PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31050 - RCR s.15(1) - A licensee must ensure that, if necessary for the health and safety of a person in care, windows are secured in a manner that prevents a person in care from falling from, or exiting through, the window.
Observation (CORRECTED DURING INSPECTION): During inspection of the physical facility, it was observed in a person in care's room that the window was not secured in a manner to prevent a person from exiting through.
Corrective Action(s): Please ensure that all windows are secured in a manner that prevents persons in care from falling or exiting through the window.
Date to be Corrected: Corrected at the time of inspection.
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 a main floor patio area, a large crack was observed on the concrete surfacing. The crack was in excess of 5 feet long, and the concrete had lifted and opened. The crack was substantial enough to be considered a safety hazard for the persons in care.
Corrective Action(s): Please ensure all common areas are maintained in a good state of repair.
Date to be Corrected: July 7, 2021
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation (CORRECTED DURING INSPECTION): During the inspection of the physical facility, a prescribed medicated cream was noted in the bedroom of a person in care. The medication was not secured.
Corrective Action(s): Please ensure that all medications in the facility are safely and securely stored.
Date to be Corrected: Corrected at the time of the inspection.
CARE AND/OR SUPERVISION: 34620 - RCR s.81(3)(a)(iii) - A care plan must include all of the following: (a) a plan to address (iii) if there is agreement to the use of restraints under section 74 (1) (b) [when restraints may be used], the type or nature of restraint and the frequency of reassessment.
Observation: In review of the health care records for persons in care, it was noted for 2 persons in care that a restraint agreement was in place. However, the restraints being used were not documented in the care plans of the 2 persons in care.
Corrective Action(s): Please ensure that if there is agreement to the use of restraints, then the following information is noted in the person in care's care plan: (i) type and nature of restraint, (ii) reason for restraint, (iii) alternatives considered, implemented and rejected, (iv) restraint duration and monitoring, (v) reassessment results.
Date to be Corrected: June 23, 2021
RECORDS AND REPORTING: 39420 - RCR s.86(b) - A licensee must keep the following records in respect of each employee: (b) character references.
Observation: In review of employee records, it was noted for 2 newly hired employees that records of reference checks were not completed.
Corrective Action(s): Please ensure records regarding character references are completed and available for review.
Date to be Corrected: June 23, 2021
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