STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Review of the MAR noted that there 2 medications that were not initialed or dated on the blister pack from time of dispensing
Corrective Action(s): Ensure staff follow the policies and procedures of the MSA
Date to be Corrected: April 3 2020
NUTRITION AND FOOD SERVICES: 37030 - RCR s.62(2)(a) - A licensee must ensure that each menu provides (a) for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups as described in Canada's Food Guide.
Observation: Review of the Menu showed that there were meals planned for each of the daily meals but no menu audits had been prepared to ensure that the meals met the Canada Food Guide requirements
Corrective Action(s): Ensure audits of the menu are completed for each meal and week of the menu. Audit forms are available on the Canada Food Guide website
Date to be Corrected: April 3 2020
RECORDS AND REPORTING: 39460 - RCR s.87(b) - A licensee must keep a record of the following matters respecting food services: (b) menus and menu substitutions.
Observation: There was no substitution list available for review
Corrective Action(s): Please ensure records of meal substitutions are kept
Date to be Corrected: April 3 2020
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