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: The backyard fence was missing 4 wooden slats. Area of the downstairs "apartment" kitchen had black discoloration along the baseboard, and the baseboard was warped, in the area where the fridge would normally be (no fridge in place during inspection). This is an unused kitchen, but an accessible area to persons in care.
Corrective Action(s): Ensure all common areas are in good repair.
Date to be Corrected: September 15, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31760 - RCR s.35(1)(c) - A licensee must provide the following appropriately furnished and equipped areas: (c) secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials.
Observation (CORRECTED DURING INSPECTION): Sharp knives are to be kept inside an alarmed pantry, but the alarm not engaged. Employees confirmed the alarm is to be in place at all times.
Corrective Action(s): Ensure all hazardous items are kept in a secure and safe storage area.
Date to be Corrected: August 27, 2021
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: Two person in care's charts were reviewed and there was no evidence of TB or immunizations documentation in either.
Corrective Action(s): Ensure all persons admitted into care are in compliance with the Province's immunization and TB control programs.
Date to be Corrected: September 15, 2021
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: Two person in care's charts were reviewed. There was no record of weight or reason documented on tracking sheet for two months in one person in care's chart.
Corrective Action(s): Ensure all persons in care are weighed monthly, or a reason recorded if they are unable to be weighed.
Date to be Corrected: September 15, 2021
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