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: Water temperatures were taken in five areas of the facility and water temperatures ranged from 49.5 to 54.7 degrees Celsius.
Corrective Action(s): Ensure all water is heated no higher than 49 degrees Celsius in areas accessible to persons in care.
Date to be Corrected: March 2, 2022
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 (CORRECTED DURING INSPECTION): Discoloration and sediment in the toilet bowl was observed in one resident room. In a hallway, one hole had been cut into the wall and insulation exposed to persons in care.
Corrective Action(s): Ensure all rooms and common areas are maintained in a safe and clean condition.
Date to be Corrected: February 22, 2022
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation (CORRECTED DURING INSPECTION): -In one of four medication rooms, there was one scheduled narcotic package found in the empty package disposal bag.
-There was one medication from the contingency medication found opened and no date that it was opened, in the cupboard of a med room.
-There was a bottle of a narcotic medication, with a note attached saying "Waste" on the counter inside the medication room. The facility policy states all narcotics, including those to be wasted, are to be kept locked in the narcotic drawer until they can be wasted by two nurses.
Corrective Action(s): Ensure all employees comply with policies and procedures of the medication safety and advisory committee.
Date to be Corrected: February 22, 2022
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 (CORRECTED DURING INSPECTION): Six person in care charts were reviewed, and two of the six charts did not have evidence of completed tuberclulosis screening and/or immunization forms.
Corrective Action(s): Ensure all persons in care are compliant with the Province's immunizations and tuberclulosis control program.
Date to be Corrected: February 22, 2022
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