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 (CORRECTED DURING INSPECTION): It was observed that water temperatures exceeded 49 degrees temperature.
Corrective Action(s): Ensure water temperatures accessible to persons in care do not exceed 49 degrees celcius. On day two of the inspection, the facility remedied the temperatures exceeding 49 degrees by ordering a new mixing valve to replace the broken item and lower facility water temperatures to mitigate risk.
Date to be Corrected:
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 (CORRECTED DURING INSPECTION): One tub room door was observed to be in a state of disrepair.
Corrective Action(s): Ensure all rooms and common areas are maintained in a good state of repair. On day two of the inspection, facility implemented the first step to the door repair.
Date to be Corrected:
CARE AND/OR SUPERVISION: 34780 - RCR s.82 - A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan.
Observation (CORRECTED DURING INSPECTION): For one person in care, it was determined the Point of Care (POC) program that provides care staff with care required for each person, lacked a box to confirm monitoring for hourly checks at night was being completed.
Corrective Action(s): Ensure the care and supervision for persons in care is consistent with the terms and conditions of the person in care's care plan. On day two of the inspection, POC was updated to reflect appropriate monitoring of nightly checks being done.
Date to be Corrected:
|