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: Inspection of the facility found that one tub/spa rooms that was not in use, was unlocked. Discussion with the facility Manager determined that tub room doors should remained closed and locked when not in use
Corrective Action(s): Ensure that all rooms and common areas are maintained in a safe condition.
Date to be Corrected: December 30. 2019
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: Review of 12 staff records found no record of a recent criminal record check for 2 employees.
Corrective Action(s): Ensure that employee files are complete.
Date to be Corrected: December 30, 2019
CARE AND/OR SUPERVISION: 34780 - RCR s.82 - A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan.
Observation: Review of 1 of 6 persons in care (PIC) care plans determined that one PIC's bath day was changed on the Activities of Daily Living (ADL) and bath records but not on the care plan. One PIC's diet was not captured on the care plan but was the dietary lists and ADL's.
Corrective Action(s): Ensure that the person in care's care plan is consistent with the care and supervision of the person in care.
Date to be Corrected: December 30, 2019
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