PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: 4/10 chairs are worn out and impeding appropriate sanitization after use of these chairs.
Corrective Action(s): Please ensure that all equipment and furniture for PIC use are maintained in good state of repair.
Date to be Corrected: January 31, 2022
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: Following was observed:
1). 2 lights in the kitchen and 1 light in the shared bathroom on the mainfloor were found not working.
2). 1 kitchen cupboard door hinge is broken.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: January 31, 2022
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: The kitchen fridge area, floor tiles and cabinet seams had ants visible crawling around. As per the staff person assisting with the inspection, this was an on-going concern and their maintenance team was aware of the situation and ant traps were set up.
Corrective Action(s): Please ensure that effective treatment plans are in place to maintain common areas in a safe and clean condition.
Date to be Corrected: January 31, 2022
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: The following was observed:
1). 1/5 PICs file did not have the admission height documented in the admission documents completed by staff.
2). 1/5 PICs Client orientation checklist is not completed by admitting staff.
3). 1/6 staff had expired Foodsafe and had no current CPR certification.
4). 6/6 staff files checklist provided by HR did not have any evidence of reference checks, immunization and TB records.
Corrective Action(s): Please ensure staff implement all the policies appropriately.
Date to be Corrected: January 31, 2022
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