PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation: Cleaning agents were observed to be accessible to person's in care under the kitchen sink. Staff informed that cleaning agents were to be stored in a different locked location.
Corrective Action(s): A licensee must provide secure, safe and adequate storage areas for cleaning agents.
Date to be Corrected: July 13 2023
STAFFING: 32010 - RCR s.37(1)(a) - 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 obtained all of the following: (a) a criminal record check for the person.
Observation: Upon review of the staffing files, 1 out of 4 staff have not completed a Criminal record check under the Criminal records review act.
Corrective Action(s): A licensee must not employ a person in a community care facility unless the a criminal record check for that person has been obtained.
Date to be Corrected: July 13 2023
STAFFING: 32050 - RCR s.37(1)(e) - 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 obtained all of the following: (e) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: Upon review of the staffing files, 2 out of 4 did not have evidence to comply with the Province's immunization control program. 1 out of 4 did not have evidence of complying with the Tuberculosis control program.
Corrective Action(s): A licensee must not employ a person in a community care facility unless evidence has been obtained that persons have complied with the Provinces immunization and tuberculosis control program.
Date to be Corrected: July 13 2023
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Upon review of the persons in care's records, no consent in writing was present by the family or representative to call a medical practitioner, nurse practitioner or ambulance in case of an accident or illness.
Corrective Action(s): A licensee must have consent in writing from the family or representative to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness
Date to be Corrected: July 13 2023
RECORDS AND REPORTING: 39460 - RCR s.87(b) - A licensee must keep a record of the following matters respecting food services: (b) menus and menu substitutions.
Observation: Upon review of the facility food substitution records, it was found that no recordings have been made since March 2022. It was confirmed by staff that substitutions are being made and that these changes are not being recorded.
Corrective Action(s): A licensee must keep a record of menus and menu substitution.
Date to be Corrected: July 13 2023
|