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 (CORRECTED DURING INSPECTION): During inspection of the exterior of the home a hole was found in the driveway. The hole is approximately 35cm long and 20cm wide and a tree root was protuding from it.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a safe and clean condition.
Date to be Corrected:
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: Review of 3 Persons in Care(PICs) records found that 2 of 3 PICs were missing evidence of monthly weights. 1 PIC was missing 3 of 12 monthly weights and the other PIC was missing 4 of 12 monthly weights.
Corrective Action(s): Ensure that each person is weighed at least once each month.
Date to be Corrected: October 5, 2023
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: Staff could not provide evidence of documented menu substitutions.
Corrective Action(s): Please ensure that a record of menu substitutions is kept.
Date to be Corrected: October 5, 2023
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