STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: The LO reviewed evidence of medication review completed by staff in response to the Routine Inspection. The MAR was reviewed and the following was observed:
-the 2000 hr doses of 3 medications for 2 PIC's (Valproic Acid, Tylenol 325, and Lithium) were not recorded from June 13 - 16th and no symbol identified why they were not given
-for one PIC the back of the MAR for PRNs were filled out for 13 doses, some effects were not signed, but only 8 PRN administrations were recorded on the face of the MAR sheet.
Corrective Action(s): Please ensure that there is a plan that will ensure that all staff sign the MAR appropriately
Date to be Corrected: June 30, 2016
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: After the Routine inspection the staff completed "Caring About Food Safety". The fridge and freezer were observed and no food labels were seen on stored products.
Corrective Action(s): Please ensure that all of the food being stored is labelled appropriately
Date to be Corrected: June 30, 2016
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: The LO observed the PICs taking afternoon snack. The staff had just made banana muffins. The PICs were offered coffee with skim milk, and water to drink. The menu stated snack would be banana bread -or- cheese and pickles. There were no cheese or pickles offered. The snacks for 2 days on spring/ summer weeks 2 and 4 were reviewed. Some days the snack is written as 1 food group -or- the other.
The snacks reviewed continue to represent 1 food group being offered to the PICs.
Corrective Action(s): Please ensure that as per the regulation quoted above, there are 2 food groups present for the PICs snacks at least twice per day.
Date to be Corrected: June 30, 2016
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