PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Cabinets for chemical storage were found unlocked in two units of the facility. [This is a repeat contravention MMON-CC4TRT]
Corrective Action(s): Please ensure that chemicals and any other hazardous materials are securely stored as required.
Date to be Corrected: This was corrected at the time of inspection
CARE AND/OR SUPERVISION: 34690 - RCR s.81(3)(e)(iii) - A care plan must include all of the following: (e) in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address (iii) a plan for following up on any falls suffered by a person in care.
Observation: The care plans for five persons in care (PIC) were reviewed and it was confirmed that four of the PICs did not have a plan for follow up on any falls as part of their required fall prevention plan.
Corrective Action(s): Please ensure all PIC have as part of their care plan, a fall prevention plan which includes a plan for following up on any falls sufferer by the PIC.
Date to be Corrected: April 10, 2023
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: The records of five persons in care (PIC) were reviewed and the following was noted:
Tuberculosis screening for a PIC confirmed additional follow up was to be completed and the results documented, however there was no evidence to demonstrate the follow up had occurred as required.
Immunization screening for two PICs had not been completed in full.
Corrective Action(s): Please ensure compliance with the Province's immunization and tuberculosis control program for all PICs.
Date to be Corrected: April 10, 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: - A half full serving pan of porridge was uncovered in the food warmer in one unit after serving had been completed. Of concern was the ability for persons in care to access the hot food and the increased opportunity for the food to be contaminated. [The licensing officer covered the food at that time]
- Homemade food for a person in care was found stored in the fridge in one unit. Of concern was no label on the food with a date it was received to ensure it would be consumed within a safe time frame to prevent a food born illness. Staff confirmed food is to be dated once opened, if removed from original packaging, or if provided from outside their food services department.
Corrective Action(s): Please ensure that all food is stored safely as required.
Date to be Corrected: April 10, 2023
NUTRITION AND FOOD SERVICES: 37105 - RCR s.62(4) - A licensee who provides a type of care described as Long Term Care must display in a prominent place in each dining area the menu for each weekly period.
Observation: The weekly menus on display in each dining area did not include information regarding the required two snacks. The menus developed must include at least two nutritious snacks, consisting of at least two food groups.
Corrective Action(s): Please ensure each dining area has on display the menu for each weekly period.
Date to be Corrected: April 10, 2023
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