PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: The routine inspection of the physical facility found:
*The front door had paint worn off down to the wood
*Staff room chair material was worn off of the arms rests and front
*Bent blinds in the kitchen/dining area
*Dining table has chips in the surface exposing the raw wood
*Worn paint on the chair rail in the hallway
*Laminate floor outside the laundry room is worn
*Wood worn down to raw wood in couch base
*Wall damage to the corner of the entrance to the large bedroom and the ramp at the sliding door is broken along the edge and not level
Corrective Action(s): Ensure that all furniture and equipment is maintained in a good state of repair
Date to be Corrected: Sept 21,2021
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: Inspection of the physical facility found:
*Wall panelling missing at the front entrance
*Wall damages to paint and drywall through out the facility
*Baseboards not secured to the walls and damage to paint and drywall
Corrective Action(s): ensure all rooms and common areas are maintained in a good state of repair
Date to be Corrected: Sept 21, 2021
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: The floor in the large shower room tile floor is stained and grout is dark
Corrective Action(s): ensure all rooms and common areas are maintained in a clean condition
Date to be Corrected: Sept 21, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31350 - RCR s.23(c) - A licensee must ensure that (c) if necessary for the safety of the person in care, a person in care who is smoking or using tobacco, using an e-cigarette or holding an activated e-cigarette is supervised.
Observation: Inspection of the physical facility found a large number of cigarette butts located beside the garage, behind the dumpster and inside the garage door. There is a high risk practice which could lead to fire causing harm to PIC's
Corrective Action(s): Ensure that all residence who smoke are monitored while smoking on facility property to avoid fire risk
Date to be Corrected: Sept 10, 2021
CARE AND/OR SUPERVISION: 34600 - RCR s.81(3)(a)(i) - A care plan must include all of the following: (a) a plan to address (i) medication, including self-administered medication if approved under section 70 (4) [administration of medication].
Observation: Review of 4 care plans noted that 2 PIC's did not have medication self administration plans
Corrective Action(s): Ensure all PIC's who self administer medication have a plan included in their care plan
Date to be Corrected: Sept 21, 2021
CARE AND/OR SUPERVISION: 34750 - RCR s.81(4)(b)(i) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care.
Observation: Review of 4 care plans found that 2 PIC's care plans had not been updated to reflect substantial changes in care needs
Corrective Action(s): ensure all care plans are reviewed and revised when necessary
Date to be Corrected: Sept 21, 2021
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 4 care plans found that 1 PIC was missing their immunization record and 1 PIC was missing both TB and immunization records
Corrective Action(s): Ensure all PIC's comply with the provinces immunization and TB programs
Date to be Corrected: Sept 21 2021
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Inspection of the freezer in the garage noted that there was no thermometer or temperature log for the freezer
Corrective Action(s): Ensure that all food is safely stored
Date to be Corrected: Sept 10, 2021
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