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 obtained all of the following: a criminal record check for the person

Corrective Actions Required: Ensure not to employ a person in a community care facility unless the licensee, or in the case of a person who is not the manager, has obtained a criminal record check for the person.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 5, 2026

Observations: Licensing reviewed eleven staff files and one staff file did not have a criminal record check result on file.

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 obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required: Ensure not to 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 obtained evidence that the person has complied with the tuberculosis control program.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 5, 2026

Observations: Licensing reviewed eleven staff files and one staff file did not have a copy of a tuberculosis test result.

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: 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 Taken By Licensee:

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

To Be Corrected By: June 5, 2026

Observations: Licensing reviewed eleven staff files and four staff files did not have a regular performance review. Two staff did not have performance reviews conducted since 2023 and 2024.