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 the performance of each employee is reviewed regularly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 9, 2024

Observations: Licensing audited nine employee files. Two employee files had a performance review dated 2017 and 2020.

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited the policies and procedures. All policies were reviewed within the last year.

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:

Corrective Actions Taken By Licensee: Licensing audited eight person in care's records. All persons in care had monthly weight records between October and December 2024.

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

To Be Corrected By:

Observations: