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: It was observed in the home that there were a number of areas where maintenance is needed.
-In all bedrooms that the window caulking was black and cracking and showed signs of mildew growth.
-Storage room door had the lower molding was peeling off.
-Numerous scuff marks on the wall in a person in care's bedroom.
-Bathroom cabinet appeared to have water damage.
Corrective Action(s): Ensure that all rooms are maintained in a good state of repair.
Date to be Corrected: 08 Nov 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: Upon inspection of this home it was observed that there were numerous areas that were not sufficiently maintained in a clean condition. As discussed with the manager the staff typically clean the home, however there was not a schedule in place for regular cleaning nor a checklist in place for areas that require attention. Areas of concern during this inspection included:
-window sills and windows
-bathroom cabinet
-cobwebs observed in all bedrooms
-one person in care's (PIC) bedroom door was visibly soiled
-kitchen chair had a sticky seating surface
-stove element rings had burnt on spills
Corrective Action(s): Ensure that all rooms and common areas are maintained in a clean condition.
Date to be Corrected: 18 Oct 2019
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: It was observed that there were 2 toothbrushes in the bathroom cabinet that were no labeled to identify whom they belonged to and they were both placed on a shelf that was soiled with dust, hair and dried toothpaste.
Corrective Action(s): Ensure that there is program in place to assist PIC's in maintaining health and hygiene.
Date to be Corrected: 18 Oct 2019
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: It was observed that there was an expired medication, date May 2019. There did not seem to be a self- monitoring system in place to ensure expired medications are returned to the pharmacy.
Corrective Action(s): Ensure all required medications are returned to the pharmacy.
Date to be Corrected: 18 Oct 2019
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 food substitution list available for review.
Corrective Action(s): Ensure that a substitution list is maintained and available for review.
Date to be Corrected: 18 Oct 2019
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