LICENSING: 30240 - RCR s.61 - A licensee must regularly monitor the physical environment of the community care facility, and the care and services provided by it, to ensure that the requirements of the Act and this regulation are being met.
Observation: - Oven door in Kitchen was broken, of concern is the door does not seem to be closing appropriately and persons in care could injure themselves.
- Downstairs bathroom toilet is missing tank lid, of concern is Persons in care could injure themselves.
Corrective Action(s): A licensee mist regularly monitor the physical environment of the community care facility, and the care and services provided by it, to ensure that the requirements of the ACT and this regulation are being met.
Date to be Corrected: 22-September-2023
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: Observed cut out holes approximately 8" wide in ceiling of one resident bedroom and back room common area.
Corrective Action(s): A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Date to be Corrected: 22-September-2023
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: Light switch in residents room is missing protective face plate. Of concern would be persons in care being exposed to electrical wires and getting injured.
Corrective Action(s): A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Date to be Corrected: 22-September-2023
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation (CORRECTED DURING INSPECTION): Observed person in cares medication stored in unlocked kitchen cabinet.
Corrective Action(s): A licensee must ensure that (a) all medication in the community care facility are safely and securely stored.
Date to be Corrected: 22-September-2023
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Observed weights for one resident were missing 4 months in the last year, and a second resident was missing 6 months of weights in the last 14 months.
Corrective Action(s): Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Date to be Corrected: 22-September-2023
RECORDS AND REPORTING: 39620 - RCR s.91(2)(c) - In respect of a record referred to in this regulation, a licensee must (c) produce records, on demand, to the medical health officer.
Observation (CORRECTED DURING INSPECTION): Staffing files were not available on site, and documents were not produced in a timely manner.
Corrective Action(s): In respect of a record referred to in this regulation, a licensee must (c) produce records, on demand, to the medical health officer.
Date to be Corrected: 22-September-2023
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