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: Upon inspection it was observed in several rooms that the floor was in poor condition. Of concern is the floor was uneven in several areas and could pose a tripping hazard for persons in care.
Corrective Action(s): A licensee must ensure that all rooms and common areas are (b) maintained in good state of repair.
Date to be Corrected: 20-June-2023
POLICIES AND PROCEDURES: 33060 - RCR s.51(1)(a) - A licensee must have (a) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for the evacuation of persons in care.
Observation: Upon inspection it was identified that the emergency plan procedures were insufficient to ensure that the persons in care will be continued to be cared for. Although some supplies were present a more detailed emergency plan is required.
Corrective Action(s): A licensee must have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for the evacuation of persons in care.
Date to be Corrected: 20-June-2023
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: Upon inspection it was identified that 2 of 4 care plans reviewed had a nutrition screening document last reviewed 2019, and personal profiles last reviewed 2019,
Corrective Action(s): A licensee must ensure that each care plan is reviewed and, if necessary, modified if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan
Date to be Corrected: 20-June-2023
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