Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,

Corrective Actions Required: Ensure that records in respect to complaince with the Province's immunization and tuberculosis control programs are kept for each employee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: October 9, 2025

Observations: Licensing audited six staff files and records and observed that four of the six staff did not have a record of immunization kept on file.

Description: A licensee must do all of the following: ensure that policies are implemented by employees.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited six staff files and observed that all staff had annual performance reviews that were up-to-date and kept on file, per facility policy.

Actions Required By Licensing: No further action required; this contravention has been addressed.

To Be Corrected By:

Observations:

Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required: Ensure that all persons admitted to a community care facility comply with the Province's immunization and tuberculosis control programs.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: October 31, 2025

Observations: Licensing audited the records and care plans for four persons in care and observed that all persons in care did not have a record of immunization kept on file.