HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Evidence of compliance with the immunization and Tb program was not available for five of five persons in care. This was identified in Routine Inspection #KTRR-C3ZSN8 dated June14, 2021.
Corrective Action(s): Ensure compliance with the BC immunization and Tb program prior to admission.
Date to be Corrected: June 15, 2022
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: Morning snacks contained one food group after flavoured water was substituted for juice across all days. Evening snacks consisted of one food group or were undefined on the some weeks of the menus.
Corrective Action(s): Ensure snacks contain at least two food groups.
Date to be Corrected: June 15, 2022
RECORDS AND REPORTING: 39230 - RCR s.79(1)(a) - A licensee must keep a record in respect of each person in care showing the following information: (a) all money, valuables and other things held by the licensee in trust or safekeeping for persons in care.
Observation: Gift cards belonging to four PICs were not documented. The value on the gift cards could not be confirmed as a tracking system was not in place.
Corrective Action(s): Ensure a record is kept of all PIC’s valuables.
Date to be Corrected: June 9, 2022
RECORDS AND REPORTING: 39350 - RCR s.84(b) - If a person in care is restrained, a licensee must ensure that the following information is recorded in the care plan of the person in care: (b) the reason for the use of the restraint.
Observation: For four PICs documentation was not available regarding the specific reason(s) a restraint was used with that person in care.
Corrective Action(s): Ensure reasons for restraint use is documented in the care plan.
Date to be Corrected: June 9, 2022
RECORDS AND REPORTING: 39460 - RCR s.87(b) - A licensee must keep a record of the following matters respecting food services: (b) menus and menu substitutions.
Observation: Four substitutions in a one week period were not recorded.
Corrective Action(s): Ensure a record is kept of menu substitutions.
Date to be Corrected: June 15, 2022
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