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: During inspection of the facility it was noted that:
-Through out the home in all rooms and common areas there is significant damages to the walls and door frames from wheelchairs rubbing and hitting the walls and frames.
-In the small bathroom there is water damage to the cabinet under the sink where it meets the floor and the trim along the floor is coming away from the walls
-In the Tub room the base of the hall way door is water damaged
-one bedroom is missing the door kick plate and is damaged
-The kitchen cabinet knobs have worn paint and a few areas on the drawers and cabinets are worn down to wood
-The kitchen window sill is water damaged and missing paint
-Some items from the facilities internal health and safety checklist from last year have not yet been corrected
Corrective Action(s): Please ensure that all rooms and common areas are maintained in a good state of repair. The physical facilities concerns were discussed with the manager and many of the items fall under BC housing maintenance. The manager will address the contraventions with BC housing and provide a time line of repair once the manager has received a response from BC housing
Date to be Corrected: July 5, 2019
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31300 - RCR s.22(1)(c) - A licensee must ensure that all rooms and common areas are (c) maintained in a safe and clean condition.
Observation: During the inspection it was noted that there was a need for more thorough cleaning through out the home
Interior
- cobwebs in the front entrance window
- inside kitchen cupboards and drawers had food crumbs and dust
- outside of kitchen cupboards were sticky and had food residue
- window sills were dusty
- mops not stored appropriately
Exterior
- side yard maintenance is required
- shed has boards falling off
- exterior of the home is dusty and dirty
- some garbage items to be removed
- hoses left out and are possible tripping hazard
Corrective Action(s): Please ensure the home is maintained in a safe and clean condition.
Date to be Corrected: August 21, 2019
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: Review of the MAR of 2 PIC's showed that the appropriate coding was not being used to document when the PIC was away from the facility
Corrective Action(s): Ensure the proper coding is used on the MAR as per the pharmacy policy
Date to be Corrected: July 5, 2019
HYGIENE AND COMMUNICABLE DISEASE: 35040 - RCR s.63(1) - A licensee must ensure that all food is safely prepared, stored, served and handled.
Observation: It was noted that a number of dry food items were stored in open packages
Corrective Action(s): Ensure all food is stored in a safe manner in sealed, labeled containers
Date to be Corrected: July 5, 2019
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