CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: Three of 4 persons in care's MOST form has not been reviewed in 2021.
Corrective Action(s): A licensee must ensure that all care plans and MOST are reviewed at least once each year.
Date to be Corrected: July 20, 2022
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: One of 4 persons in care found no evidence of compliance to Province's immunization and TB on file.
Corrective Action(s): A licensee must require all person admitted in community care facility to comply with the Province's immunization and tuberculosis programs.
Date to be Corrected: July 20, 2022
MEDICATION: 36170 - RCR s.72(b) - A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if (b) the expiry date on the medication has passed.
Observation: Four person in care's PRN medications were found passed its expiry date. The medications were 30 - 60 days past its expiration dates.
Corrective Action(s): Please ensure that a person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Date to be Corrected: July 6, 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: Licensee's menu included a list of snacks for the persons in care, however, the morning snacks only included one food group. This is a repeat contravention.
Corrective Action(s): A licensee's menu must ensure that persons in care are provided with 2 snacks per day, with each snack containing two food groups.
Date to be Corrected: July 20, 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: Four of 4 persons in care did not have the weight taken for June 2022. As per staff the weighing scale was being serviced.
Corrective Action(s): Please ensure that each person in care is weighed at least once each month.
Date to be Corrected: July 20, 2022
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