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: Upon review of the PIC's medication files, PRN's given have not had their effectiveness recorded on all 5 occasions
Corrective Action(s): A licensee must ensure that all employees comply with the polices and procedures of the MSAC
Date to be Corrected: 18 January 2024
CARE AND/OR SUPERVISION: 34780 - RCR s.82 - A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan.
Observation: Upon review of the PIC's care plans and bedrooms, bed rails are being used without consent from the PIC's representative or physician. The care plan for a PIC that has been in care for over a year has not been completed.
Corrective Action(s): A licensee must ensure that care of a person in care is consistent with the care plan
Date to be Corrected: 15 January 2024
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: upon observation of the kitchen fridge, Raw meat being thawed was placed on top of a PIC's left over pizza. Salad had then been placed on top of the raw meat.
Corrective Action(s): A licensee must ensure that all food is safely prepared, stored served and handled.
Date to be Corrected: 18 January 2024
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