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: February 13, 2026

Observations: Licensing audited four staff files. One file did not contain a Criminal Record Check.

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: (b) character references in respect of the person

Corrective Actions Required: Ensure a character reference is obtained for all employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 13, 2026

Observations: Licensing audited four staff files. Two files did not contain character references.

Description: A licensee must ensure that each employee practices implementing the fire drill system at least once each month,

Corrective Actions Required: Ensure the monthly fire drill system is kept in record.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: February 13, 2026

Observations: Licensing observed the monthly fire drill, and the log of June 2025 was not recorded. Manager confirmed this fire drill was not practiced.