POLICIES AND PROCEDURES: 33240 - RCR s.85(1)(c)(i) - A licensee must do all of the following: (c) make all policies and procedures available (i) to employees at all times.
Observation: There is no policy available to guide staff to ensure bleach and water solution is appropriate for disinfection and sanitation, including information of length of time for solution is effective. The manager explained that it has been discussed with staff to change the solution weekly and is part of the nightly routine, though when the night routine checklist was reviewed, it was not documented.
Corrective Action(s): Ensure there is policy and procedures to guide staff.
Date to be Corrected: August 4, 2017
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: A Medication Buddy Check has been implemented to decrease medication errors. This form is to be signed 4 times a day. For the first 4 days of July, the form has been signed 3 of 16 times, in addition to one signature observed to be on the wrong date.
Corrective Action(s): Ensure employees are implementing policies.
Date to be Corrected: August 4, 2017
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (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: 2 of 4 persons in care monthly weights documentation was not completed for the month of June. The manager also reviewed daily logs to see if the information was inputted in this area, but to no avail.
Corrective Action(s): Ensure each person in care is weighed monthly.
Date to be Corrected: August 4, 2017
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