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: Although attempts were made to improve the following damage continues to incur to the following:
- Surfaces on the walls and poles at the entrance of the kitchen had dents, scuffs, and scratches
- Washroom wall behind the toilet 3 had holes of approximately 1 inch each in diameter with exposed plaster from a repair attempt.
- A large patch of plaster remains unpainted in 1 PIC’s bedroom as result of repair.
[Repeat contravention documented in Routine Inspection KTRR-BZDR7E, March 22 and 24, 2021.]
Corrective Action(s): Please ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: November 30, 2021
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: Licensing observed 1 of 2 person’s in care files to be missing tuberculosis screening. [Repeat contravention documented in Routine Inspection KTRR-BZDR7E, March 22 and 24, 2021.]
Corrective Action(s): Please ensure all persons in care are in compliance with the province’s immunization and tuberculosis control programs.
Date to be Corrected: November 30, 2021
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: Licensing observed 1 monthly weight to be missing for 3 out of 5 PICs and 2 monthly weights to be missing for 1 out of 5 PICs. Note: These missing months were after the date to be corrected of April 9, 2021 stated on Routine Inspection report KTRR-BZDR7E. [Repeat contravention documented in Routine Inspection KTRR-BZDR7E, March 22 and 24, 2021.]
Corrective Action(s): Please ensure that each person in care is weighed at once each month.
Date to be Corrected: November 19, 2021
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: The facility manager stated no was action taken to address the missing menu audits identified during the last inspection. Incorrect contravention cited previously. [Repeat contravention documented in Routine Inspection KTRR-BZDR7E, March 22 and 24, 2021.]
Corrective Action(s): Please ensure the monitoring of food services and nutritional care.
Date to be Corrected: November 19, 2021
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