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

Corrective Actions Required: Ensure that employee files contain two character references.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2023

Observations: Licensing audited 20 staff files and two were missing character references.

Description: A licensee must keep the following records in respect of each employee: compliance with the Province’s immunization and tuberculosis control programs,

Corrective Actions Required: Ensure that records are kept of each employee's compliance with the province's tuberculosis and immunization control programs.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2023

Observations: Licensing audited 20 staff files and two did not contain TB test results and one did not contain immunization records.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: the continuing education of managers and employees

Corrective Actions Required: Ensure that there is policy in respect to continuing education of managers and employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2023

Observations: Licensing observed that there was no policy in respect to continuing education of managers and employees.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: the appropriate manner and schedule of record keeping.

Corrective Actions Required: Ensure that there is written policy in respect to the manner and schedule of record keeping.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2023

Observations: Licensing observed that there was no written policy in respect to manner and schedule of record keeping.

Description: Without limiting subsection (1) (a), a licensee must have written policies and procedures in respect of all of the following: obtaining consent, in accordance with Part 3 of the Health Care (Consent) and Care Facility (Admission) Act, before admitting an adult to the community care facility.

Corrective Actions Required: Ensure that there is written policy for obtaining consent before admitting an adult to the community care facility

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 15, 2023

Observations: Licensing observed that there was no written policy for obtaining consent before admitting an adult to the community care facility.