PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31100 - RCR s.17 - A licensee must ensure that water accessible to a person in care, from any source, is not heated to more than 49° Celsius.
Observation: The water temperature in both bathrooms reviewed exceeded 49 degrees Celsius.
This is a repeat contravention from the previous routine inspection (Inspection #CJOS-B62LUS).
Corrective Action(s): Please ensure that water temperature does not exceed 49 degrees Celsius.
Date to be Corrected: October 2, 2019
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 (2) to ensure that the employee (b) demonstrates the competence required for the duties to which the employee is assigned.
Observation: 4 out of 7 staff appraisals are overdue.
Corrective Action(s): Please ensure that received regular performance reviews.
Date to be Corrected: October 16, 2019
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: Policy states that fire drills are to be conducted monthly and on review of them they were not conducted in May, June, and September.
Corrective Action(s): Please ensure that you follow your fire drill policy.
Date to be Corrected: October 2, 2019
NUTRITION AND FOOD SERVICES: 37030 - RCR s.62(2)(a) - A licensee must ensure that each menu provides (a) for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups as described in Canada's Food Guide.
Observation: Review of this week's menu found that the breakfast being offered on Tuesday, Wednesday, and Thursday contains only 2 food groups.
Corrective Action(s): Please ensure that each meal contains 3 or more food groups as described in Canada's Food Guide.
Date to be Corrected: October 16, 2019
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