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: Noted during inspection the wall near the back door has a deep(3-4cm deep) scrape in the drywall that is 40-60cm in length and 5-6 cm in width.
Corrective Action(s): Ensure that all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: Dec 27,2022
STAFFING: 32040 - RCR s.37(1)(d) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: (d) copies of any diplomas, certificates or other evidence of the person's training and skills.
Observation: During review of 3 staff files, it was determined 1 of 3 files had an expired food safe certificate.
Corrective Action(s): Ensure to obtain copies of diplomas, certificates or other evidence of the person's training and skills.
Date to be Corrected: Dec 27, 2022
RECORDS AND REPORTING: 39320 - RCR s.83(4)(a) - Subject to subsection 83(5), a licensee, other than a licensee who provides a type of care described as Hospice, must (a) ensure that each person in care is weighed at least once each month.
Observation: Review of 3 Persons in Care(PICs) chart determined that 1 PIC was missing documentation of weight for 1 month over the previous 12 month period.
Corrective Action(s): Ensure that each PIC is weighed at least once each month.
Date to be Corrected: Dec 27, 2022
RECORDS AND REPORTING: 39410 - RCR s.86(a) - A licensee must keep the following records in respect of each employee: (a) criminal record check results,.
Observation: Review of 3 staff files determined that 1 of 3 files has an expired criminal record check on file.
Corrective Action(s): Ensure that criminal record check results are kept for each employee.
Date to be Corrected: Dec 27, 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 (CORRECTED DURING INSPECTION): Noted during inspection no record of menu substitutions kept.
Corrective Action(s):
Date to be Corrected:
|