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 employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2024

Observations: Licensing audited five staff files and observed two files did not contain 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: a record of the person’s work history

Corrective Actions Required: Ensure a record of work history is obtained for employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2024

Observations: Licensing audited five staff files and observed three files did not contain a record of work history.

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 a record of evidence of compliance with Province's immunization & TB control programs is obtained for employees.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2024

Observations: Licensing audited five staff files and observed three files did not contain immunization status.

Description: A licensee must not employ a person in a community care facility as an educator or an assistant unless the person holds a valid certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry

Corrective Actions Required: Ensure educators or assistants hold a valid certificate and Licensee had verified the certification.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2024

Observations: Licensing audited five staff files and observed one educator assistant certificate had not been verified.

Description: A licensee must keep current records of each of the following: (c) a record respecting compliance with section 22 (2) (b) and (c) [emergency training and equipment]

Corrective Actions Required: Ensure a current record re: implementation of yearly emergency plan practices is kept.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: January 24, 2024

Observations: Licensing observed a current record re: implementation of yearly emergency plan practices was not kept. Staff stated they had implemented an emergency drill but did not record it.