PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31320 - RCR s.22(3) - A licensee must ensure that all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices are inspected and maintained on a regular basis.
Observation: Inspection of the facility found that 2 fire extinguishers on the second floor and 6 fire extinguishers on the first floor had expiry tags dated March 2, 2018.
Corrective Action(s): Ensure that all emergency equipment is inspected and maintained on a regular basis.
Date to be Corrected: May 7, 2018
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: Discussion with the Director of Care (DOC) determined that the emergency plan is in the process of being reviewed and the facility has not completed a set of procedures to mitigate, respond and recover from any emergency including procedures for the evacuation of persons in care.
Corrective Action(s): Ensure that there is an emergency plan and that it is complete.
Date to be Corrected: May 7, 2018
HYGIENE AND COMMUNICABLE DISEASE: 35030 - RCR s.54(1) - A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene.
Observation: Inspection of the four spa/tub rooms found personal items that were not labelled (ex. combs; curling wand with hair prongs). The facility expectations are that personal items will only be used for the individuals that they belong to.
Corrective Action(s): Ensure that personal items are clearly identified to assist persons in care in maintaining health and hygiene.
Date to be Corrected: May 7, 2018
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