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 criminal record check for the person

Corrective Actions Required: Ensure a criminal record check is obtained for each employee.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 25, 2026

Observations: Licensing audited five staff files. Three staff did not contain a criminal record check.

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: copies of any diplomas, certificates or other evidence of the person’s training and skills

Corrective Actions Required: Ensure a copy of diplomas/certificates/evidence of training or skills is kept for all staff.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 25, 2026

Observations: Licensing audited five staff files. One file did not contain a copy of diplomas/certificates/evidence of training or skills for a staff.

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 record of the yearly emergency plan is kept.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 25, 2026

Observations: Licensing observed a record of yearly emergency drills was not recorded.

Description: In respect of a record referred to in this Division, a licensee must (a) keep in a single place at the community care facility the records referred to in sections 56 to 58,

Corrective Actions Required: Ensure record referred to in Section 56 to 58 are kept in a single place at the community care facility.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: May 25, 2026

Observations: Licensing observed children files and staff files were not at the facility. The staff stated those files were transferred at other locations during spring break and did not return to the facility.