PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: Upon inspection of physical facility it was found that light switch was broken in the hallway and in the tub room. There was scruffs on the painted walls around the door frames near the kitchen made by wheelchairs.
Corrective Action(s): Please ensure that common areas are maintained in safe and clean conditions.
Date to be Corrected: February 14th, 2020
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: 2 staffs' food safe certification has expired but they are still on the schedule.
Corrective Action(s): Manager has followed up with staff to update their records and staff have arranged for taking the course.
Date to be Corrected: February 14th, 2020
POLICIES AND PROCEDURES: 33170 - RCR s.74(1)(b)(i) - Subject to subsection (2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (i) the person in care, the parent or representative of the person in care or the relative who is closest to and actively involved in the life of the person in care.
Observation: Restraints are used for preventative measures to ensure PIC’s safety. No PIC consents were on file.
Corrective Action(s): Please ensure that the agreement(s) for the use of restraint is signed by the PIC or the relative who is closest to and involved in the life of the person in care
Date to be Corrected: February 14, 2020
POLICIES AND PROCEDURES: 33180 - RCR s.74(1)(b)(ii) - Subject to subsection (2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (ii) the medical practitioner or nurse practitioner responsible for the health of the person in care.
Observation: No Physician or Nurse practitioner approval is in place for the restraints.
Corrective Action(s): Please ensure that for PIC’s who need on-going restraint have the agreement for the use of restraint signed by the medical practitioner or nurse practitioner responsible for the health of the person in care
Date to be Corrected: February 14th, 2020
CARE AND/OR SUPERVISION: 34750 - RCR s.81(4)(b)(i) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care.
Observation: It was noted that a PIC (Patient in Care) who was admitted last year needed a revision of the careplan as she is wheelchair bound now.
Corrective Action(s): Please ensure that care plan is revised with substantial change in PIC circumstance.
Date to be Corrected: February 14th, 2020.
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