Description: A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection (2) to ensure that the employee continues to meet the requirements of this regulation,

Corrective Actions Required: Ensure that performance reviews are conducted regularly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 25, 2022

Observations: Licensing audited two employee files and observed one employee file had a performance review dated June 2022 and one employee file had a performance review dated May 2022. The facility's policy stated performance reviews had to be conducted quarterly for all employees.

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 received copies of photographs of a locked filing cabinet. The Manager stated the persons in care's confidential records were securely stored in the locked filing cabinet.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required: Ensure persons in care are weighted monthly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: December 25, 2022

Observations: Licensing audited two person in care's weight records for the past year. Licensing observed one person in care's weight was not documented for July and September 2022. Licensing observed one person in care's weight was not documented for June, July and September 2022.