PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: The stove liners under the elements have rust holes
Corrective Action(s): Please replace the element liners
Date to be Corrected: December 28, 2018
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: During inspection it was noted that the ceiling vent in the hallway had a layer dust and dirt on it most likely due to recent construction at the facility
Corrective Action(s): Ensure all rooms and common areas are maintained in a clean condition
Date to be Corrected: December 28,2018
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: It was noted during review of the medication binder that there were 2 missing signatures for medication administration
Corrective Action(s): Ensure that medications are signed off as per the medication policy and procedures
Date to be Corrected: December 28,2018
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: 1 PIC was missing a current consent form to contact medical support. through discussion with the manager it was noted that this PIC has PG&T and will require consent from the trustee (This is a repeat contravention)
Corrective Action(s): ensure all PIC's have current consent for medical support forms available
Date to be Corrected: January 8, 2018
|