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: During the inspection the following was noted:
-The 1st floor dining room had numerous areas of chipped paint work on the walls.
-The 3rd floor patio paint work was chipped and the wooden posts were starting to show evidence of rotting.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: July 31 2018
STAFFING: 32010 - RCR s.37(1)(a) - 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: (a) a criminal record check for the person.
Observation: A review of 6 staffing files found 1 that did not have a current criminal record check (expired 2016).
Corrective Action(s): Please ensure that a criminal record check is obtained and kept on file for all employees.
Date to be Corrected: July 31 2018
STAFFING: 32020 - RCR s.37(1)(b) - 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: (b) character references in respect of the person.
Observation: A review of 6 staffing files found that:
-2 staff had no references on file.
-1 staff had only 1 reference on file.
Corrective Action(s): Please ensure that the facility does not employ a person without first receiving 2 references.
Date to be Corrected: July 31 2018
STAFFING: 32250 - RCR s.44(1)(a) - A licensee must ensure that employees responsible for the preparation and delivery of food (a) have the experience, competence and training necessary to ensure that food is safely prepared and handled and meets the nutrition needs of the persons in care.
Observation: A review of 6 staffing files found that 1 food service staff did not have a current food safe training certification (expired May 2018).
Corrective Action(s): Please ensure that all employees responsible for the preparation and delivery of food have the necessary training to ensure that food is safely prepared and handled.
Date to be Corrected: July 31 2018
POLICIES AND PROCEDURES: 33030 - RCR s.48(1)(c)(i) - Before admitting a person to a community care facility, a licensee must advise the person, or the person's parent or representative, of (c) how the person, or the person's parent or representative, may express concerns or make complaints to (i) a medical health officer.
Observation (CORRECTED DURING INSPECTION): During the inspection and review of the intake package no evidence could be found of how a PIC or representative could express concerns/complaints to a Medical Health Officer / Licensing.
Corrective Action(s): Please ensure that PIC's/representatives are informed of how to make complaints to a medical health officer/licensing at the time of intake.
Date to be Corrected: July 31 2018
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