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: During the inspection of the physical facility, it was noted that 1st floor dining room and the 3rd floor dining room had chipped paint on the walls.
Corrective Action(s): Please ensure that all rooms and common areas are maintained in good state of repair.
Date to be Corrected: February 28th, 2020
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31550 - RCR s.29(1)(a) - A licensee must provide, at no cost to the person in care, each person in care with bedroom furnishings, including (a) a safe, secure place in which the person in care may store valuable property.
Observation: Inspection of the PICs' bedrooms found no secure bedroom furnishing where PICs could lock their valuables.
Corrective Action(s): Please ensure that a secured place is available in the bedrooms for any PIC who wishes to store their personal valuable belongings.
Date to be Corrected: February 28, 2020.
CARE AND/OR SUPERVISION: 34740 - RCR s.81(4)(a) - A licensee must ensure that (a) the implementation of each care plan is monitored on a regular basis to ensure proper implementation.
Observation: Observation of 1 PIC in 1st Floor dining room found that the PIC was not included on the nourishment and diet list of the dining room and the texture of diet was not documented with this minced diet PIC.
Corrective Action(s): Please ensure that dining rooms have updated PIC lists clearly identifying the diet texture
Date to be Corrected: February 7th, 2020
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: A review of the wound care binders found the following:
1) 1 PIC's file had incomplete documentation regarding wound care being provided (e.g. dates of on-going treatment, start dates of treatment).
2) 1 PIC's file had inconsistency with the frequency of the wound treatment plan being implemented.
Corrective Action(s): Please ensure that care and supervision are consistent and care plans are followed with evidence of proper documentation and that all plans created is implemented and completed.
Date to be Corrected: February 7th, 2020
HYGIENE AND COMMUNICABLE DISEASE: 35030 - RCR s.54(1) - A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene.
Observation: Inspection of a shared PIC room and bathroom found that there were toothbrushes with no name left at the bathroom sink.
Corrective Action(s): Please ensure that plans are in place to assist PIC in maintaining health and hygiene.
Date to be Corrected: January 31st, 2020
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