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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
KBOI-B4PPZ6

FACILITY NAME
Finnish Manor
SERVICE TYPES
130 Long Term Care
FACILITY LICENSE #
LOLA-A3YMEM
FACILITY ADDRESS
3460 Kalyk Ave
FACILITY PHONE
()
CITY
POSTAL CODE
MANAGER
Traci Skaalrud

INSPECTION DATE
September 17, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
2
ARRIVAL
10:15 AM
DEPARTURE
12:15 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Follow-up
# CHILDREN ENROLLED

Introduction

Follow up conducted to assess action plans implemented from the routine inspection in April 2018. Suvarna Rao, Licensing Dietician was present to review adequacy of the action plan submitted for the Food Services Manager to be the Registered Dietician on site.

Contraventions
Previous Inspection - Contraventions observed on FIR # have been corrected except for those noted on supplementary pages.
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
STAFFING: 32270 - RCR s.44(2) - A licensee who accommodates 50 or more persons in care in a community care facility must have, to supervise the preparation and delivery of food, a food services manager who is (a) a nutrition manager with membership in the Canadian Society of Nutrition Management, (b) a person who is eligible to be a member of the Canadian Society of Nutrition Management, or (c) a dietitian.
Observation: A meeting occured with The Care Corp QA Director, RD, Support Services Manager and DOC. The DOC will complete an exemption request to have the current Support Services Manager as the FSM while she is completing 1.5 years left of the program for CSNM. In this time period, the RD will be the interim FSM and provide oversight and support to the Support Services Manager.
Corrective Action(s): Ensure that the exemption is submitted for this legislation.
Date to be Corrected: October 8th 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: Inspection of 3 rooms found that 1/3 did not have paper towels or towels for hand hygiene. As a double room one of the PIC's flushes paper towel so paper towel was not provided. The second PIC is independent and should still have access to something to dry hands in the bathroom.
Corrective Action(s): Ensure that all PIC's have access to items required for hand hygiene.
Date to be Corrected: October 15, 2018


Comments

Thank you for your assistance during the inspection today.

Action Required by Licensee/ManagerAction Required by Licensing Staff
Take corrective action to bring facility into complianceNo action required
Due Date
Oct 08, 2018

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Click here for a description of each "Category" of violation displayed.