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: a criminal record check for the person

Corrective Actions Required: Ensure a criminal record check is obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 4, 2024

Observations: Licensing reviewed six staff files. One file did not contain a criminal record check for the employee.

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 evidence of compliance with the Province's immunization and tuberculosis control programs is obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 4, 2024

Observations: Licensing reviewed six staff files. One file did not contain immunization status.

Description: A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]

Corrective Actions Required: Ensure a current record is kept of implementation of yearly emergancy plan practices.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 4, 2024

Observations: Licensing observed that a record was not kept of the yearly emergency drill practice. Manager stated that the drill had been done but that the record was misplaced.