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:

Corrective Actions Taken By Licensee: Licensing reviewed three staff files and all three had performance reviews completed in 2025.

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

To Be Corrected By:

Observations:

Description: A licensee must make a policy respecting all of the following the engagement by persons in care in restricted activities, other than the consumption of medical cannabis, on the premises

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing observed the policy on person in care engagement in restricted activities, other than the consumption of medical cannabis, at the premise.

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

To Be Corrected By:

Observations:

Description: Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,

Corrective Actions Required: Ensure that all persons in care are weighed monthly.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: April 2, 2025

Observations: Licensing reviewed two persons in care's files and one did not have monthly weights recorded for a person in care between October 2024 and March 2025.