PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: A random review of the physical plant indicated that the hot water temperature at the sink in the shower room measured at 52.1 degrees Celsius. The Manager phoned BC Housing to address this issue.
Corrective Action(s): Please ensure all sinks, showers/tubs accessible to persons in care is maintained at 49 degrees Celsius or lower.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
POLICIES AND PROCEDURES: 33230 - RCR s.85(1)(b) - A licensee must do all of the following: (b) review and, if necessary, revise the policies and procedures at least once each year.
Observation: A random review of the policies and procedures required by the Residential Care Regulation indicated for example the Nutrition and Menu Planning policy was last reviewed/modified in October 2015. Please review the Residential Care Regulation Section 85 (2) and please ensure all the policies and procedures noted/listed are reviewed and/or revised once a year and the date(s) are reflected on those policies and procedures.
Corrective Action(s): Please ensure required policies and procedures as per the Residential Care Regulation are reviewed and/or revised once a year.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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: A random review of one person in care's records/care plan indicated their nutrition satisfaction survey and Nutrition Care Plan Checklist were completed in 2016. The Manager stated they will ensure this is updated to ensure it is current.
Corrective Action(s): Please ensure nutrition audits are completed on a regular basis to ensure they are current.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report for a response.
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