Description: A licensee must ensure that all rooms and common areas are maintained in a good state of repair

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed one person in care's bedroom. The bedroom wall and trim had been repaired.

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

To Be Corrected By:

Observations:

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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required: Ensure that evidence is kept to show that an employee has complied with the Province's immunization program.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 1, 2023

Observations: Licensing audited two employee files and observed one employee file did not have evidence that the person has complied with the Province's immunization program.

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:

Corrective Actions Taken By Licensee: Licensing observed one employee performance review that had been completed in August 2023.

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

To Be Corrected By:

Observations:

Description: A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the licence with the current Manager posted in the front hallway.

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

To Be Corrected By:

Observations:

Description: A care plan must include all of the following: an oral health care plan

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed one person in care's care plan which included an oral health care plan.

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

To Be Corrected By:

Observations: