Mimi's Senior Home

Based on records reviewed and an interview with the facility admnistrator, the licensee did not comply with the section cited above as no fire/disaster drills have been formally conducted and documented since March 2023. This poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation of the physical plant, the licensee did not comply with the section cited above as the sink in one of the bathroom was noted to be covered in white stains and the shower curtain in another bathroom was stained alongside the floor. These pose/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation during a tour of the physical plant, the licensee did not comply with the section cited above as multiple cabinets equipped with magnetic locks and contained cleaning supplies including bleach powder were observed to be unlocked throughout the facility. This poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation and interviews with facility staff, the licensee did not comply with the section cited above as medication were left on the dining table through the afternoon as they were scheduled to be administered for lunch and dinner instead of being relocated in the central storage. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, the licensee did not comply with the section cited above. None of the current six residents are admitted onto hospice, meanwhile multiple beds were observed to be equipped with full rails, including two in the up position, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record reviewed, the licensee did not comply with the section cited above as one resident diagnosed with dementia had not been reassessed by their physician since 2022. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in as the sliding door accessible to the backyard is observed to be equipped with a sound alarm that is not activated. Both side gates exiting from the yard are also not equipped with sound alarm, which poses/posed a potential health, safety or personal rights risk to persons in care.