| Deducted | Remarks |
| 2 | 10.2 Provide free access (without obstruction or interference) to the premises and its related properties for the purpose of inspection or examination./// Resident was locked outside until another resident opened the door after knocking. |
| 1 | 10.4 Post the most recent inspection report in a conspicuous location within the Communal Living Facility. The Inspection Report remains the property of JCDH./// Inspection posted from A. Hendricks 2/1/23 with a score of 100 and the system as well as hard file has the last score as 99 from 12/2019.
9.1 Post the current JCDH Communal Living Facilty Permit in a conspicuous location within the Communal Living Facility. The Permit remains the property of JCDH./// The permit posted expired in 2023. |
| 5 | 2.1 Cease accepting, referring for placement, placing or recommending for placement persons which exceed the maximum number of residents for which the home is permitted./// Previous inspection allowed for 3 residents. Current number of residents 6 |
| 2 | 4.1.1 (d) Provide at least 1 end table in good condition, adjacent to each bed./// 2 out 3 rooms only had 1 table
4.1.1 (b) Provide for each resident sufficient hanging space for the storage of personal clothes./// Only 1 closest was functioning, the rest were covered with beds.
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| 1 | 4.11.1 (b) Provide garbage and refuse disposal containers that are sufficient to hold all garbage accumulated between collections or disposal./// The garbage containers were full and trash was on the ground outside the back door by the laundry room. |
| 4 | 7.3.2 (a. - j.) Ensure that the resident's rights are read and explained to the resident. Include a list of the Resident's Rights in the Resident's Agreement./// Facility only had the owner's number posted and the ombudsman sign posted. |
| 3 | 7.5.1, 7.5.3 Maintain a current record of each resident's personal information on file at the Communal Living Facility as required. 7.5.2 Maintain the Resident File on-site and provide for review by the Health Officer and Emergency Personnel./// Resident's files were locked up and not accessible. |
| 3 | 7.7.1 (a) Label medications with the resident's name for which the medication is prescribed.
7.7.1 (a) Store medications in separate containers and in a centralized, safe, secure and organized manner.
7.7.1 (b) Store all medications requiring refrigeration in clearly labeled containers and in a manner that prevents the contamination of stored foods.
7.7.1 Store prescription medications in the original container and handle in accordance with current applicable laws and regulations./// All medication was locked and unaccessible. |
| 4 | 8.2.1 (a) Serve at least 3 meals sufficient in quantity and quality per day at regular hours./// Residents stated that they eat breakfast and lunch at the day camps. The refrigerator and cabinets are locked.
8.2.4 (g) Provide an appropriate and accurate food thermometer for measuring the internal temperature of foods. /// Didn't find a food thermometer. |
| 2 | 8.2.1 (b) Maintain a 3 day supply of foods at all times that is sufficient to feed all residents./// The refrigerator and cabinets were locked and couldn't verify.
8.2.1 (c) Post a time schedule of meals./// Didn't see any times for meals.
8.2.1 (f) Record, date and post daily menus. Maintain daily menus on file./// Menu not current. The menu posted was from 2022.
8.2.1 (g) Provide a sack meal for residents who attend aday care, a day treatment or a rehabilitation day center that does not provide lunch. /// Resident's attend aday care and lunches weren't provided at the home. |