HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Review of 2 Persons in Care (PIC) files did not show evidence of immunization records of tuberculosis (TB) testing.
Corrective Action(s): Please ensure that each person admitted to a community care facility comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: January 9, 2017
NUTRITION AND FOOD SERVICES: 37190 - RCR s.66(1) - A licensee must ensure that each person in care receives adequate food to meet their personal nutritional needs, based on Canada's Food Guide and the person in care's nutrition plan.
Observation: There was only 1 audit available for review for 1 week of the menu rotation. Review of this audit showed the following:
The first day the veggie and fruit serving did not meet the minimum requirements and the audit indicated that it did.
- On at least 5 other days 1 or more food category was not met, as indicated by the audit, but it was not documented how this would be rectified.
Menu audit not being done is a repeat contravention from last year routine inspection (#NTJN-A7FLRV).
Corrective Action(s): Please ensure that each PIC receives adequate food to meet their personal nutritional needs based on Canada's Food Guide and their nutrition care plan.
Date to be Corrected: January 9, 2017
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: Both PICs' files did not have written consent to call a medical or nurse practitioner or ambulance.
Corrective Action(s): Please ensure that each PIC has written consent to call a medical practitioner, nurse practitioner, or ambulance.
Date to be Corrected: January 9, 2017
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: 1 PIC did not have a weight records available for review. Staff stated that the PIC had only been at the facility for a couple of months and the staff weren't sure where it was being recorded.
Corrective Action(s): Please ensure that each PIC is weighted at least once each month.
Date to be Corrected: December 21, 2016
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