Christopher House - Inspection Report
Inspection Information
Facility typeResidential Care - 100
Service type106 Child and Youth Residential
Inspection typeFollow-up
Inspection dateAugust 19, 2019
Follow up requiredYes
Contraventions: A summary of the contraventions found during the inspection are listed below.
Code Category/Description
RCR Section 37(1)(a)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.
Observation: Missing criminal record check
Corrective action: The licensee to submit a compliance plan by indicated date.
RCR Section 37(1)(e)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 evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Missing immunization and tuberculosis status.
Corrective action: The licensee to submit a compliance plan by indicated date.
To be corrected by: 8-30-2019
RCR Section 44(1)(a)Staffing: A licensee must ensure that employees responsible for the preparation and delivery of food have the experience, competence and training necessary to ensure that food is safely prepared and handled and meets the nutrition needs of the persons in care.
Observation: Insufficient food service training.
Corrective action: The licensee to submit a compliance plan by indicated date.
To be corrected by: 8-30-2019
Outstanding contraventions that have been corrected.
Code RCR Section 30(b) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Physical Facility, Equipment and Furnishings: A licensee must ensure that all bathrooms have slip resistant material on the bottom of each bathtub and shower. (Insufficient physical requirements of bathrooms.)

Code RCR Section 87(b) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Records and Reporting: A licensee must keep a record of the following matters respecting food services: menus and menu substitutions. (Insufficient food service records.)
The following were still in contravention as of August 19, 2019
Code RCR Section 37(1)(d) noted on Reportable Incident Investigation inspection # LRIE-BD2SP3 of Jun-11-2019 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 copies of any diplomas, certificates or other evidence of the person's training and skills. (Missing evidence of training.)

Code RCR Section 37(2)(c) noted on Reportable Incident Investigation inspection # LRIE-BD2SP3 of Jun-11-2019 Staffing: A licensee must not employ a person in a community care facility unless the licensee is satisfied, based on the information available to the licensee under subsection (1), that the person has the training and experience and demonstrates the skills necessary to carry out the duties assigned to the manager or employee. (Inadequate character and skills.)

Code RCR Section 22(1)(c) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Physical Facility, Equipment and Furnishings: A licensee must ensure that all rooms and common areas are maintained in a safe and clean condition. (Insufficient maintenance.)

Code RCR Section 78(2)(b) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Records and Reporting: A licensee must keep, for each person in care, a medication administration record showing the date, amount and time at which the medication was administered. (Insufficient records.)

Code RCR Section 81(3)(b) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Care and Supervision: A care plan must include all of the following: an oral health care plan. (Insufficient care plan.)

Code RCR Section 83(4)(a) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Records and Reporting: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month, (Insufficient records.)

Code RCR Section 85(1)(a) noted on Routine inspection # LRIE-BF8SQF of Aug-14-2019 Policies and Procedures: A licensee must do all of the following: have written policies and procedures for the purposes of guiding staff in all matters relating to the care and supervision of persons in care. (Insufficient policies and procedures.)
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.