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: It was observed in two person in care’s rooms there was broken drywall on the bulkhead corner leading the toileting area. It was observed in three person in care’s rooms there were broken or bent slats in their window blinds. It was also observed that there were plug in covers that had been removed in the hallway of one area of the building, leaving wires beneath exposed.
It was discussed with manager that each of these physical facility issues have been sent to the maintenance department.
Corrective Action(s): Ensure all rooms and common areas are in a good state of repair.
Date to be Corrected: November 12, 2021
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: Five persons in care’s care plans were reviewed and it was observed that Activities of Daily Living (ADL) forms in two person in care’s rooms did not contain specific information from the care plan to guide staff in providing care to the persons in care. In one of the two person in care's care plans, the number of care staff required for transfers was not consistent. One person in care’s care plan had not been updated to reflect changes in that persons mobility
This is a repeat contravention from MMON-C3YNVQ.
Corrective Action(s): The licensee must ensure that the care and supervision of persons in care is consistent with the terms and conditions of the person in care’s care plan.
Date to be Corrected: November 12, 2021
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: On review of five person in care’s immunization and tuberculosis screening documentation, it was observed that two tuberculosis screening documents were present but incomplete. This is a repeat contravention from MMON-C3YNVQ.
Corrective Action(s): Licensee to ensure forms are completed in their entirety as per the provincial immunization and tuberculosis control programs.
Date to be Corrected: November 30, 2021
MEDICATION: 36070 - RCR s.69(1)(a) - A licensee must ensure that a pharmacist (a) packages all medications.
Observation: On review of the medication rooms, it was noted one packaged medication was not in a container or box, and had no pharmacy label affixed. This is a repeat contravention from MMON-C3YNVQ.
Corrective Action(s): Ensure all medications are in packages/boxes with a pharmacy provided label
Date to be Corrected: November 12, 2021
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