STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: A review of all of the medication administration records for all of the persons in care indicated for one PRN (as needed) medication, the result/effect is not noted. The Program Coordinator stated they will follow-up on this.
Corrective Action(s): Please ensure all employees comply with the policies and procedures of the medication safety and advisory committee.
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 on the computerized system indicate for example the Nutrition and Menu Planning policy is up to date. However when reviewing another policy such as missing/wandering the year noted is for 2015. While the writer was at another licenced home for the same Licensee on March 2, 2018, the Program Coordinator had correspondence with the Licensee Contact and advised the writer that the required poliicies and procedures would be noted with current dates before the end of the day on March 2, 2018. Please note: The writer previously sent an email to the Licensee Contact and copied all the managers/program coordinators as to the required policies and procedures required by the Residential Care Regulation that need to be reviewed and/or revised once a year and documented accordingly.
The Program Coordinator stated they will follow-up with the Licensee Contact regarding review and/or revision of the required policies and procedures required by the Residential Care Regulation.
Corrective Action(s): Please ensure all required policies and procedures as previously outlined by the writer that are required by the Residential Care Regulation as per section 85 of the Residential Care Regulation are reviewed and/or revised once a year and the current date documented accordingly.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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