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: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

Corrective Actions Required: Ensure all staff have immunization status on file.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 7, 2022

Observations: Licensing reviewed five staff files and one was missing immunization status. Licensee corrected during inspection.

Description: Despite this section, a licensee may employ a person as a volunteer who does not provide care to children or supervise children if the licensee or the manager has first met with the person and obtained all of the following: character references in respect of the person

Corrective Actions Required: Ensure all volunteers have character references on file.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 7, 2022

Observations: Licensing reviewed one volunteer file and it did not contain character references.

Description: The licensee must review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

Corrective Actions Required: Ensure care plans are reviewed at least once a year with a parent of the child requiring extra support and any person requested by the parent.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 7, 2022

Observations: Licensing reviewed one care plan which indicated it had last been reviewed January 2021.