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: During physical inspection it was found that the door to the laundry room was not locked and there are chemicals(bleach and cleaning products) stored in the closet in the laundry room. The door to the laundry room has a coded door lock on it, but it was not in use at the time of inspection.
Corrective Action(s): Please ensure that chemicals, cleaning agents and hazardous materials have safe and secure storage areas.
Date to be Corrected: March 28, 2023
STAFFING: 32110 - RCR s.40(1)(b) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: Review of 2 staff files determined that 2 of 2 staff performance reviews are now overdue, both were completed in 2021.
Corrective Action(s): Please ensure that each employee is reviewed both regularly and as directed by the MHO under subsection 40(2) to ensrue that the employee demonstrateds the competence required for duties to which the employee is assigned.
Date to be Corrected: March 28, 2023
POLICIES AND PROCEDURES: 33280 - RCR s.85(1)(d) - A licensee must do all of the following: (d) ensure that policies are implemented by employees.
Observation: During inspection it is noted that the emergency supplies bin has 2 tins of outdated meat/fish in it. Discussion with the manager confirmed a that site procedure is that emergency supplies are checked annually.
Corrective Action(s): Please ensure that policies and procedures are implemented by employees.
Date to be Corrected: March 28, 2023
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): During inspection it was found that:
-the freezer in the garage did not have a thermometer in it in order to check temperatures daily.
-the temperature tracking sheet for the kitchen fridge, was missing temperatures for the previous 4 days including day of inspection. Discussion with staff confirmed that temps were checked and she hadn't signed off.
Corrective Action(s):
Date to be Corrected:
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Review of 2 Persons in Care(PICs) charts determined that 1 of 2 PICs chart does not have evidence of consent to call a medical or nurse practitioner or ambulance in case of emergency.
Corrective Action(s): Please ensure that each person in care's record has consent in writing to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Date to be Corrected: March 28, 2023
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