PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: One person in care's room had approximately six scrapes and gouges on the wall to the depth of exposed drywall. These marks were reported to have been made by person in care's wheelchair. In shower room, the transition strip from the main room floor to shower floor had several long pieces of tape across it, some parts of which were lifting.
Corrective Action(s): Ensure all rooms are in maintained in good repair and are safe for person's in care to mobilize.
Date to be Corrected: September 30, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31610 - RCR s.30(d) - A licensee must ensure that all bathrooms have (d) any other equipment that is necessary to protect the health, safety and dignity of the persons in care.
Observation (CORRECTED DURING INSPECTION): In three bathrooms, the following was observed:
-One bathroom, three body sponges were hanging together on a shower wall, and touching each other. In a second bathroom, two body sponges were hanging together and touching. It was confirmed by employees they were each for different Persons in Care
-One bathroom, there was one unlabelled toothbrush, one unlabelled electric razor, one unlabelled electric nose trimmer, all on shared shelves for more than one person in care
Corrective Action(s): Ensure all items are kept separately and labelled for each person in care
Date to be Corrected: September 2, 2021
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): Food storage area had three containers with food which was not in original packaging, labelled or dated.
Corrective Action(s): Ensure all food that has been removed from original packaging is appropriately labelled.
Date to be Corrected: September 2, 2021
MEDICATION: 36040 - RCR s.68(2)(a) - A licensee must appoint a supervising pharmacist to (a) serve on the medication safety and advisory committee.
Observation: The most recent Medication Safety and Advisory Committee meeting minutes provided were dated April 2019.
Corrective Action(s): Ensure the Medication Safety and Advisory Committee meets regularly, including the supervising pharmacist.
Date to be Corrected: September 30, 2021
MEDICATION: 36050 - RCR s.68(2)(b) - A licensee must appoint a supervising pharmacist to (b) inspect the areas of the facility where medications will be stored.
Observation: The most recent Medication Room inspection documentation provided by facility was dated April 2019.
Corrective Action(s): Ensure the supervising pharmacist completes medication room inspections on a regular basis.
Date to be Corrected: September 30, 2021
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