LICENSING: 30050 - RCR s.8(3)(a) - If the manager of a community care facility resigns, or is or expects to be absent for at least 30 consecutive days, the licensee must (a) notify a medical health officer.
Observation: A change of manager has taken place without notification to licensing within 30 days. New manager has been acting manager since June 2019.
Corrective Action(s): Ensure that if a manager resigns or expects to be absent for 30 consecutive days, the licensee must notify licensing or the change.
Date to be Corrected: Sept 30, 2019
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: Some rooms were in need of repair, including: A ceiling tile in one bathroom was missing and appeared to be due to a leak (vacant room); and electrical outlet missing a face plate, making it a risk for injury; 1 bathroom fan was missing the cover leaving the fan exposed; 1 bathtub was missing the center knob on the water tap;
Corrective Action(s): Ensure rooms and common areas are maintained in a good state of repair.
Date to be Corrected: October 21, 2019
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: Rooms and/ or common area not in a safe and clean condition include: the laundry room had what appeared to be rodent droppings, as well as dirt/ debris on the floor, and spider webs around the ceiling; the air-conditioner unit in at least 1 room was covered in dust and in need of cleaning; in at least 5 rooms the box spring mattress did not have a cover over it, making it difficult to clean and keep in clean condition; 1 bathroom had rust on the shower head; and one person in care had open food in their room, which could potentially attract pests.
Corrective Action(s): Ensure rooms and common areas are maintained in safe and clean condition.
Date to be Corrected: October 21, 2019
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: Upon review of the facilities policy and procedure manual, the last annual review took place May, 2018.
Corrective Action(s): Ensure that policies and procedures are reviewed, and if necessary, revised at least once per year.
Date to be Corrected: October 21, 2019
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: On review of the current menu it was noted that on at least 4 days snacks served contained only one food group.
Corrective Action(s): Ensure for each day, at least 2 nutritious snacks are served, with each snack containing at least 2 food groups as described in the Canada food guide.
Date to be Corrected: October 21, 2019
RECORDS AND REPORTING: 39010 - RCR s.49(2) - A licensee must record the height and weight of each person in care on admission.
Observation: On review of 3 care records, 1 person in care gave consent to be weighed but did not have their weight recorded on admission, they were weighed after the first month.
Corrective Action(s): Please ensure that weights for persons in care are recorded on admission.
Date to be Corrected:
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