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 demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Required: Ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer to ensure that the employee demonstrates the competence required for the duties to which the employee is assigned.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 21, 2024

Observations: This item has been carried forward from Routine Inspection dated August 5, 2022. This item was unable to be corrected today as staff files were not audited due to being located at the head office.

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 reviewed the policy manual which was last reviewed in December 2023.

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

To Be Corrected By:

Observations: