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 first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

Corrective Actions Required: Ensure immunization records are obtained for staff.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 29, 2026

Observations: Licensing audited two staff files. One staff file did not have a record of an immunization record.

Description: A licensee must ensure that each employee practices implementing the emergency plan at least once each year.

Corrective Actions Required: Ensure employees practice implementing the emergency drill at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 29, 2026

Observations: The manager stated the emergency drill had not been practiced this year.