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Mara House - 7 Day Facility

Confidential · Residential Care - Licensing

7 inspections

  1. Routine Inspection

    0 infractions

  2. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The system to ensure that water accessible to persons in care is not heated to more that 49 degrees Celsius is ineffective. Temperature checks in two bathrooms was noted to be over 49 degrees Celsius. The water temperature was turned down during the course of the inspection. Please ensure you have a system in place to monitor the water temperature to ensure compliance 365 days of the year.
      • R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
  3. Routine Inspection

    0 infractions

  4. Routine Inspection

    0 infractions

  5. Monitoring

    1 infraction

    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): The facility does not have a system in place to ensure care plans include an oral health care plan or a nutritional plan for persons in care. It was noted and discussed during the inspection that not all persons in care had oral for nutritional care addressed on their care plans.
      • R10.3D - Care plans must includes an oral health care plan; 81( 3 )(b)
      • R10.3N - Develop a nutrition plan for each person in care and review the plan on a regular basis (Applies to a facility with 24 or fewer persons in care); 83( 1 )(a)( 3 )(a)
  6. Monitoring

    2 infractions

    • R6.1 - Do employee records have evidence of continued compliance with the Province’s immunization and tuberculosis control programs?
      • Observation(s): The system for ensuring compliance with hygiene and communicable disease control is ineffective. The staffing spreadsheet did not include immunization screening for the staff.
      • R6.1A - Ensure there is evidence that employees have continued compliance with the Province’s immunization and tuberculosis control programs; 39 ( 1 )
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): The system for ensuring compliance with records and reporting is ineffective. It was noted during the inspection that monthly weights were not being recorded in several person in care records.
      • R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
  7. Monitoring

    2 infractions

    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Breakfast items were not included in the menu and three food groups were not always included in the menu plan for lunch and supper.
      • Provide for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups described in Canada's Food Guide; 62( 2 )(a)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The emergency exit in the basement was partially blocked with a ladder and a box of recreational equipment. This was corrected during the inspection. Dishwashing pucks, sani-wipes and dishwashing detergent all noted as keep out of reach of children were found unlocked underneath the sinks in both kitchens. This was corrected during the inspection.
      • Ensure emergency exits are not obstructed or secured in a manner that may hinder exit in an emergency; 22 ( 2 )
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)