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 the performance of each employee is reviewed regularly to ensure the employee demonstrates the competence required for the duties assigned.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 25, 2024

Observations: This item has been carried forward from Routine Inspection 1C7A7478-B801-4FFC-9DEB-1E97D3642767 dated September 12, 2022. Licensing reviewed 10 staff files. None of the files had current performance reviews completed. The facility policy stated performance reviews are completed annually.