Description: A licensee must keep the following records in respect of each employee: (d) a record of any performance reviews made under section 40 [continuing monitoring of employees] and any attendance at continuing education programs.

Corrective Actions Required: Ensure records are kept in respect of each employee's record of any performance reviews made under section 40 [continuing monitoring of employees] and any attendance at continuing education programs.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 10, 2022

Observations: Licensing reviewed two staff files and observed there was no performance review files.

Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required: Ensure an assessment for each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 10, 2022

Observations: Licensing reviewed two persons in care's files and one out of the two files, the risk of missing/wandering assessment form upon admission was not in the file.

Description: A care plan must include all of the following: an oral health care plan

Corrective Actions Required: Ensure that the person in care's care plan includes an oral health care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 10, 2022

Observations: Licensing reviewed two persons in care's files and one out of the two files, the oral health care plan was not in file.