PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31260 - RCR s.21(c) - A licensee must ensure that all furniture and equipment for use by persons in care (c) are maintained in a good state of repair.
Observation: There is a new bistro style dining table. This table was observed to wobble when touched. The manager states that there are 2 screws missing from its assembly, but that the table is safe and the retailer will provide the screws. The bottom drawer of a resident's blue dresser was observed to be broken and would not stay appropriately on its runners.
Corrective Action(s): Please ensure that all table surfaces are stable, and furnishings are well maintained.
Date to be Corrected: Dec. 15, 2016
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31750 - RCR s.35(1)(b) - A licensee must provide the following appropriately furnished and equipped areas: (b) safe and secure locations for medications and the records of persons in care.
Observation: Sunscreen was observed in the main bathroom drawer.
Corrective Action(s): Please ensure that all medications are appropriately stored.
Date to be Corrected: Dec. 15, 2016
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: Prn medications were not appropriately signed for results of the drug administration.
Corrective Action(s): Please ensure that all PRN medications are signed with results of the medication documented
Date to be Corrected: Dec. 15, 2016
POLICIES AND PROCEDURES: 33320 - RCR s.85(2)(b) - Without limiting subsection (1)(a), a licensee must have written policies and procedures in respect of all of the following: (b) the orientation of new managers and employees, including orientation respecting the policies and procedures of the community care facility, the regulations and the Act.
Observation: Of 2 staff files reviewed, there was no observation of staff orientation to the CCALA or the RCR either in the orientation checklist or other areas of the staff file.
Corrective Action(s): Please ensure that the Orientation Policy contains reference to the orientation to the Legislation and that there is evidence that this occurs.
Date to be Corrected: Dec. 19, 2016
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: There were some pieces of food in fridge and freezer that were not labelled,
Corrective Action(s): Please ensure that all food is appropriately labelled.
Date to be Corrected: Dec. 15, 2016
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