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: Overhead heat lamp in East bathroom, no light bulb, housing surrounding the light fixture is rusted and stained.
Tub surround of West bathroom, damage to the wall at front and back of the tub area where the bottom and outermost edge of the surround meets the tub. The plaster is damaged and softened.
Kitchen tall cupboard beside desk area neither the upper nor the lower door latches and poses a catch hazard to persons walking in that area.
Corrective Action(s): Please provide a plan that will ensure that all areas of the house are monitored for maintenance needs on an ongoing basis.
Date to be Corrected: July 12, 2018
STAFFING: 32010 - RCR s.37(1)(a) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: (a) a criminal record check for the person.
Observation: Criminal record checks for 2/7 staff were not available, and an additional one was outdated Dec 27, 2017.
Corrective Action(s): Please provide a plan that will ensure that records are appropriately maintained and available for inspection.
Date to be Corrected: July 16, 2018
CARE AND/OR SUPERVISION: 34640 - RCR s.81(3)(c)(i) - A care plan must include all of the following: (c) a nutrition plan that (i) assesses a person in care's nutrition status.
Observation: Nutrition assessment and planning was not found for one resident (AT)
Corrective Action(s): Please ensure that all required documentation is available for inspection, and to direct care of residents.
Date to be Corrected: July 12, 2018
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Of 2 resident records reviewed, 2 did not have Tb status and one did not have the status of the Provincial Immunization for one resident.
Corrective Action(s): Please provide a plan that will ensure that records for Provincial Immunization and Tb status are available for all residents.
Date to be Corrected: July 12, 2018
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: Unlabelled nail clippers were observed in the oversink cabinet of the east bathroom. The staff removed the clippers at the time of inspection.
Corrective Action(s): Please provide a plan that will ensure that the house is monitored for personal care items and fluid products (shampoos and lotions etc.) to be appropriately identified.
Date to be Corrected: July 12, 2018
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: Upright freezer in the room behind the kitchen temperature ranged between -12 and -17.
Storage containers for food in the fridge were not labelled or dated.
Corrective Action(s): Please provide a plan that will ensure that optimal freezer temperatures to food storage are maintained ( -18 to -22 degrees Celsius) and that food being stored is appropriately dated.
Date to be Corrected: July 12, 2018
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Of 2 resident files reviewed a MOST nor a Consent to call a Dr./Nurse Practitioner or EHS was observed in one file.
Corrective Action(s): Please provide a plan that will ensure that each resident file has either a MOST or a consent to call for medical assistance as above.
Date to be Corrected: July 12, 2018
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (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: Weight records for 1/4 PICs (AT)were not observed to be recorded since Feb. 2018
Corrective Action(s): Please provide a plan that will ensure that all weights are recorded monthly or a reason for failure to record the weight is given.
Date to be Corrected: July 12, 2018
RECORDS AND REPORTING: 39470 - RCR s.87(c) - A licensee must keep a record of the following matters respecting food services: (c) the results of monitoring, by the licensee, of food services and nutrition care.
Observation: No food service audits were observed for the previous inspection or the present inspection.
Corrective Action(s): This is a repeat contravention. The manager is aware. Please provide a plan that will ensure that appropriate food service and nutrition monitoring is taking place.
Date to be Corrected: July 16, 2018
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