Description: A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has obtained all of the following: character references in respect of the person

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited three staff files. All contained character references.

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

To Be Corrected By:

Observations:

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 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 Taken By Licensee:

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

To Be Corrected By: February 21, 2026

Observations: Licensing audited three employee files. Two employee files had performance reviews dated in 2023.

Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the Medication Administration Records (MARs) of two persons in care. Both persons in care had PRN (as needed) medication administered and the results had been documented as required by policy.

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

To Be Corrected By:

Observations: