PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: Licensing observed the water temperature in several PIC's room reached a high of 54.2'C. Staff are monitoring the water with a laser thermometer. A plumber was called and is due to attend the facility today.
Corrective Action(s): A licensee must ensure that water accessible to a person in care, is not heated to more than 49.C
Date to be Corrected: June 8 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 staff files, 1 out of 10 staff did have their immunization record in the file.
Corrective Action(s): A licensee must not employ a person in a community care facility unless the manager has obtained evidence the person has complied with the Province;s immunization and tuberculosis control programs
Date to be Corrected: June 16 2023
STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: Upon review of staff files, 4 out of 10 staff have not received a performance review.
Corrective Action(s): A licensee must ensure that performance of each employee is reviewed both regularly and yearly as per the facility's policies.
Date to be Corrected: June 16 2023
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