STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: The Licensee's policy and procedure required staff's performance reviews are completed every 3 years. One of 10 staff has no performance review on file.
Corrective Action(s): Staff performance review must be completed according to the licensee's policies and procedures.
Date to be Corrected: July 7, 2023
STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: The insulin medication has no date when it was opened, this medication has a pharmacy label that can be stored outside the fridge for 28 days. A medication supposed to be refrigerated was stored in the contingency box. One medication count sheet found at least 10 missing second staff signatures for April and May 2023.
Corrective Action(s): A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: July 7, 2023
CARE AND/OR SUPERVISION: 34390 - RCR s.63(5) - A licensee must ensure that persons in care have sufficient time and assistance to eat safely and comfortably.
Observation: During mealtime a PIC was observed being fed by an employee who was standing. Standing while assisting with feeding does not align with safe feeding practices which minimizes the risk for choking and aspiration. This also does not ensure the comfort of the PIC while eating.
Corrective Action(s): Please ensure that persons in care have sufficient time and assistance to eat safely and comfortably.
Date to be Corrected: July 7, 2023
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation (CORRECTED DURING INSPECTION): Five cans of puree emergency food supply past its before date were stored in the emergency cabinet.
Corrective Action(s): Please ensure that all food is safely stored.
Date to be Corrected: June 23, 2023
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