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: April 15, 2023

Observations: Licensing audited seven staff files. One file did not contain a performance evaluation.

Description: A licensee must keep the following records in respect of each employee: character references

Corrective Actions Required: Ensure a Licensee keeps the following records in respect of each employee: character references.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 15, 2023

Observations: Licensing audited seven staff files. Two staff files did not contain character references.

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: Ensure policies and procedures are reviewed and, if necessary, revised 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 15, 2023

Observations: Licensing review the facility's policy and procedures. The policies and procedures had not been reviewed in more than a year.