| Corless Crescent - Inspection Report |
| Inspection Information | |
|---|---|
| Facility type | Residential Care - 100 |
| Service type | 104 Community Living |
| Inspection type | Routine |
| Inspection date | August 20, 2021 |
| Follow up required | Yes |
| Contraventions: A summary of the contraventions found during the inspection are listed below. | |
|---|---|
| Code | Category/Description |
| RCR Section 22(1)(b) | Physical Facility, Equipment and Furnishings: A licensee must ensure that all rooms and common areas are maintained in a good state of repair. Observation: Insufficient maintenance. Corrective action: The licensee to submit a compliance plan by indicated date. |
| RCR Section 37(1) | Staffing: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first obtained all of the following: (a) a criminal record check for the person; (b) character references in respect of the person; (c) a record of the person's work history; (d) copies of any diplomas, certificates or other evidence of the person's training and skills; (e) evidence that the person has complied with the Province's immunization and tuberculosis control programs. Observation: Incomplete records. Corrective action: The licensee to submit a compliance plan by indicated date. |
| RCR Section 40(1)(a) | Staffing: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation Observation: Insufficient performance evaluation of staff. Corrective action: The licensee to submit a compliance plan by indicated date. |
| RCR Section 68(4) | Policies and Procedures: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee. Observation: Inadequate compliance with medication safety. Corrective action: The licensee to submit a compliance plan by indicated date. |
| RCR Section 86(d) | Records and Reporting: A licensee must keep the following records in respect of each employee: a record of any performance reviews made under section 40 [continuing monitoring of employees] and any attendance at continuing education programs. Observation: Insufficient employee records. Corrective action: The licensee to submit a compliance plan by indicated date. |
| Outstanding contraventions that have been corrected. | |
|---|---|
| Code RCR Section 21(d) noted on Routine inspection # LRIE-BQGU3D of Jun-11-2020
Physical Facility, Equipment and Furnishings: A licensee must ensure that all furniture and equipment for use by persons in care are maintained in a safe and clean condition. (Equipment not safe.) Code RCR Section 37(1)(a) noted on Routine inspection # LRIE-BQGU3D of Jun-11-2020 Staffing: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first obtained a criminal record check for the person. (Missing criminal record check) Code RCR Section 78(1)(a) noted on Routine inspection # LRIE-BQGU3D of Jun-11-2020 Records and Reporting: A licensee must keep, for each person in care, a record showing the name, sex, date of birth, medical insurance plan number and immunization status. (Insufficient records..) | |
| Actions Required by Licensee/Operator | |
|---|---|
| - Licensee has addressed some contraventions. Corrective action plan required to be submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |