STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: 3 of 11 staff performance reviews were not reviewed annually on their noted due date.
Corrective Action(s): A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continued to meet the requirements of this regulation.
Date to be Corrected: 26-Dec-2023
STAFFING: 32260 - RCR s.44(1)(b) - A licensee must ensure that employees responsible for the preparation and delivery of food (b) receive ongoing education respecting the preparation and delivery of food, nutrition and, if required, assisted eating techniques.
Observation: 1 of 11 staff members does not have a valid food safe certificate.
Corrective Action(s): A licensee must ensure that employees responsible for the preparation and delivery of food (b) receive ongoing education respecting the preparation and delivery of food, nutrition and, if required, assisted eating techniques.
Date to be Corrected: 26-Dec-2023
POLICIES AND PROCEDURES: 33170 - RCR s.74(1)(b)(i) - Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care.
Observation: Three of Four residents utilize full bed rails. There is no written consent to the use of said bed rails from PIC, or representative, nor from medical practitioner or nurse practitioner.
Corrective Action(s): Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (1) the person in care, the parent or representative of the person in care of the relative who is closest to and actively involved in the life of the person in care.
Date to be Corrected: 26-Dec-23
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