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: Review of the first floor shower found the following:
-Door stop was broken
-Door handle had created a hole in the wall
-Transfer pole had a rusted spots on the base and the bottom was peeling
-Shower floor was peeling up near the drain
Review of 7 bedrooms found:
-1 mattress that was noticeably sunken in the centre
-1 mirror was leaning against the wall and was not secured to the wall
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: February 19, 2018
RECORDS AND REPORTING: 39090 - RCR s.77(2)(c) - Subject to subsection (3), if a person in care is involved in a reportable incident, the licensee must immediately notify (c) a medical health officer, in the form and in the manner required by the medical health officer.
Observation: Review of 1 of 3 PIC's progress notes contained in the care plans found that 1 PIC had 2 incidents that needed to be reported to Licensing.
Corrective Action(s): Ensure that all internal incidents and incidents captured in progress notes are reviewed for further reporting to Licensing.
Date to be Corrected: February 19, 2018
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Review of 1 of 3 PIC's care plans found that 1 PIC documentation for consent was not appropriate or reviewed since October 2007.
Corrective Action(s): Ensure that documentation is appropriate and complete.
Date to be Corrected: February 19, 2018
|