POLICIES AND PROCEDURES: 33090 - RCR s.51(4) - A licensee must display a copy of the emergency plan in a prominent place in the community care facility.
Observation: It was noted that no emergency exit signs or plans were displayed in a prominent place in the facility
Corrective Action(s): Please ensure emergency plans and floor plan is displayed
Date to be Corrected: January 18, 2019
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: During inspection it was noted that
* The commodes for each PIC were not labeled
* The barrier cream in both bathrooms used for PIC's was not labeled with names
* One set of nail clippers in the shower bathroom were not labeled with PIC's name
Corrective Action(s): Please ensure all personal items used by PIC's in common areas are labeled
Date to be Corrected: January 18, 2019
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: In the garage there were bags of flour and sugar not stored in sealable containers
Corrective Action(s): please ensure all food is stored appropriately
Date to be Corrected: January 18, 2019
MEDICATION: 36150 - RCR s.71(a) - A licensee must ensure that (a) employees do not make handwritten changes to the directions for use of a medication on the medication container or package
Observation: Review of the Medication storage area and MAR sheets noted that there was hand written directions for one medication on the MAR and handwritten directions for another medication on a medication container
Corrective Action(s): Ensure that employees do not make hand written changes to the MAR or medication directions
Date to be Corrected: January 18, 2019
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: Upon review of the medication storage area it was noted that there was 1 expired liquid medication
Corrective Action(s): Please ensure all expired medications are returned to the pharmacy
Date to be Corrected: January 11,2019 (removed and corrected during inspection)
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