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: (b) character references in respect of the person

Corrective Actions Required: Ensure character references are obtained for all staff files.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 21, 2023

Observations: Licensing audited 15 staff files. One staff file did not have character references.

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 immunization status is obtained for all staff files.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: July 21, 2023

Observations: Licensing audited 15 staff files. One staff file did not have evidence of their immunization status. This item was corrected during the inspection.

Description: A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 13 children's files. All the children's files had persons not permitted access.

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

To Be Corrected By:

Observations: