| Christopher House - Inspection Report |
| Inspection Information | |
|---|---|
| Facility type | Residential Care - 100 |
| Service type | 106 Child and Youth Residential |
| Inspection type | Routine |
| Inspection date | August 14, 2019 |
| Follow up required | Yes |
| Contraventions: A summary of the contraventions found during the inspection are listed below. | |
|---|---|
| Code | Category/Description |
| RCR Section 22(1)(c) | Physical Facility, Equipment and Furnishings: A licensee must ensure that all rooms and common areas are maintained in a safe and clean condition. Observation: Insufficient maintenance. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 30(b) | Physical Facility, Equipment and Furnishings: A licensee must ensure that all bathrooms have slip resistant material on the bottom of each bathtub and shower. Observation: Insufficient physical requirements of bathrooms. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 78(2)(b) | 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. Observation: Insufficient records. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 81(3)(b) | Care and Supervision: A care plan must include all of the following: an oral health care plan. Observation: Insufficient care plan. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 83(4)(a) | 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, Observation: Insufficient records. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 85(1)(a) | 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. Observation: Insufficient policies and procedures. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| RCR Section 87(b) | Records and Reporting: A licensee must keep a record of the following matters respecting food services: menus and menu substitutions. Observation: Insufficient food service records. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 8-30-2019 |
| The following were still in contravention as of August 14, 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.) | ||
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |