PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31320 - RCR s.22(3) - A licensee must ensure that all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices are inspected and maintained on a regular basis.
Observation: Damaged paint surfaces were observed throughout the facility with especial note taken of Room 3 - a hole - 8"x 8" above floor coving beside the door to the left of the sink, framing around the closet, left side, Rm. 3, SPA room a missing bracket with no repair of the wall behind and to the right of the toilet, paint peeling under towel rail Rm.12, missing towel bar, brackets remain in place in one bathroom.
Corrective Action(s): Please provide a plan that will ensure that the functions and appearance of the rooms continue to support the safety and dignity of the PICs.
Date to be Corrected: Mar. 1, 2019
RECORDS AND REPORTING: 39490 - RCR s.88(a) - A licensee must keep a record of all of the following: (a) minor accidents, illnesses and medication errors involving persons in care that do not require medical attention and are not reportable incidents.
Observation: Conversation with staff indicated that there is no definition or system for making a record of minor accidents, illnesses, medication errors that do not require medical attention.
Corrective Action(s): Please provide a plan including direction provided by policy that will address the Regulation quoted above.
Date to be Corrected: Mar. 1, 2019
RECORDS AND REPORTING: 39520 - RCR s.89(1) - A licensee must keep a record respecting complaints made and concerns expressed to the licensee under section 60 [dispute resolution], and the responses to them.
Observation: Discussion with staff indicated that they were not aware of any means of recording minor disputes, concerns or complaints.
Corrective Action(s): Please provide a plan that is consistent with facility policy to meet the regulation identified above.
Date to be Corrected: March 1, 2019
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