POLICIES AND PROCEDURES: 33320 - RCR s.85(2)(b) - Without limiting subsection (1)(a), a licensee must have written policies and procedures in respect of all of the following: (b) the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act.
Observation: Review of the orientation policy found that it has not yet been updated to include orientation of a new manager.
Corrective Action(s): Ensure that an orientation policy is created for managers
Date to be Corrected: August 15, 2018
CARE AND/OR SUPERVISION: 34890 - RCR s.83(4)(b) - Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (b) immediately seek the advice of a health care provider if the person in care has experienced, unintentionally, a significant change in weight,
Observation: Review of the weight charts continues to show significant weight fluctuations in a short period of time, without evidence of follow up. One PIC's weight in Jan 2018 was 157, then his weight was missed in Feb, Mar,Apr and in May it was 176 lbs. Another PIC was 149lbs in March 2018 and 132lbs in April 2018. Another PIC's weight was 146lbs in Feb 2018 and by April 2018 was 165lbs. Another PIC's weight in May 2018 was 174lbs and in June was 162lbs. The MOC has some concerns about the scale and/or the consistency of the way the weights are being taken, as observationally the PIC's do not seem to be fluctuating that much.
Corrective Action(s): Ensure that correct weights are taken, and significant weight changes are followed up on.
Date to be Corrected: August 15, 2018
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