PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation (CORRECTED DURING INSPECTION): The following observations were found:
- PIC's medication was found in the tub room located on the second floor.
- Medication found on the bedside table of a PIC's room. Discussion with the manager confirmed that there is an auditing system in place to ensure medications are safely stored.
Corrective Action(s): Ensure that all medications in the facility are safely and securely stored.
Date to be Corrected: December 20, 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: In review of 2 out of 7 person in care's care plan it was observed that for one PIC it did not contain a TB risk assessment form or any documentation in the chart to support that this has been assessed. In review of the second PIC's care plan found that the TB risk assessment form was left blank. Discussion with the manager advised that this would have been assessed prior to admittance and that the chart could have been thinned out however, no evidence was provided at the time of the inspection.
Corrective Action(s): A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: January 13, 2022
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: The following observations were found:
- An unlabelled deodorant was found in the tub room located on the unit
- An unlabelled shampoo and conditioner was found on the second floor in the tub room
- A collection of shampoo, shaving cream and conditioner was found in the tub room on the vented unit which appeared to be empty most of which did not have any labels. Discussion with the manager advised that staff may have been collecting them to dispose of them altogether.
Corrective Action(s): Ensure items are labelled or placed in individual containers for PIC.
Date to be Corrected: December 20, 2021
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