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: The hot water temperature in the top floor washroom was recorded at 52 degrees Celsius. The main floor washroom water temperature was recorded at 57 degrees Celsius.
Corrective Action(s): Please ensure that water accessible to persons in care is not heated to more than 49 degrees Celsius.
Date to be Corrected: March 15, 2021
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: In review of the food service records, it was noted that the 'Meals and More monitoring forms' were last completed in 2019. In review of the Policy and Procedure Manual, it was stated in the 'Nutrition Monitoring Policy' that meals and more monitoring forms are to be completed annually.
Corrective Action(s): Please ensure that the 'Nutrition Monitoring Policy' is implemented by staff.
Date to be Corrected: April 5, 2021
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: In discussion with staff it was noted that substitutions to the menu is occurring. In review of food service records, it was noted that menu substitutions have not been recorded.
Corrective Action(s): Please ensure that a record is kept for any substitutions to the menu.
Date to be Corrected: March 15, 2021
|