PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation (CORRECTED DURING INSPECTION): A person in care's medication was found in the washroom on the sink.
Corrective Action(s): Ensure that all medications in the facility are safely and securely stored.
Date to be Corrected: August 8, 2022
POLICIES AND PROCEDURES: 33060 - RCR s.51(1)(a) - A licensee must have (a) an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for the evacuation of persons in care.
Observation (CORRECTED DURING INSPECTION): A review of the facility's emergency supplies found that there was insufficient water to sustain all persons in care and staff for 3 days.
Corrective Action(s): Ensure that an emergency plan sets out procedures to prepare for, mitigate, respond to and recover from any emergency, including procedures for the evacuation of persons in care.
Date to be Corrected: August 8, 2022
POLICIES AND PROCEDURES: 33180 - RCR s.74(1)(b)(ii) - Subject to subsection 74(2), a licensee may restrain a person in care (b) if there is agreement to the use of a restraint given in writing by both (ii) the medical practitioner or nurse practitioner responsible for the health of the person in care.
Observation: A PIC required use of a bed rail. As a bed rail is classified as a restraint, it would need to be reviewed by a medical practitioner, and there was no documentation found to confirm this review had taken place.
Corrective Action(s): Ensure there is an agreement to the use of the restraint given in writing by the medical practitioner or nurse practitioner responsible for the health of the person in care.
Date to be Corrected: August 8, 2022
RECORDS AND REPORTING: 39010 - RCR s.49(2) - A licensee must record the height and weight of each person in care on admission.
Observation: Review of 1 of 4 PIC's health care records found no height and weight taken on admission.
Corrective Action(s): A licensee must record the height and weight of each person in care on admission.
Date to be Corrected: August 8, 2022
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