maintained in a clean condition
Date to be Corrected: November 9, 2017
POLICIES AND PROCEDURES: 33080 - RCR s.51(2) - A licensee must ensure that the plans described in subsection (1) are updated if there is any change in the facility
Observation: - Review of the Mill Lake Program procedure and the Emergency Preparation manual, emergency contact information is not current.
- Information regarding current persons in care is not updated in reference to roome numbers and profiles.
Corrective Action(s): Ensure information is updated as required.
Date to be Corrected: November 9, 2017
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: 2 sauces in the fridge were observed as expired.
Corrective Action(s): Ensure food is safely stored.
Date to be Corrected: November 9, 2017
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: Review of the 4 week menus, a second food group is not provided if the person in care is given water.
Corrective Action(s): Ensure each snack provides 2 food groups.
Date to be Corrected: November 9, 2017
NUTRITION AND FOOD SERVICES: 37090 - RCR s.62(2)(d) - A licensee must ensure that each menu provides (d) for substitutions to be made that are from the same food group and have a similar nutritional value.
Observation: 1 item substituted was not replaced with an item from the same food group. Last two months of substitutions were reviewed.
Corrective Action(s): Ensure substitutions are made from the same food group.
Date to be Corrected: November 9, 2017
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