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

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 10 staff files and all files contained copies of diplomas, certificates or other evidence of the person's training and skills.

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

To Be Corrected By:

Observations:

Description: A licensee must not continue to employ a person in a community care facility who does not provide to the licensee evidence of continued compliance with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited ten staff files and all files contained TB screening results and immunization records.

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

To Be Corrected By:

Observations:

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:

Corrective Actions Taken By Licensee: Licensing audited 10 staff files and all files contained current performance reviews.

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

To Be Corrected By:

Observations:

Description: A licensee must require all persons admitted to a community care facility to comply with the Province’s immunization and tuberculosis control programs.

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 11 files for persons in care and all files contained records of compliance with the province's tuberculosis and immunization control program.

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

To Be Corrected By:

Observations:

Description: Subject to subsections (2) to (4), a licensee must keep, for each person in care, a record showing the following information: in the case of an adult, the consent for that person in care to be admitted or to continue to be accommodated in the community care facility, given in accordance with section 21 or 22 of the Health Care (Consent) and Care Facility (Admission) Act or section 50.1 of this regulation, as applicable

Corrective Actions Required: Ensure that records are kept, for each person in care, be admitted and continue to be accommodated at a community care facility.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: August 20, 2023

Observations: Licensing audited 11 files for persons in care and one did not contain consent to care in a community care facility.

Description: A licensee must have, and keep with each person in care’s record, consent in writing from the person in care or a parent or representative of the person in care to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness,

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 11 files for persons in care and all files contained consent to call an ambulance or medical practitioner.

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

To Be Corrected By:

Observations:

Description: A care plan must include all of the following: a recreation and leisure plan

Corrective Actions Required:

Corrective Actions Taken By Licensee: Licensing audited 11 care plans for persons in care and all contained a recreation and leisure plan.

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

To Be Corrected By:

Observations: