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 continues to meet the requirements of this regulation,

Corrective Actions Required: Ensure that the performance of each employee is reviewed both regularly and as directed by the medical health office under subsection (2) to ensure that the employee to meet the requirements of this regulation.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 14, 2026

Observations: Licensing audited thirteen staff files and all were missing performance reviews. The HR Manager confirmed that performance reviews were not completed for employees.

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

Corrective Actions Required: Ensure that a care plan incldues an oral health care plan.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 14, 2026

Observations: Licensing audited seven persons in care's care plans and one was missing an oral health care plan.

Description: A care plan must include all of the following: in the case of a person in care who receives a type of care described as Long Term Care or who may be prone to falling, a fall prevention plan, which must address a plan for following up on any falls suffered by a person in care

Corrective Actions Required: Ensure that a care plan includes a fall prevention plan which must address a plan for following up on any falls suffered by a person in care.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: September 14, 2026

Observations: Licensing audited seven persons in care's care plans. One person in care who was at risk for falls, did not have a plan to follow up on falls suffered.